Diale D M, Roos S D
Curationis. 2000 Dec;23(4):136-41. doi: 10.4102/curationis.v23i4.772.
An exploratory descriptive study was undertaken, focussing on sexually transmitted diseases (STD) among teenagers. The aim of the study was to explore and describe the possible reasons for the high rate of sexually transmitted diseases in teenagers. The perceptions of teenagers and community nurses regarding sexually transmitted disease among teenagers involved in the teenage clinic in a specific predominantly black area were assessed. Twenty teenagers and five community nurses were participants in the study. Two focus group interviews were conducted with teenagers and community nurses. It can be concluded that the attitudes of community nurses may have an influence on the high rate of sexually transmitted diseases among teenagers. The knowledge of the teenagers about sexually transmitted diseases is often based on myths and misconceptions which could be intensified by the community nurse. The recommendations made are that the education standards of all community nurses should be reviewed and adapted to meet the needs of teenagers attending the teenage health services. The policy on in-service training must be reviewed and monitored. Community nurses' intensive training on teenage health service delivery and sexually transmitted diseases services should be in accordance with the principles of Primary Health Care. Community nurses need to attend intensive courses on interpersonal skills specifically related to teenagers. Selection procedures for recruiting community nurses to attend to teenagers specifically should be researched. Teenagers should be involved in planning programs and the teenage clinic should be evaluated frequently to improve the standards. The availability of adequate teenage health services can result in a decrease in sexually transmitted diseases among teenagers.
开展了一项探索性描述性研究，重点关注青少年中的性传播疾病。该研究的目的是探索和描述青少年中性传播疾病高发病率的可能原因。评估了特定主要为黑人地区青少年诊所中青少年和社区护士对青少年性传播疾病的看法。二十名青少年和五名社区护士参与了该研究。对青少年和社区护士进行了两次焦点小组访谈。可以得出结论，社区护士的态度可能对青少年中性传播疾病的高发病率有影响。青少年对性传播疾病的了解往往基于神话和误解，而社区护士可能会加剧这种情况。提出的建议是，应审查并调整所有社区护士的教育标准，以满足参加青少年健康服务的青少年的需求。必须审查和监督在职培训政策。社区护士关于青少年健康服务提供和性传播疾病服务的强化培训应符合初级卫生保健原则。社区护士需要参加专门针对青少年的人际技能强化课程。应研究招募专门照顾青少年的社区护士的选拔程序。青少年应参与规划项目，并且应经常对青少年诊所进行评估以提高标准。提供充足的青少年健康服务可导致青少年中性传播疾病的减少。
