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女性对人乳头瘤病毒诊断的反应:深度访谈的见解

Women's reactions to HPV diagnosis: insights from in-depth interviews.

作者信息

Perrin Karen Kay M, Daley Ellen M, Naoom Sandra F, Packing-Ebuen Jennifer L, Rayko Holly L, McFarlane Mary, McDermott Robert J

机构信息

College of Public Health, University of South Florida, 13201 Bruce B Downs Blvd, Tampa, FL 33612-3805, USA.

出版信息

Women Health. 2006;43(2):93-110. doi: 10.1300/J013v43n02_06.

Abstract

Research links certain types of the human papillomavirus (HPV) to subsequent development of cervical cancer. Women (n=52) recently diagnosed with HPV following an abnormal Pap smear participated in in-depth interviews to explore their knowledge of HPV, their emotional responses to diagnosis, and the extent of their disclosure of their HPV diagnosis to others. Women had many knowledge deficits about HPV. Emotions related primarily to stigma, fear, self-blame, powerlessness, and anger. Most women disclosed their disease to significant others, usually to a sexual partner. Women's lack of accurate knowledge may contribute to the array of emotions they experience. Whereas education about HPV may reduce the potency of these emotions, information alone may be inadequate for achieving optimal patient care. Health care providers can be important in treating the emotional elements associated with diagnosis as well as the condition itself.

摘要

研究表明,某些类型的人乳头瘤病毒(HPV)与后续宫颈癌的发生有关。近期因巴氏涂片异常而被诊断出感染HPV的52名女性参与了深度访谈,以探究她们对HPV的了解、对诊断结果的情绪反应,以及她们向他人透露HPV诊断结果的程度。女性对HPV存在许多认知不足。情绪主要与耻辱感、恐惧、自责、无助和愤怒有关。大多数女性向重要他人透露了自己的病情,通常是性伴侣。女性缺乏准确的知识可能导致她们产生一系列情绪。虽然关于HPV的教育可能会减轻这些情绪的影响,但仅靠信息可能不足以实现最佳的患者护理。医疗保健提供者在治疗与诊断相关的情绪因素以及疾病本身方面可能很重要。

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