感谢提问：青少年对体格检查中使用陪诊人员的态度和偏好。

Thanks for asking: Adolescent attitudes and preferences regarding the use of chaperones during physical examinations.

作者信息

Morgan Renee, Katzman Debra K, Kaufman Miriam, Goldberg Eudice, Toulany Alene

机构信息

Division of Adolescent Medicine, Department of Paediatrics, The Hospital for Sick Children;; University of Toronto;

Division of Adolescent Medicine, Department of Paediatrics, The Hospital for Sick Children;; University of Toronto;; Child Health Evaluative Sciences, Research Institute, The Hospital for Sick Children, Toronto, Ontario.

出版信息

Paediatr Child Health. 2016 May;21(4):191-5. doi: 10.1093/pch/21.4.191.

DOI:10.1093/pch/21.4.191

PMID:27429571

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4934159/

Abstract

BACKGROUND

There is no uniformity as to how and when chaperones should be used for general and intimate (genitalia and/or breasts) physical examinations of adolescents.

OBJECTIVE

To explore adolescents' attitudes and preferences regarding the use of medical chaperones during physical examinations.

METHODS

The present analysis was a cross-sectional descriptive study performed as part of a quality improvement project in the Adolescent Medicine Clinics at The Hospital for Sick Children (Toronto, Ontario) between January 1 and April 30, 2011. Adolescents 13 to 18 years of age completed an anonymous 10-item, self-administered questionnaire regarding their thoughts on chaperones during physical examinations. Demographic and descriptive data were collected.

RESULTS

A total of 127 adolescents participated in the present study. The mean (± SD) age was 16.3±1.5 years and the majority (93.7%) were female. More than one-half (61%) of female adolescents had previous experience with an intimate examination; however, a chaperone was present only 36% of the time. Seventy percent of female adolescents wanted the choice of a chaperone for a general examination compared with 61% for an intimate examination. Among female adolescents with past chaperone experience, 78% wanted the choice of a chaperone for subsequent intimate examinations, compared with 55% among those with no previous chaperone experience. Only 21% believed they would ask for a chaperone if one were not offered.

CONCLUSIONS

Although there was variation in adolescents' attitudes and preferences regarding the use of chaperones, many females indicated a desire to discuss the option of a chaperone for all types of examinations.

摘要

背景

对于在青少年进行一般体格检查以及私密部位（生殖器和/或乳房）体格检查时，应如何以及何时使用陪诊人员，目前尚无统一标准。

目的

探讨青少年在体格检查期间对使用医学陪诊人员的态度和偏好。

方法

本分析是一项横断面描述性研究，作为多伦多病童医院青少年医学诊所质量改进项目的一部分，于2011年1月1日至4月30日进行。13至18岁的青少年完成了一份10项的匿名自填问卷，内容涉及他们对体格检查时陪诊人员的看法。收集了人口统计学和描述性数据。

结果

共有127名青少年参与了本研究。平均（±标准差）年龄为16.3±1.5岁，大多数（93.7%）为女性。超过一半（61%）的女性青少年曾有过私密部位检查的经历；然而，只有36%的检查有陪诊人员在场。70%的女性青少年希望在一般体格检查时有选择陪诊人员的权利，而在私密部位检查时这一比例为61%。在有陪诊人员陪诊经历的女性青少年中，78%希望在后续的私密部位检查时有选择陪诊人员的权利，而在没有陪诊经历的女性青少年中这一比例为55%。只有21%的人认为如果没有提供陪诊人员，他们会主动要求。