Linnehan M J, Groce N E
Newark Beth Israel Medical Center/Children's Hospital of NJ, School Based Youth Program, USA.
AIDS Patient Care STDS. 2000 Aug;14(8):439-45. doi: 10.1089/108729100416650.
Human papillomavirus (HPV) genital infection is a sexually transmitted disease that affects a large proportion of college-aged women. In addition to the distressing medical aspects of HPV infection, sometimes including lengthy and painful treatments, symptom recurrence, a lack of a definitive cure, and its potential for malignant transformation, HPV also results in significant emotional and psychosexual sequalae for the patient. Concurrent with the range of negative emotions experienced by the patient is also a knowledge deficit regarding the disease, its prevention, and its management. This combination of factors within the young women afflicted with this disease often precludes them from effective adherence to their treatment and follow-up plan of care, which are both essential elements in managing this chronic condition. Clinicians who are treating patients with HPV infection must address not only the medical aspects of the disease, but the psychosocial needs as well. This case report describes a newly diagnosed young women with HPV infection and discusses the necessary psychosocial and educational interventions that should be provided to all female patients who are diagnosed with HPV infection. Inclusion of these interventions can reduce the emotional stress that occurs with the diagnosis and can augment a patient's coping skills, thereby serving to improve adherence to the treatment plan and promote a greater sense of empowerment and wellness for the patient.
人乳头瘤病毒(HPV)生殖器感染是一种性传播疾病,影响着很大比例的大学适龄女性。除了HPV感染令人苦恼的医学方面问题,有时包括漫长而痛苦的治疗、症状复发、缺乏明确的治愈方法以及其恶变的可能性外,HPV还会给患者带来严重的情绪和性心理后遗症。与患者所经历的一系列负面情绪同时存在的,还有她们对该疾病及其预防和管理方面的知识欠缺。这些因素综合起来,常常使患此病的年轻女性无法有效坚持她们的治疗和后续护理计划,而这两者都是管理这种慢性病的关键要素。治疗HPV感染患者的临床医生不仅必须处理该疾病的医学方面问题,还必须关注患者的心理社会需求。本病例报告描述了一名新诊断出HPV感染的年轻女性,并讨论了应向所有被诊断为HPV感染的女性患者提供的必要心理社会和教育干预措施。纳入这些干预措施可以减轻诊断时出现的情绪压力,并增强患者的应对技能,从而有助于提高对治疗计划的依从性,并为患者带来更强的掌控感和健康感。