The integrative health status of women with uterine fibroids wishing to maintain fertility: a cross-sectional study based on Levine’s conservation model

Women s Health Nursing, Journal Year: 2025, Volume and Issue: 31(1), P. 9 - 21

Published: March 28, 2025

Purpose: The increasing incidence of uterine fibroids (UFs) among women who could consider conception presents challenges. This study examined the relationships fatigue, UF symptom severity, sexual function, anxiety, and loneliness across diverse life conditions treatment stages in with UFs wishing to maintain fertility.Methods: descriptive correlational study, guided by Levine’s conservation model, included 221 hoping their reproductive potential. Participants were recruited from gynecology-focused online communities, data collected through an survey. questionnaire gathered information on general treatment-related characteristics, as well measures loneliness. analyzed using statistics, independent t-test, one-way analysis variance, Welch test, Pearson correlation analysis.Results: Most participants (91.9%) experienced dysfunction was prevalent (85.5%). Fatigue, levels significantly intercorrelated (p≤.001), whereas severity only associated fatigue (r=.51, p<.001) function (r=–.41, p<.001). Women without specific pregnancy plans exhibited greater anxiety poorer than those plans, low economic status showed outcomes for most variables. currently undergoing medical reported highest while a longer diagnosis history or not receiving loneliness.Conclusion: intending fertility face multidimensional interrelated health Beyond fibroid-focused treatments, clinical nursing education should integrate physical psychosocial indicators supporting health.

Language: Английский

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Enhancing Uterine Fibroid Care: Clinician Perspectives on Diagnosis, Disparities, and Strategies for Improving Health Care

Women s Health Reports, Journal Year: 2024, Volume and Issue: 5(1), P. 293 - 304

Published: March 1, 2024

Objective: To explore clinicians' perspectives on diagnosing, treating, and managing uterine fibroids, identifying gaps challenges in health care delivery, offering recommendations for improving care. Materials Methods: A qualitative design was used to conduct 14 semistructured interviews with clinicians who treat fibroid patients central Indiana. Interviews were audio recorded, transcribed verbatim, analyzed using thematic analysis techniques. Constant comparative identify emergent themes. Results: Four themes emerged. (1) Lack of patient awareness: Patients lacked awareness, leading explaining diagnoses treatment. Misconceptions emotional distress highlighted the need better education. (2) Inequities access: Health disparities affected Black women rural patients, transportation, scheduling delays, financial constraints hindering access. (3) Continuum care: Clinicians prioritized patient-centered shared decision-making, tailoring treatment based factors like severity, location, size, cost, fertility goals, recovery time. (4) Coronavirus disease 2019 (COVID-19) impact: The pandemic posed opportunities, prompting telehealth adoption consideration nonsurgical options. Conclusions: Clinician noted calls enhanced education, interdisciplinary collaboration, accessible address crucial aspects management improve women's well-being. Practice Implications: identified a lack awareness unequal access care, highlighting improved education addressing disparities. Findings also emphasized importance considering multidimensional adapting by COVID-19 pandemic, recommending broader affordability, research

Language: Английский

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The Uterus Keeps the Score: Black Women Academics’ Insights and Coping with Uterine Fibroids

Journal of Health and Social Behavior, Journal Year: 2024, Volume and Issue: unknown

Published: Sept. 5, 2024

Few studies examine how high-achieving Black women navigate chronic reproductive health morbidities. are disproportionately more likely to experience uterine fibroids, with earlier onset and severe symptoms. This study leverages a national mixed-methods data set of academics they describe symptomatic fibroids impacting their careers lives. We find that participants (1) actively coped by engaging in superwoman schema, (2) postponed treatment due the demands tenure-track position, (3) normalized pain. Our findings suggest potentially high prevalence among faculty, were an impediment some women's careers, often identified expectations as seeking timely treatment. provide insights for highly educated, successful cope career stress coupled challenges resulting from

Language: Английский

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Lived Experiences of Women with Uterine Fibroids Attending Kawempe National Referral Hospital. A Qualitative Study.

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: Nov. 11, 2024

Background-Black women are disproportionately affected by uterine fibroids. Although many with myomas without symptoms, early diagnosis of the disease is imperative for better treatment outcomes. If unattended to in enough, fibroids can grow and lead worsened symptoms complications cause significant morbidity women. Treating advanced stages often necessities surgical interventions all which worsen quality life burden health systems. Objective- The study explored lived experiences attending Kawempe National Referral Hospital (KNRH.) Methods- was a qualitative facility-based research that employed phenomenological approach. Nineteen (19) were recruited selected maximum variation purposive sampling technique. Data collected conducting in-depth interviews help an interview guide. analysis done manual thematic data Results-The 19 participants had varying demographic characteristics. Five main themes emerged from data, these were; knowledge fibroids, causes effects managing coping Women reported negatively affect their lives magnitude. Some negative included experiencing high levels stress depressive social stigma avoidance public gatherings, broken relationships marital partners relatives. also some barriers seeking medical care condition, fear treatment, poor about lack finances. Conclusion-Uterine living them chronic nature have ripple effect spreading immediate relatives, up bigger circles victims. We recommend, establishment patient-centered community based education sensitize facility initiated screening tools condition. Further studies such as exploring after management procedures like myomectomy hysterectomy.

Language: Английский

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Understanding the Issue: Race, Ethnicity, Culture, and the Structural Determinants of Health

Published: Jan. 1, 2024

Language: Английский

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