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女性对妇科检查的态度和期望。

Women's attitudes and expectations regarding gynaecological examination.

机构信息

Celal Bayar University, Manisa School of Health, 45010 Manisa, Turkey.

出版信息

Midwifery. 2009 Oct;25(5):500-8. doi: 10.1016/j.midw.2007.08.006. Epub 2007 Dec 20.

DOI:10.1016/j.midw.2007.08.006
PMID:18086509
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2801597/
Abstract

OBJECTIVE

to describe women's expectations of doctors and nurses during gynaecological examination, to identify if women have a preference for the doctor's gender, to investigate women's feelings during examination, and to determine why women consult the gynaecological outpatient clinic.

DESIGN

a descriptive and cross-sectional study using a questionnaire administered face to face.

SETTING

this study was performed with women recruited from those making an appointment for gynaecological examination at the gynaecological outpatient clinic at Manisa Maternity and Child Hospital between September 2004 and February 2005.

PARTICIPANTS

four hundred and thirty-three women who applied to the gynaecological outpatient clinic at Manisa Maternity and Child Hospital.

MEASUREMENTS

the questionnaire included questions about the women's socio-demographic and reproductive characteristics, feelings with regard to pelvic examination, expectations of doctors and nurses during gynaecological examination, preferences regarding the gender of the physician, and the reason for the gynaecological examination.

FINDINGS

more than one-half of women felt anxious or worried about their health situation during the pelvic examination (54.8%), and 41.8% of women said that they were embarrassed about having to undress. 45.5% of women reported that they would prefer a female doctor, only 4.2% of women would prefer a male doctor in their obstetric and gynaecological care, and the remaining women (49.9%) expressed no preference. Most women (62.1%) expected the doctor to explain their health situation after examination. 71.8% of women said that the nurse should have an understanding and gentle manner, and 28.2% of women stated that the nurse should offer information to the patient about the pelvic examination.

KEY CONCLUSIONS

it was very important for the women to participate through receiving information during the gynaecological examination. When treated with respect, the women were able to have a positive relationship with the staff. This encourages the women to attend clinics for their own health needs. Gynaecological examination is an essential part of gynaecological care and the most common procedure in gynaecological practice. Many women in the world will have a gynaecological examination several times during their lives, from youth to old age. This study could contribute to improve health programmes to make the gynaecological examination situation more positive for women.

摘要

目的

描述女性在妇科检查中对医生和护士的期望,确定她们是否对医生的性别有偏好,调查女性在检查过程中的感受,并确定她们为何就诊于妇科门诊。

设计

使用面对面问卷调查进行描述性和横断面研究。

地点

本研究于 2004 年 9 月至 2005 年 2 月在马尼亚马蒂尼医院妇产科门诊就诊的女性中进行。

参与者

433 名就诊于马尼亚马蒂尼医院妇产科门诊的女性。

测量方法

问卷包括女性社会人口学和生殖特征、盆腔检查感受、妇科检查中对医生和护士的期望、对医生性别偏好以及妇科检查原因等问题。

结果

超过一半的女性在盆腔检查时感到焦虑或担心自己的健康状况(54.8%),41.8%的女性表示对脱衣感到尴尬。45.5%的女性表示希望由女医生检查,只有 4.2%的女性希望在妇产科护理中由男医生检查,其余女性(49.9%)表示没有偏好。大多数女性(62.1%)希望医生在检查后解释她们的健康状况。71.8%的女性表示希望护士态度理解、温柔,28.2%的女性表示护士应向患者提供有关盆腔检查的信息。

主要结论

在妇科检查中,女性非常希望通过获得信息来参与其中。当受到尊重时,女性能够与医护人员建立积极的关系。这鼓励女性为自身健康需求就诊。妇科检查是妇科护理的重要组成部分,也是妇科实践中最常见的程序。在世界上,许多女性一生中会进行几次妇科检查,从青年到老年。本研究有助于改善健康计划,使女性在妇科检查中的体验更加积极。

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