CUIDADOS EN LA DISMENORREA PRIMARIA:UNA REVISION NARRATIVA
Archivos
NO SE HA AUTORIZADO la consulta de los documentos asociados
Fecha
2017-05-23
Autores
Título de la revista
ISSN de la revista
Título del volumen
Editor
Jaén: Universidad de Jaén
Resumen
[ES] Objetivo: Describir las terapias farmacológicas y las diferentes alternativas no farmacológicas eficaces para el alivio de la dismenorrea primaria y conocer el papel de enfermería en lo que respecta a los cuidados de este trastorno menstrual. Metodología: Hemos realizado una revisión narrativa de la literatura en los idiomas inglés, español y portugués, en bases de datos nacionales e internacionales. La búsqueda se ha llevado a cabo durante los meses de enero y febrero del año 2017.Tras aplicar los criterios de inclusión y exclusión, hemos tenido en cuenta 55 documentos para redactar esta revisión. Resultados: Un gran número de mujeres, concretamente población adolescente y adultos jóvenes, sufren todavía en silencio la dismenorrea a pesar de la existencia de tratamientos eficaces independientemente de la situación geográfica que se trate. El tratamiento de elección en estos casos suele ser farmacológico AINE y AHO. Muchos estudios hablan de que aunque alivian el dolor producen efectos adversos a nivel gastrointestestinal por lo que es conveniente investigar acerca de otros métodos más beneficiosos. Este es el caso de terapias como la acupuntura, la utilización de hierbas medicinales como la albahaca o la práctica de ejercicio a largo plazo entre otras. El papel de Enfermería en este ámbito no está bien definido, aunque se conoce que los aspectos que se deben de trabajar con este tipo de pacientes son la fisiología de la menstruación, los síntomas, información sobre los tratamientos, entre otros. Conclusiones: Todos los autores coinciden en que en la dismenorrea primaria los niveles de prostaglandina están elevados y debido a esto, la primera línea de elección en el tratamiento de este trastorno menstrual es la utilización de AINE Y AHO.No existen pruebas suficientes que indiquen si algún AINE es más efectivo que otro, hoy en día los que más se utilizan son el naproxeno y el ibuprofeno.Diferentes estudios indican que tanto la acupuntura como la moxibustion son terapias sustitutivas del tratamiento farmacológico y hormonal para el alivio de la dismenorrea primaria ya que son iguales de eficaces y además aportan más seguridad, aunque aún no existe la suficiente evidencia. La práctica de ejercicio diario a largo plazo y el yoga se ha comprobado que reduce la gravedad y duración de la dismenorrea primaria. El papel de Enfermería actualmente no está muy definido en este ámbito ya que existe una escasez de estudios. Palabras clave: dismenorrea, dolor menstrual, enfermería, tratamiento, prevención, dismenorrea primaria.
[EN] Objectives: To describe pharmacological therapies and different non-pharmacological alternatives effective to relieve primary dysmenorrhea and to know the nursing role related to this menstrual disorder care. Methodology: We have checked narrative literature in English, Spanish and Portuguese languages, based in national and international data. The research took two months (January and February of 2017). After implementing inclusion and exclusion criteria, they have taken into account 55 documents to write this review. Results: A large number of women, particularly teenagers and adults, still suffer from dysmenorrhea despite of efficient treatments regardless of the geographical situation. In that cases, the choice treatment supposes to be pharmacological NSAIDs and AHOs. Many studies talk about that relieves the pain, it also produces adverse effects at the gastrointestinal level, for that reason it is necessary to investigate another beneficial methods. This is the case of therapies such as acupuncture, medicinal herbs uses like basil or the practice of long-term exercise among others. The role of Nursing in this area is not well defined, although it´s known that the articles that are allowed to work with this type of patients are the physiology of menstruation, symptoms, information on treatments, among others. Conclusions: Every authors agrees on dysmenorrhea prostaglandin levels are higher and because of this, the first line of choice in the treatment of this menstrual disorder is NSAIDs and AHO uses. There isn´t evidences to prove which is more. Nowadays people tend to use naproxen and ibuprofen. Different researches show that acupuncture and moxibustion are therapies which substitute pharmacological and hormonal treatment to relieve primary dysmenorrhea because they are really efficient and also provide more security, although there is still insufficient evidence. Daily exercise practice and yoga has been proved to reduce the severity and duration of primary dysmenorrhea in a long-term. Nursing role isn´t really defined in this area due to the shortage of studies.
[EN] Objectives: To describe pharmacological therapies and different non-pharmacological alternatives effective to relieve primary dysmenorrhea and to know the nursing role related to this menstrual disorder care. Methodology: We have checked narrative literature in English, Spanish and Portuguese languages, based in national and international data. The research took two months (January and February of 2017). After implementing inclusion and exclusion criteria, they have taken into account 55 documents to write this review. Results: A large number of women, particularly teenagers and adults, still suffer from dysmenorrhea despite of efficient treatments regardless of the geographical situation. In that cases, the choice treatment supposes to be pharmacological NSAIDs and AHOs. Many studies talk about that relieves the pain, it also produces adverse effects at the gastrointestinal level, for that reason it is necessary to investigate another beneficial methods. This is the case of therapies such as acupuncture, medicinal herbs uses like basil or the practice of long-term exercise among others. The role of Nursing in this area is not well defined, although it´s known that the articles that are allowed to work with this type of patients are the physiology of menstruation, symptoms, information on treatments, among others. Conclusions: Every authors agrees on dysmenorrhea prostaglandin levels are higher and because of this, the first line of choice in the treatment of this menstrual disorder is NSAIDs and AHO uses. There isn´t evidences to prove which is more. Nowadays people tend to use naproxen and ibuprofen. Different researches show that acupuncture and moxibustion are therapies which substitute pharmacological and hormonal treatment to relieve primary dysmenorrhea because they are really efficient and also provide more security, although there is still insufficient evidence. Daily exercise practice and yoga has been proved to reduce the severity and duration of primary dysmenorrhea in a long-term. Nursing role isn´t really defined in this area due to the shortage of studies.
Descripción
Palabras clave
Enfermería