Vpliv kronične pelvične bolečine na kakovost življenja žensk
DOI:
https://doi.org/10.55707/jhs.v12i2.187Ključne besede:
kronična medenična bolečina, celostni pristop, telesno zdravje, duševno zdravje, medosebni odnosiPovzetek
Kronična pelvična bolečina prizadene med 5,7 % in 26,6 % žensk ter vpliva na različne vidike njihovega življenja. Namen sistematičnega pregleda literature je opredeliti dejavnike, ki vplivajo na kakovost življenja žensk s kronično pelvično bolečino, ter izpostaviti ključna področja, na katera bolečina vpliva. Literaturo smo iskali v mednarodnih podatkovnih bazah CINAHL ultimate, ScienceDirect in MEDLINE, z uporabo ključnih besed: chronic pelvic pain AND women, women chronic pelvic pain AND quality of life, chronic pelvic pain AND gynecology, chronic pelvic pain AND holistic care. V pregled je bilo vključenih 11 znanstvenih člankov, objavljenih po letu 2018. Na podlagi tematske analize smo oblikovali štiri vsebinske sklope: dejavniki, ki vplivajo na kakovost življenja žensk s kronično pelvično bolečino; vpliv kronične pelvične bolečine na telesno zdravje in kakovost življenja; vpliv kronične pelvične bolečine na duševno zdravje in kakovost življenja; vpliv kronične pelvične bolečine na medosebne odnose. Naše ugotovitve kažejo, da kronična pelvična bolečina pomembno zmanjšuje kakovost življenja žensk ter vpliva na njihovo telesno in duševno zdravje ter socialno delovanje. Zdravstveni delavci moramo kronično pelvično bolečino obravnavati kot večdimenzionalni pojav in pri tem slediti biopsihosocialnemu modelu zdravja.
Literatura
1. Ahangari, A. (2014). Prevalence of chronic pelvic pain among women: an updated review. Pain physician, 17(2), E141–E147. https://doi.org/10.36076/ppj.2014/17/E141
2. Allaire, C., Yong, P. J., Bajzak, K., Jarrell, J., Lemos, N., Miller, C., Morin, M., Nasr-Esfahani, M., Singh, S. S. in Chen, I. (2024). Guideline No. 445: Management of Chronic Pelvic Pain. Journal of obstetrics and gynaecology Canada, 46(1), 102283. https://doi.org/10.1016/j.jogc.2023.102283
3. Bhide, S., Flyckt, R., Yao, M. in Falcone, T. (2021). Long-term impact of chronic pelvic pain on quality of life in women with and without endometriosis. Clinical and Experimental Obstetrics & Gynecology, 48(4), 851–859. https://doi.org/10.31083/j.ceog4804135
4. Davari Tanha, F., Asadi, M., Mirbagheri, F., Feizabad, E., Kaveh, Z. in Mousavizadeh, K. (2025). The Effect of Botulinum on Chronic Pelvic Pain and Sexual Satisfaction in Women with Endometriosis. Journal of Obstetrics, Gynecology and Cancer Research, 10(3), 201–207. https://doi.org/10.30699/jogcr.10.3.201
5. de Souza, R. J., Villela, N. R., Brollo, L. C. S. in Oliveira, M. A. P. (2023). Impact of chronic pelvic pain and painful bladder syndrome on the Pittsburgh Sleep Quality Index on women with deep endometriosis: a cross-sectional study. International urogynecology journal, 34(10), 2487–2493. https://doi.org/10.1007/s00192-023-05560-y
6. Domazet-Fink, J. in Kobal, B. (2003). Vloga laparoskopije pri odkrivanju vzrokov kronične pelvične bolečine. Zdravniški vestnik, 72(2), 139–142. http://www.dlib.si/?URN=URN:NBN:SI:docLEGQ9GEU
7. Engeler, D., Baranowski, A. P., Berghmans, B., Birch, J., Cottrell, A. M., Dinis-Oliveira, P., Dütschler, J., Flink, I., Hughes, J., Messelink, E. J., Parsons, B., Pinto, R. A., van Poelgeest, M. L., Tidman, V., Vyawahare, B. in de C. Williams, A. C. (2025). EAU Guidelines on Chronic Pelvic
Pain – Limited Update March 2025. European Association of Urology.
8. Huang, G., Le, A. L., Goddard, Y., James, D., Thavorn, K., Payne, M. in Chen, I. (2022). A Systematic Review of the Cost of Chronic Pelvic Pain in Women. Journal of obstetrics and gynaecology Canada, 44(3), 286–293. https://doi.org/10.1016/j.jogc.2021.08.011
9. Kordeš, U. in Smrdu, M., 2015. Osnove kvalitativnega raziskovanja. Založba Univerze na Primorskem, pp. 51–60.
10. Mellado, B. H., Falcone, A. C. M., Poli-Neto, O. B., Rosa e Silva, J. C., Nogueira, A. A. in Candido-dos-Reis, F. J. (2016). Social isolation in women with endometriosis and chronic pelvic pain. International Journal of Gynecology & Obstetrics, 133(2) 199-201. https://doi.org/10.1016/j.ijgo.2015.08.024
11. Mellado, B. H., Pilger, T. L., Poli Neto, O. B., Rosa E Silva, J. C., Nogueira, A. A., do Vale Brandão, C. in Candido Dos Reis, F. J. (2020). Daily life attitudes of women with moderate or severe chronic pelvic pain. A qualitative study. European journal of obstetrics, gynecology, and reproductive biology, 254, 109–113. https://doi.org/10.1016/j.ejogrb.2020.09.001
12. Muharam, R., Amalia, T., Pratama, G., Harzif, A. K., Agiananda, F., Maidarti, M., Azyati, M., Sumapraja, K., Winarto, H., Wiweko, B., Hestiantoro, A., Suarthana, E. in Tulandi, T. (2022). Chronic Pelvic Pain in Women with Endometriosis is Associated with Psychiatric Disorder and Quality of Life Deterioration. International journal of women’s health, 14, 131–138. https://doi.org/10.2147/IJWH.S345186
13. Neto, J. N., da Costa Brito, A. I., Nogueira, M. B., Freire Lira, L. L., Rodrigues de Sousa Gomes, L. M., da Cunha Leal, P. in Rey Moura, E. C. (2025). Prevalence of depression and anxiety in women with chronic pelvic Pain: A systematic review and Meta-Analysis. European journal of obstetrics, gynecology, and reproductive biology, 305, 312–317. https://doi.org/10.1016/j.ejogrb.2024.12.042
14. Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., McGuinness,
L. A., … Moher, D. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ (Clinical research ed.), 372, n71. https://doi.org/10.1136/bmj.n71
15. Panisch, L. S., Jansen, S. M., Abudushalamu, F., Petersen, T. R. in Meriwether, K. V. (2025). Patient Perspectives on the Psychosocial Impact of Chronic Pelvic Pain and Implications for Integrated Behavioral Care Approaches. The journal of behavioral health services & research. Advance online publication. https://doi.org/10.1007/s11414-024-09926-y
16. Piontek, K., Ketels, G., Albrecht, R., Schnurr, U., Dybowski, C., Brünahl, C. A., Riegel, B. in Löwe, B. (2019). Somatic and psychosocial determinants of symptom severity and quality of life in male and female patients with chronic pelvic pain syndrome. Journal of psychosomatic research, 120, 1–7. https://doi.org/10.1016/j.jpsychores.2019.02.010
17. Piontek, K., Ketels, G., Klotz, S. G. R., Dybowski, C., Brünahl, C. in Löwe, B. (2022). The longitudinal association of symptom-related and psychological factors with health-related quality of life in patients with chronic pelvic pain syndrome. Journal of psychosomatic research, 153, 110707. https://doi.org/10.1016/j.jpsychores.2021.110707
18. Reavey, J. in Vincent, K. (2022). Chronic pelvic pain. Obstetrics, Gynaecology & Reproductive Medicine, 32(1), 8–13. https://doi.org/10.1016/j.ogrm.2021.11.002
19. Rush, G., Misajon, R., Hunter, J. A., Gardner, J. in O’Brien, K. S. (2019). The relationship between endometriosis-related pelvic pain and symptom frequency, and subjective wellbeing. Health and quality of life outcomes, 17(1), 123. https://doi.org/10.1186/s12955-019-1185-y
20. Sewell, M., Churilov, L., Mooney, S., Ma, T., Maher, P. in Grover, S. R. (2018). Chronic pelvic pain - pain catastrophizing, pelvic pain and quality of life. Scandinavian journal of pain, 18(3), 441–448. https://doi.org/10.1515/sjpain-2017-0181
21. Siqueira-Campos, V. M. E., Da Luz, R. A., de Deus, J. M., Martinez, E. Z. in Conde, D. M. (2019). Anxiety and depression in women with and without chronic pelvic pain: prevalence and associated factors. Journal of pain research, 12, 1223–1233. https://doi.org/10.2147/JPR.S195317
22. Starzec-Proserpio, M., Frawley, H., Bø, K. in Morin, M. (2025). Effectiveness of nonpharmacological conservative therapies for chronic pelvic pain in women: a systematic review and meta-analysis. American journal of obstetrics and gynecology, 232(1), 42–71. https://doi.org/10.1016/j.ajog.2024.08.006
23. Terzoni, S., Ferrara, P., Parozzi, M., Colombani, F., Mora, C., Cilluffo, S., Jeannette, V. G., Destrebecq, A., Pinna, B., Lusignani, M., Chiara, S., Giorgia, G. in Rocco, B. (2023). Nurses’ role in the management of persons with chronic urogenital pelvic pain syndromes: A scoping review. Neurourology and urodynamics, 42(1), 13–22. https://doi.org/10.1002/nau.25053
24. Vincent, K. in Evans, E. (2021). An update on the management of chronic pelvic pain in women. Anaesthesia, 76(4), 96–107. https://doi.org/10.1111/anae.15421
25. World Health Organization. (2022). ICD-11: International classification of diseases (11th revision). https://icd.who.int/en
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