{"id":{"repo_id":"varna","oai_identifier":"oai:repository.mu-varna.bg:nls/4183"},"canonical_url":"https://search.dev.ndltd.org/etd/varna/oai:repository.mu-varna.bg:nls/4183","repository":{"repo_id":"varna","name":"Medical University of Varna","base_url":"https://repository.mu-varna.bg/oai/request"},"display":{"title":"Pain Management in Gynaecological Practice // Управление на болковия синдром в гинекологичната практика","abstract":"Pain is considered a complex physiological phenomenon. In gynaecological practice, the most common type of pain is dysmenorrhea. The frequency of dysmenorrhea has been established in the studied scientific literature in a wide range—8 to 89.5%, and even up to 96%—with a focus on both aetiology, pathophysiology, and the impact on the quality of life. Chinese medicine (CM) interprets pain through the imbalance in the movement of Qi energy in the channel system. Pain arises either from a blockage of the flow of Qi energy or from a lack of nourishment. The aim is to investigate and evaluate the possibilities of acupuncture, moxibustion therapy, and auriculotherapy for managing the pain syndrome in patients with dysmenorrhea. The hypotheses of the scientific study, for pain control and for changing the quality of life, were confirmed by the significant values obtained in the statistical analysis of the monitored indicators. Theoretical and practical principles underscore the significance of ongoing care and personalised treatment in preserving women's well-being. This scientific work addresses a very small part of the great possibilities of CM methods as a substitute for drug therapy, which causes various undesirable effects. An innovative model for postgraduate training has been developed, integrating Chinese methods into obstetric practice. The model emphasises active learning, individualisation, interactive methods, and combining theory and practice.","abstract_html":"Pain is considered a complex physiological phenomenon. In gynaecological practice, the most common type of pain is dysmenorrhea. The frequency of dysmenorrhea has been established in the studied scientific literature in a wide range—8 to 89.5%, and even up to 96%—with a focus on both aetiology, pathophysiology, and the impact on the quality of life. Chinese medicine (CM) interprets pain through the imbalance in the movement of Qi energy in the channel system. Pain arises either from a blockage of the flow of Qi energy or from a lack of nourishment. The aim is to investigate and evaluate the possibilities of acupuncture, moxibustion therapy, and auriculotherapy for managing the pain syndrome in patients with dysmenorrhea. The hypotheses of the scientific study, for pain control and for changing the quality of life, were confirmed by the significant values obtained in the statistical analysis of the monitored indicators. Theoretical and practical principles underscore the significance of ongoing care and personalised treatment in preserving women's well-being. This scientific work addresses a very small part of the great possibilities of CM methods as a substitute for drug therapy, which causes various undesirable effects. An innovative model for postgraduate training has been developed, integrating Chinese methods into obstetric practice. The model emphasises active learning, individualisation, interactive methods, and combining theory and practice.","abstract_has_math":false,"creators":["Goranova, Zoya","Горанова, Зоя"],"institution":"Medical University of Varna","degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2025,"date_issued":"2025-10-17T12:57:14Z","date_published":"2025-10-17T12:57:14Z","updated_at":"2026-07-27T21:56:30Z","subjects":["pain","dysmenorrhea","acupuncture","Chinese medicine","Здравни грижи / Nursing Care"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"http://repository.mu-varna.bg/handle/nls/4183","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:creator","label":"Author","values":["Goranova, Zoya","Горанова, Зоя"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["2025-10-17T12:57:14Z","2025"]},{"key":"dc:publisher","label":"Institution","values":["Medical University of Varna"]},{"key":"dc:type","label":"Dc Type","values":["thesis"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["pain","dysmenorrhea","acupuncture","Chinese medicine","Здравни грижи / Nursing Care"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["http://repository.mu-varna.bg/handle/nls/4183"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["Pain is considered a complex physiological phenomenon. In gynaecological practice, the most common type of pain is dysmenorrhea. The frequency of dysmenorrhea has been established in the studied scientific literature in a wide range—8 to 89.5%, and even up to 96%—with a focus on both aetiology, pathophysiology, and the impact on the quality of life. Chinese medicine (CM) interprets pain through the imbalance in the movement of Qi energy in the channel system. Pain arises either from a blockage of the flow of Qi energy or from a lack of nourishment. The aim is to investigate and evaluate the possibilities of acupuncture, moxibustion therapy, and auriculotherapy for managing the pain syndrome in patients with dysmenorrhea. The hypotheses of the scientific study, for pain control and for changing the quality of life, were confirmed by the significant values obtained in the statistical analysis of the monitored indicators. Theoretical and practical principles underscore the significance of ongoing care and personalised treatment in preserving women's well-being. This scientific work addresses a very small part of the great possibilities of CM methods as a substitute for drug therapy, which causes various undesirable effects. An innovative model for postgraduate training has been developed, integrating Chinese methods into obstetric practice. The model emphasises active learning, individualisation, interactive methods, and combining theory and practice.","Болката се разглежда като сложен физиологичен феномен. В гинекологичната практика най-често срещаният вид болка е дисменореята. В проучената научна литература е установена честота на дисменореята в широки граници - 8 до 89.5%, и дори до 96%, като на фокус са поставени както етиология, патофизиология, така и отражението върху качеството на живот. Китайската медицина (КМ) тълкува болката чрез дисбаланса в движението на енергията Ци в каналната система. Болката произтича или от блокиране на потока на енергията Ци, или от липса на подхранване. Целта е да се изследват и оценят възможностите на акупунктурата, мокситерапията и аурикулотерапията за управление на болковия синдром при пациентки с дисменорея. Хипотезите на научното изследване, за контрол на болката и за промяна на качеството на живот, се потвърдиха от получените сигнификантни стойности при статистическия анализ на проследените показатели. Теоретичните и практическите принципи подчертават значението на непрекъснатите грижи и индивидуалното лечение, за да се поддържа благосъстоянието на жените. Този научен труд решава много малка частица от големите възможности на методите на КМ, като заместител на лекарствената терапия, предизвикваща различни нежелани ефекти. Изработен е иновативен модел за следдипломна квалификация, интегриращ китайските методи в акушерската практика. Моделът акцентира върху активното учене, индивидуализирането, интерактивните методи и съчетаване на теорията и практиката."]},{"key":"dc:format","label":"Dc Format","values":["application/pdf"]},{"key":"dc:title","label":"Title","values":["Pain Management in Gynaecological Practice // Управление на болковия синдром в гинекологичната практика"]}]}],"canonical_facts":{"dc:creator":["Goranova, Zoya","Горанова, Зоя"],"dc:date":["2025-10-17T12:57:14Z","2025"],"dc:description":["Pain is considered a complex physiological phenomenon. In gynaecological practice, the most common type of pain is dysmenorrhea. The frequency of dysmenorrhea has been established in the studied scientific literature in a wide range—8 to 89.5%, and even up to 96%—with a focus on both aetiology, pathophysiology, and the impact on the quality of life. Chinese medicine (CM) interprets pain through the imbalance in the movement of Qi energy in the channel system. Pain arises either from a blockage of the flow of Qi energy or from a lack of nourishment. The aim is to investigate and evaluate the possibilities of acupuncture, moxibustion therapy, and auriculotherapy for managing the pain syndrome in patients with dysmenorrhea. The hypotheses of the scientific study, for pain control and for changing the quality of life, were confirmed by the significant values obtained in the statistical analysis of the monitored indicators. Theoretical and practical principles underscore the significance of ongoing care and personalised treatment in preserving women's well-being. This scientific work addresses a very small part of the great possibilities of CM methods as a substitute for drug therapy, which causes various undesirable effects. An innovative model for postgraduate training has been developed, integrating Chinese methods into obstetric practice. The model emphasises active learning, individualisation, interactive methods, and combining theory and practice.","Болката се разглежда като сложен физиологичен феномен. В гинекологичната практика най-често срещаният вид болка е дисменореята. В проучената научна литература е установена честота на дисменореята в широки граници - 8 до 89.5%, и дори до 96%, като на фокус са поставени както етиология, патофизиология, така и отражението върху качеството на живот. Китайската медицина (КМ) тълкува болката чрез дисбаланса в движението на енергията Ци в каналната система. Болката произтича или от блокиране на потока на енергията Ци, или от липса на подхранване. Целта е да се изследват и оценят възможностите на акупунктурата, мокситерапията и аурикулотерапията за управление на болковия синдром при пациентки с дисменорея. Хипотезите на научното изследване, за контрол на болката и за промяна на качеството на живот, се потвърдиха от получените сигнификантни стойности при статистическия анализ на проследените показатели. Теоретичните и практическите принципи подчертават значението на непрекъснатите грижи и индивидуалното лечение, за да се поддържа благосъстоянието на жените. Този научен труд решава много малка частица от големите възможности на методите на КМ, като заместител на лекарствената терапия, предизвикваща различни нежелани ефекти. Изработен е иновативен модел за следдипломна квалификация, интегриращ китайските методи в акушерската практика. Моделът акцентира върху активното учене, индивидуализирането, интерактивните методи и съчетаване на теорията и практиката."],"dc:format":["application/pdf"],"dc:identifier":["http://repository.mu-varna.bg/handle/nls/4183"],"dc:publisher":["Medical University of Varna"],"dc:subject":["pain","dysmenorrhea","acupuncture","Chinese medicine","Здравни грижи / Nursing Care"],"dc:title":["Pain Management in Gynaecological Practice // Управление на болковия синдром в гинекологичната практика"],"dc:type":["thesis"]},"updated_at":"2026-07-27T21:56:30Z"}