School of Life Sciences, University of Skövde, Box 408, S-541 28 Skövde, Sweden.
Sex Reprod Healthc. 2012 Oct;3(3):117-21. doi: 10.1016/j.srhc.2012.07.002. Epub 2012 Aug 10.
The purpose of this study is to explore the experiences of self-treatment for anogenital warts from the perspective of a group of young women who received it.
Ten young Swedish women were interviewed in the study, aged between 16 and 21. The young women had been diagnosed with anogenital warts and self-managed their treatment with 0.5% podophyllotoxin solution.
Self-management using 0.5% podophyllotoxin solution poses numerous difficulties. The nature of the treatment as a topical liquid is particularly testing for young women in terms of both application and genital pain, with implications for continuation of the treatment regime. The self-treatment challenges both personal integrity as well as interpersonal relations and creates a personal responsibility which appears to be somewhat overwhelming at times.
Health care professionals need to recognize the challenge that self-treatment poses to their clients. The issues that create difficulty in relation to topical liquid treatment regimes and importantly can lead to poor adherence to the treatment regime and discontinuation could easily be overcome by the use of different preparations. Continuity of care provider across treatments and alternative mechanisms of support would not only address some of the aspects that young women raise as particularly embarrassing and shameful, but also improve quality of care and increase general satisfaction with service provision.
本研究旨在从一群接受过自行治疗肛门生殖器疣的年轻女性的角度探讨其治疗体验。
本研究对 10 名年龄在 16 至 21 岁之间的瑞典年轻女性进行了访谈。这些年轻女性被诊断出患有肛门生殖器疣，并自行使用 0.5%鬼臼毒素溶液进行治疗。
使用 0.5%鬼臼毒素溶液进行自我管理存在诸多困难。这种治疗方式是一种局部液体，对年轻女性来说，无论是在应用还是在生殖器疼痛方面，都极具挑战性，这对治疗方案的持续实施有影响。自我治疗不仅对个人完整性，还对人际关系构成挑战，会产生一种有时似乎难以承受的个人责任。
医疗保健专业人员需要认识到自我治疗给客户带来的挑战。与局部液体治疗方案相关的问题会导致治疗依从性差，从而导致治疗中断，而使用不同的制剂可以轻易克服这些问题。在治疗过程中保持护理提供者的连续性，并提供替代支持机制，不仅可以解决年轻女性提出的一些特别尴尬和羞耻的问题，还可以提高护理质量，并增加对服务提供的总体满意度。
