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一项探索接受经阴道超声检查的乌干达女性经历的现象学研究。

A phenomenological study to explore the experiences of Ugandan women that have undergone transvaginal ultrasound.

作者信息

Mubuuke Aloysius Gonzaga

机构信息

Radiology Department, School of Medicine, Makerere University Kampala, Uganda.

出版信息

J Med Radiat Sci. 2014 Jun;61(2):78-84. doi: 10.1002/jmrs.54. Epub 2014 May 7.

Abstract

INTRODUCTION

Transvaginal ultrasound (TVUS) is an important examination of the female pelvis that involves the transducer being inserted into the vagina to obtain more detailed images of the pelvic organs. Unfortunately, this examination has received mixed experiences from the women who have undergone it. This study set out to explore the lived experiences of Ugandan women who have undergone TVUS.

METHODS

It was a phenomenological exploratory study involving 20 women in Uganda that had previously undergone TVUS. Data were collected using in-depth individual interviews. The responses from the women were audio-recorded and later transcribed. Thematic analysis was used to interpret and make meaning of the data collected.

RESULTS

Analysis of data revealed mostly negative experiences of the women who were included in this study. Key words from the participating women that illustrated the negative experiences included: fear, vulnerability, guilt, anxiety and embarrassment. It was also observed that these initial negative experiences are likely to reduce the women's acceptability and compliance to TVUS even when it is needed for better clinical management. Data were categorised into the following three thematic areas: (1) broken communication, (2) anxiety and discomfort and (3) cultural influence.

CONCLUSION

Women in this study portrayed negative experiences of undergoing TVUS. Key suggestions like informed consent are recommended to improve compliance of the women to this type of procedure.

摘要

引言

经阴道超声检查(TVUS)是女性盆腔的一项重要检查,需要将探头插入阴道以获取盆腔器官更详细的图像。不幸的是,接受过这项检查的女性对此体验不一。本研究旨在探索接受过TVUS检查的乌干达女性的真实经历。

方法

这是一项现象学探索性研究,涉及20名曾在乌干达接受过TVUS检查的女性。通过深入的个人访谈收集数据。女性的回答被录音,随后进行转录。采用主题分析法对收集到的数据进行解读并赋予其意义。

结果

对数据的分析揭示了本研究中女性大多有着负面体验。参与研究的女性中体现负面体验的关键词包括:恐惧、脆弱、内疚、焦虑和尴尬。还观察到,即使在为了更好的临床管理而需要进行TVUS检查时,这些最初的负面体验也可能会降低女性对该检查的接受度和依从性。数据被归类为以下三个主题领域:(1)沟通不畅,(2)焦虑与不适,(3)文化影响。

结论

本研究中的女性呈现出接受TVUS检查的负面体验。建议采取如知情同意等关键措施来提高女性对这类检查的依从性。

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