Canales Mary K, Carr Jeanine, Wohlberg Jeri
Department of Nursing, University of Vermont, Burlington, Vermont, USA.
J Am Acad Nurse Pract. 2005 Jun;17(6):225-33. doi: 10.1111/j.1041-2972.2005.00037.x.
To examine college women's perceptions of gynecologic health, with a particular emphasis on healthcare decision making. Women's perceptions of health promotion efforts that would influence gynecologic health were also examined.
Verbatim transcripts of individual and focus group interviews from 34 college women, 18-25 years of age, were thematically analyzed. Questions related to women's decisions to seek gynecologic health care and their healthcare experiences with providers.
Three themes were identified: (dis)connecting with their changing bodies, experiencing the healthcare encounter, and making healthcare decisions. Results suggest that college can be "the time" when college women begin to think about and act on decisions about gynecologic health. Implications for practice By acknowledging college women's multidimensional definitions of health and knowledge of healthy behaviors, advanced practice nurses can assist women in developing strategies for enacting these definitions and integrating desired healthy behaviors into their busy college lives.
考察大学女生对妇科健康的认知，尤其侧重于医疗保健决策。同时也考察了女生对会影响妇科健康的健康促进措施的认知。
对34名年龄在18至25岁之间的大学女生进行的个人访谈和焦点小组访谈的逐字记录进行了主题分析。问题涉及女生寻求妇科医疗保健的决策以及她们与医疗服务提供者的就医经历。
确定了三个主题：与身体变化（不）建立联系、体验就医过程以及做出医疗保健决策。结果表明，大学时期可能是大学女生开始思考并就妇科健康决策采取行动的“时机”。对实践的启示 通过认可大学女生对健康的多维定义以及对健康行为的了解，高级执业护士可以帮助女生制定策略来践行这些定义，并将期望的健康行为融入她们忙碌的大学生活中。
