Karki C, Shrestha N S
Department of Obstetrics and Gynaecology, Kathmandu Medical College Teaching Hospital, Nepal.
JNMA J Nepal Med Assoc. 2008 Oct-Dec;47(172):215-9.
A cross sectional study has been done over a period of one year to find out the total number of young people, adolescents and youth attending at general gynaecological OPD and special adolescent clinic and to analyse them in terms of their sex, ethnicity, address, marital status, education, occupation and their health problems in a teaching hospital at Kathmandu. Of the total 2480 patients 31.29% were young people, 18.34% of them were adolescents and 30.52% of them were youth. Male attendance was insignificant. Majority (91%) of the young people were Brahmins, Newars and Chhetriyas. Most (91%) of them were from Kathmandu valley, 73% were already married and 60% had experienced pregnancy. Approximately 12% of these people were illiterate, 24.85% of them had not completed the primary level education. Only 19%of them had completed the SLC examination Lack of education, trend of early marriage has been reflected on to their occupation. 64% of them are engaged in routine household work as housewives. Few (4.3%) of these young people were not doing anything at all. Majority (59%) of them presented with pregnancy related problems and rest of them came for problems like Pelvic infection, urinary tract infection, sub fertility, breast problems and others. This study conclude that good number of young people from different parts of the country attend special adolescent clinic with different needs. Therefore adolescent friendly services in the hospital need to be strengthened to provide special care for them.
在加德满都的一家教学医院进行了为期一年的横断面研究，以查明前往普通妇科门诊和青少年专科诊所就诊的年轻人、青少年和青年的总数，并根据他们的性别、种族、地址、婚姻状况、教育程度、职业以及健康问题进行分析。在总共2480名患者中，31.29%为年轻人，其中18.34%为青少年，30.52%为青年。男性就诊人数很少。大多数（91%）年轻人是婆罗门、尼瓦尔人和切特里人。他们中大多数（91%）来自加德满都谷地，73%已结婚，60%有过怀孕经历。这些人中约12%为文盲，24.85%未完成小学教育。只有19%完成了中学毕业考试。教育程度低、早婚趋势反映在他们的职业上。64%的人作为家庭主妇从事日常家务劳动。这些年轻人中很少（4.3%）无所事事。大多数（59%）表现出与怀孕相关的问题，其余的则因盆腔感染、尿路感染、生育力低下、乳房问题等前来就诊。本研究得出结论，该国不同地区有相当数量的年轻人因不同需求前往青少年专科诊所。因此，医院需要加强对青少年友好的服务，为他们提供特殊护理。
