Penn M A, Bourguet C C
Family Practice Center of Akron, OH 44304.
J Fam Pract. 1992 Dec;35(6):639-43.
This study was undertaken to determine the preference of patients concerning the presence of a chaperone during physical examination of the breasts, genitals, rectum, heart and lungs, or abdomen. The study was designed to quantify preference differences between male and female patients and between teenagers and adults, and to determine whether the sex of the examining physician influenced chaperone preference.
Preference survey data were obtained from 251 female subjects and 201 male subjects over the age of 13 years who visited a family practice center in a midwestern urban community.
The majority of patients of either sex and all ages did not care if a chaperone was present. However, substantial proportions of adult women (29%) and female teenagers (46%) preferred that a chaperone be present during a breast, pelvic, or rectal examination by a male physician. Thirty-six percent of adult women and 63% of female teenagers wanted a chaperone present during a first examination of these regions. Adults of both sexes felt the nurse would be the best chaperone, whereas teenagers ranked a parent first and the nurse second. Patients indicated that they felt comfortable asking for a chaperone.
Although most patients have no strong preference, female patients, especially female teenagers, should be given the option of having a chaperone present during an examination of the breasts, pelvis, or rectum by a male physician.
本研究旨在确定患者在乳房、生殖器、直肠、心肺或腹部体格检查期间对陪诊人员在场的偏好。该研究旨在量化男性和女性患者之间以及青少年和成年人之间的偏好差异，并确定检查医生的性别是否会影响对陪诊人员的偏好。
偏好调查数据来自于访问中西部城市社区一家家庭医疗中心的251名13岁以上女性受试者和201名男性受试者。
大多数各年龄段的男女患者都不在意是否有陪诊人员在场。然而，相当比例的成年女性（29%）和青少年女性（46%）更倾向于在男性医生进行乳房、盆腔或直肠检查时有陪诊人员在场。36%的成年女性和63%的青少年女性希望在这些部位的首次检查时有陪诊人员在场。两性成年人都认为护士是最佳陪诊人员，而青少年则将父母排在首位，护士排在第二位。患者表示他们觉得要求有陪诊人员在场很自在。
尽管大多数患者没有强烈偏好，但女性患者，尤其是青少年女性，在男性医生进行乳房、盆腔或直肠检查时，应可选择有陪诊人员在场。
