Departmental Bulletin Paper 日本における産前産後骨盤帯痛を有する女性の経験とその治療に対する認識について
Perception and Experiences of Pelvic Girdle Pain and its Treatment among Postnatal Japanese Women

坂本, 飛鳥

 妊娠・出産により30 パーセント以上の女性は骨盤帯痛を経験する.骨盤帯痛は日常生活に支障をきたし,育児や女性の生活の質の低下につながる.従って,妊娠期からの理学療法士の関わりは重要であると考える.本研究の目的は,産前産後の女性の骨盤帯痛の経験とその骨盤帯痛に対する治療についてどのような認識を持ち,どのような治療を経験しているのかを明らかにすることである.現象学に基づいた質的研究を実施し,帰納的セオリー(thematic analysis)アプローチで分析を行った.結果,「骨盤帯痛の経験」「骨盤帯痛に対する治療の認識」「骨盤帯痛に対する治療の情報供給」「病院・医療機関に対する認識」の4 つのカテゴリーに分類された.治療に対する認識では,「骨盤ベルトの使用」「運動が必要」であると認識されていた.しかし,育児のために,その治療行動は阻害されていた.更に,骨盤帯痛に対する適切な治療は,医療機関や運動療法から得るのではなく,身近な「情報誌」,「インターネット」や「ママ友」を通してアクセスしていた.また,治療のために医療機関を受診するという認識も低かった.
 Pregnancy-related pelvic girdle pain is reported to occur in more than 30% of women worldwide. Pelvic girdle pain is likely to cause difficulties in carrying out activities of daily living and childcare, and to result in a lower quality of life. Therefore, physical therapists need to care for pregnant women in order to treat and prevent severe pain. The purpose of this study was to deepen understanding regarding the perceptions and experiences of, as well as the belief in treatment for, pelvic girdle pain caused by pregnancy among postnatal women. A qualitative study design based on phenomenology was used, and the data were analyzed using thematic analysis. The results revealed the following four categories: “experiences of pelvic girdle pain”, “perceptions of treatment for pelvic girdle pain”, “collecting information about treatment”, and “perceptions of hospitals and medical institutions”. Regarding the perception of treatment, postnatal women believed that pelvic girdle belts could ease their pain, and that exercise was very important for pain prevention; however, they seldom wore pelvic girdle belts or engaged in exercise due the pressure associated with childcare and being too busy. Furthermore, they did not perceive the role of medical specialists, who can provide appropriate treatment information. The postnatal women in the present study tended to obtain information through magazines, the Internet, and friends in a mom’s group. They also had a poor perception of going to see doctors and physical therapists for treatment.

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