Beckmann C R, Gittler M, Barzansky B M, Beckmann C A
Department of Obstetrics and Gynecology, University of Illinois, Chicago.
Obstet Gynecol. 1989 Jul;74(1):75-9.
Information about their gynecologic health care was obtained from 55 women with acquired and congenital disabilities, 42% of whom were disabled after menarche. Although 91% of the entire group had received breast and pelvic examinations and Papanicolaou smears since their disability, only 18.8% had received counseling about sexuality and 64.6% had received information about contraception. However, those disabled after menarche were significantly less likely (P = .001) to be satisfied with the counseling or method they received. Women with paralysis, impaired motor function, obvious physical deformity were rarely offered contraceptive information or methods. These findings may be related in part to the characteristics of the patient group. However, we suggest that special attention needs to be directed to those disabled after menarche with respect to issues such as sexuality and contraception. This can be accomplished in part through improved education of health professionals regarding the various aspects of gynecologic health care for the disabled.
我们从55名患有后天性和先天性残疾的女性那里获取了她们的妇科保健信息，其中42%的女性在月经初潮后致残。尽管整个群体中有91%的人自致残后接受过乳房和盆腔检查以及巴氏涂片检查，但只有18.8%的人接受过性方面的咨询，64.6%的人获得过避孕方面的信息。然而，月经初潮后致残的女性对所接受的咨询或方法感到满意的可能性显著更低（P = 0.001）。患有瘫痪、运动功能受损、明显身体畸形的女性很少获得避孕信息或方法。这些发现可能部分与患者群体的特征有关。然而，我们建议，对于月经初潮后致残的女性，在性和避孕等问题上需要给予特别关注。这可以部分通过加强对卫生专业人员关于残疾女性妇科保健各个方面的教育来实现。
