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伊朗少女性与生殖自我保健准备情况:一项定性研究

Preparation for sexual and reproductive self-care in Iranian adolescent girls: a qualitative study.

作者信息

Alimoradi Zainab, Kariman Nourossadat, Ahmadi Fazlollah, Simbar Masoumeh

机构信息

Department of Midwifery and Reproductive Health, Shahid Beheshti University of Medical Science, Tehran, Iran.

Department of Midwifery and Reproductive Health, Shahid Beheshti University of Medical Science, Niayesh crossroad, Vali-Asr Avenue, Tehran, Iran, Fax: + 98-21-88202521.

出版信息

Int J Adolesc Med Health. 2017 May 17;30(1):/j/ijamh.2018.30.issue-1/ijamh-2016-0094/ijamh-2016-0094.xml. doi: 10.1515/ijamh-2016-0094.

Abstract

Background Adolescence is one of the most important stages in every individual's life. Pubertal changes and acquiring reproduction capability require adolescents to perform special health care processes. Also the possibility of involvement in high-risk sexual behaviors endangers adolescent girls' sexual and reproductive health. Objective Increase and deepen the understanding and knowledge of the factors affecting Iranian adolescent girls' readiness to take care of their sexual and reproductive health. Materials and methods The present qualitative study was conducted using conventional content analysis method. The participants included 18 adolescents who were aged 13-19 years old, single, studying at high school, art school, or university and had no history of chronic medical or psychological diseases; further, most of them had the experience of menstruation. Purposive sampling was initiated and continued until data saturation. Data collection were performed using in-depth and unstructured interviews. Qualitative content analysis of the interviews was conducted simultaneously with data collection using the Graneheim and Lundman approach .MAXQDA 2010 software was used for storage, retrieval, and management of the data. Findings Preparation for care was the main theme that emerged in this study along with 19 subcategories and four main categories, including desirable interaction between families and adolescents, readiness for puberty and menstruation, life skills and spiritual self-monitoring. Conclusion The education and health care systems' authorities of the country can exploit the results of this study for making policies and interventions expedient to the society's cultural conditions in order to improve the reproductive and sexual self-care status of adolescents' girls.

摘要

背景

青春期是每个人生命中最重要的阶段之一。青春期的变化以及获得生殖能力要求青少年进行特殊的保健过程。此外,参与高风险性行为的可能性危及青春期女孩的性健康和生殖健康。目的:增加并深化对影响伊朗青春期女孩照顾自身性健康和生殖健康准备情况的因素的理解和认识。材料与方法:本定性研究采用传统内容分析法。参与者包括18名年龄在13至19岁之间、单身、就读于高中、艺术学校或大学且无慢性疾病或心理疾病史的青少年;此外,他们中的大多数人有月经经历。采用目的抽样法并持续进行直至数据饱和。通过深入的非结构化访谈收集数据。使用格兰海姆和伦德曼方法在收集数据的同时对访谈进行定性内容分析。使用MAXQDA 2010软件存储、检索和管理数据。结果:本研究中出现的主要主题是照顾准备情况,以及19个子类别和四个主要类别,包括家庭与青少年之间的良好互动、对青春期和月经的准备、生活技能和精神自我监控。结论:该国的教育和卫生保健系统当局可以利用本研究结果制定符合社会文化条件的政策和干预措施,以改善青春期女孩的生殖和性自我保健状况。

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