Reid J A, Templeman C L, Groneberg D A, Brueggmann D, Jaque J M
Department of Obstetrics and Gynecology, University of Southern California/Keck School of Medicine, KSOM, 2020, Zonal Avenue, IRD Office 509, Los Angeles, CA, 90033, USA.
Department of Female Health and Preventive Medicine, Institute of Occupational Medicine, Social Medicine and Environmental Medicine, Goethe-University, Theodor-Stern-Kai 7, Haus 9B, 60590, Frankfurt, Germany.
J Community Health. 2017 Feb;42(1):147-154. doi: 10.1007/s10900-016-0241-3.
Many patients have a rudimentary knowledge of their body's anatomy and functioning. In a clinical setting, deficits in patient understanding can lead to miscommunication affecting patient care and satisfaction. Hence, this study aims to estimate a baseline of patient knowledge regarding pelvic anatomy and to assess their educational preferences in learning about related topics. For this cross-sectional study, we developed a 24-item assessment with questions related to pelvic anatomy, health, and function. The questionnaire was validated using feedback from anonymous community focus groups, and then distributed to English-speaking female patients at the Women's Clinic of LAC + USC Medical Center (Los Angeles). The participant performance as a percentage-correct score on the anatomy assessment constituted our primary outcome. As secondary outcomes, educational preferences were inquired. Statistical analysis was conducted using two-sample t tests. The majority of our total sample of 269 were Hispanic (65.4 %) with a mean age of 35.3 years. We documented deficits in patient knowledge with a mean score of 66.1 % correct on anatomy assessment. Statistically significant lower scores were associated with less education and with Hispanic/Latino origin. Additionally, we found that while physicians have played a role in health education, women prefer to receive more education from their providers in the future. The deficits we identified indicate the pressing need to improve the pelvic health literacy of our patients. Understanding what our patients know and want to know is critical to effective communication and is fundamental to providing better clinical care in the future.
许多患者对自身身体的解剖结构和功能仅有初步了解。在临床环境中，患者理解方面的不足可能导致沟通不畅，影响患者护理和满意度。因此，本研究旨在评估患者关于盆腔解剖学知识的基线水平，并评估他们在学习相关主题时的教育偏好。对于这项横断面研究，我们编制了一份包含24个项目的评估问卷，其中的问题涉及盆腔解剖学、健康和功能。该问卷通过匿名社区焦点小组的反馈进行了验证，然后分发给洛杉矶县+南加州大学医学中心（洛杉矶）妇女诊所的英语女性患者。参与者在解剖学评估中的正确率得分构成了我们的主要结果。作为次要结果，我们询问了教育偏好。使用双样本t检验进行统计分析。我们总共269名样本中的大多数是西班牙裔（65.4%），平均年龄为35.3岁。我们记录到患者知识存在不足，解剖学评估的平均正确率得分为66.1%。统计学上显著较低的分数与教育程度较低以及西班牙裔/拉丁裔出身相关。此外，我们发现虽然医生在健康教育中发挥了作用，但女性未来更希望从医疗服务提供者那里获得更多教育。我们发现的这些不足表明迫切需要提高我们患者的盆腔健康素养。了解我们的患者知道什么以及想知道什么对于有效沟通至关重要，并且是未来提供更好临床护理的基础。
