Szymoniak Katarzyna, Cwiek Dorota, Berezowska Elwira, Branecka-Woźniak Dorota, Dzióbek Iwona, Malinowski Witold
Katedra i Zakład Pielegniarstwa Połozniczo-Ginekologicznego PAM w Szczecinie.
Ginekol Pol. 2009 Jul;80(7):498-502.
A visit to the gynaecologist is connected with considerable embarrassment and stress for most women.
To ascertain patients' opinions about gynaecological examination, frequency of visits, and doctors' attitudes towards patients.
A hundred women from Western-Pomeranian region underwent an anonymous examination. The women were divided into three age groups: 20-40, 41-60 and 61+. The study was carried out in two hospital clinics of the Pomeranian Medical University: the Clinic of Procreation and Gynaecology and the Clinic of Obstetric and Gynaecology, between 2006-2007.
70% of the respondents find the gynaecological examination embarrassing and stressful. According to patients, the most unpleasant moment during their visit to the gynaecologist is time spent in the gynaecological chair (47%) and preparation for the examination (30%), whereas the least embarrassing moment is the gynaecological examination itself (21%). However, the most embarrassing moment of the examination is vaginal examination (40%), rectal examination (33%), colposcopy (27%), and breast examination (2%). All the women stated that gynaecological examination is necessary; with 40% of them having examinations once every twelve months, 32% once every six months, 9% once every twenty-four months and 19% even more seldom. Sense of safety and psychical comfort during the examination is ensured by the presence of a qualified midwife (46%), presence of another doctor (9%), privacy (only the doctor and the patient are present) (36%). 53% of the respondents stated that the doctor ensures intimacy during the examination and 47% gave negative answer. Analysis of the doctor's gender indicated that 56% women prefer to be examined by a woman, 37% by a man, and 7% find the gender to be of no importance. The respondents would prefer if the doctor were nice, good-tempered and communicative.
(1) Gynaecological examination is embarrassing and stressful for women and that is why patients expect the gynaecologist to ensure intimacy and sense of safety during the examination, as well as a pleasant individual approach to a patient, and presence of a midwife. (2) The most embarrassing moment is climbing to the gynaecological chair and the most unpleasant moment is the vaginal examination. (3) The fact that women go to the gynaecologist so rarely is particularly worrisome.
对大多数女性来说，看妇科医生会带来相当大的尴尬和压力。
确定患者对妇科检查、就诊频率以及医生对患者态度的看法。
来自西波美拉尼亚地区的100名女性接受了匿名检查。这些女性被分为三个年龄组：20 - 40岁、41 - 60岁和61岁以上。该研究于2006 - 2007年在波美拉尼亚医科大学的两家医院诊所进行：生殖与妇科诊所以及妇产科诊所。
70%的受访者认为妇科检查令人尴尬且有压力。据患者称，看妇科医生时最不愉快的时刻是坐在妇科检查椅上的时间（47%）和检查准备阶段（30%），而最不尴尬的时刻是妇科检查本身（21%）。然而，检查中最尴尬的时刻是阴道检查（40%）、直肠检查（33%）、阴道镜检查（27%）和乳房检查（2%）。所有女性都表示妇科检查是必要的；其中40%的人每十二个月检查一次，32%的人每六个月检查一次，9%的人每二十四个月检查一次，19%的人检查频率更低。检查期间的安全感和心理舒适度由合格助产士在场（46%）、另一位医生在场（9%）、隐私（只有医生和患者在场）（36%）来保证。53%的受访者表示医生在检查期间能保证私密性，47%的人给出了否定回答。对医生性别的分析表明，56%的女性更愿意由女性医生检查，37%的人更愿意由男性医生检查，7%的人认为医生性别无关紧要。受访者希望医生友善、脾气好且善于沟通。
（1）妇科检查对女性来说既尴尬又有压力，这就是为什么患者期望妇科医生在检查期间能保证私密性和安全感，以及采用令人愉快的个性化方式对待患者，并且有助产士在场。（2）最尴尬的时刻是爬上妇科检查椅，最不愉快的时刻是阴道检查。（3）女性看妇科医生的频率如此之低这一事实尤其令人担忧。
