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女性接受阴道镜检查的经历:自我报告的护理满意度、感知需求及后果。

Women's experiences of having a colposcopic examination: self-reported satisfaction with care, perceived needs and consequences.

作者信息

Bonevski B, Sanson-Fisher R, Girgis A, Perkins J

机构信息

NSW Cancer Council Cancer Education Research Program (CERP), Newcastle, Australia.

出版信息

J Obstet Gynaecol. 1998 Sep;18(5):462-70. doi: 10.1080/01443619866804.

Abstract

This study was conducted in seven gynaecological clinics in New South Wales (NSW), Australia. The study aimed to assess the level of satisfaction with care, unmet needs and consequences following the procedure reported by women having a colposcopic examination. Of the 161 eligible women attending colposcopy clinics who were approached to take part, 156 (97%) gave written consent to participate and 138 (86%) completed interviews. Consenting women were telephoned within 1 week of their clinic visit to complete a computer-assisted telephone interview (CATI). The survey addressed a number of issues relating to the care they received during their colposcopic examination: satisfaction with care, satisfaction with the waiting time to have a colposcopy, preferences for provider gender, information and health care needs while waiting for the colposcopy, information and health care needs during the colposcopy, short-term physical consequences and shortterm psychosocial consequences of the procedure. Results indicate that satisfaction with care among women ranged from 69% to 96%. The highest expressed needs while waiting for the colposcopy were for information about risks of cancer (91%), reasons for needing a colposcopy (86%), and the colposcopy procedure (86%). Women reported that outcomes such as anxiety and disinterest in sex had further worsened or not been improved following the colposcopy. The results indicate that interventions to address specific concerns would need to be designed, implemented and evaluated.

摘要

本研究在澳大利亚新南威尔士州(NSW)的七家妇科诊所进行。该研究旨在评估接受阴道镜检查的女性报告的护理满意度、未满足的需求以及检查后的后果。在161名被邀请参与研究的符合条件的阴道镜检查诊所就诊女性中,156名(97%)给予书面同意参与,138名(86%)完成了访谈。同意参与的女性在诊所就诊后1周内接到电话,以完成计算机辅助电话访谈(CATI)。该调查涉及了一些与她们在阴道镜检查期间接受的护理相关的问题:对护理的满意度、对等待阴道镜检查时间的满意度、对医疗服务提供者性别的偏好、等待阴道镜检查期间的信息和医疗保健需求、阴道镜检查期间的信息和医疗保健需求、该检查的短期身体后果和短期心理社会后果。结果表明,女性对护理的满意度在69%至96%之间。等待阴道镜检查期间表达最多的需求是关于癌症风险的信息(91%)、需要进行阴道镜检查的原因(86%)以及阴道镜检查程序(86%)。女性报告称,诸如焦虑和对性不感兴趣等情况在阴道镜检查后进一步恶化或未得到改善。结果表明,需要设计、实施和评估针对特定问题的干预措施。

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