Okeji Mark C, Agwuna Kennedy K, Ihudiebube-Splendor Chika N, Izge Iliyasu Y, Ekuma Kelechi K, Emeter Jennifer O
Department of Medical Radiography and Radiological Sciences, Faculty of Health Sciences and Technology, University of Nigeria, Enugu Campus, Enugu, Enugu State, Nigeria.
Department of Radiation Medicine, Faculty of Medicine, College of Medicine, University of Nigeria Enugu Campus, Enugu, Enugu State, Nigeria.
BMC Womens Health. 2017 Jul 27;17(1):54. doi: 10.1186/s12905-017-0413-z.
To assess the attitude to and perception of transvaginal sonography (TVS) among Nigerian women of mixed educational status in order to ascertain factors that may prevent them from submitting to TVS when recommended.
A Cross-sectional survey was adopted for the study. In all, one missionary, one government and eight private hospitals were enlisted. The instruments for data collection were visual analogue scale (VAS), to ascertain patients' pain/discomfort experience, and a researcher-developed semi-structured questionnaire. The level of pain/discomfort on the VAS was categorized into four on a scale of 100. The categories were: 0-5 (no pain), 6-40 (mild pain), 41-74 (moderate pain), and 75-100 (severe pain).
Majority (50.6%) of the respondents who attained secondary education had positive attitude to TVS. Also majority of the respondents (63.1%) preferred female sonographers. Majority of the respondents (54.1%) perceived TVS as not embarrassing, 78% did not consider it stressful, 96.9% reported that the sonographers were professional, 46.7% felt that a chaperon was needed, 98.4% reported there were enough privacy and 84.7% reported they needed prior information. Most of the respondents (82%) were willing to consent to TVS in future, 90.5% reported no pain, 8.6% reported mild pain/discomfort and 0.9% reported moderate pain.
Majority of our respondents had positive attitude to TVS and were willing to consent to TVS in future, hence it was acceptable to them. It was however observed that acceptability increased with increasing academic status.
评估不同教育程度的尼日利亚女性对经阴道超声检查（TVS）的态度和认知，以确定在被推荐接受TVS检查时可能阻碍她们接受检查的因素。
本研究采用横断面调查。总共招募了一家传教士医院、一家政府医院和八家私立医院。数据收集工具包括视觉模拟量表（VAS），用于确定患者的疼痛/不适体验，以及研究者自行编制的半结构化问卷。VAS上的疼痛/不适程度按100分制分为四类。类别分别为：0 - 5分（无疼痛）、6 - 40分（轻度疼痛）、41 - 74分（中度疼痛）和75 - 100分（重度疼痛）。
接受过中等教育的受访者中，大多数（50.6%）对TVS持积极态度。大多数受访者（63.1%）更喜欢女超声医师。大多数受访者（54.1%）认为TVS并不尴尬，78%的人认为它没有压力，96.9%的人报告超声医师很专业，46.7%的人觉得需要有陪诊人员，98.4%的人报告有足够的隐私，84.7%的人报告他们需要事先了解相关信息。大多数受访者（82%）愿意在未来同意接受TVS检查，90.5%的人报告无疼痛，8.6%的人报告有轻度疼痛/不适，0.9%的人报告有中度疼痛。
我们的大多数受访者对TVS持积极态度，并愿意在未来同意接受TVS检查，因此TVS对他们来说是可以接受的。然而，观察到随着学历的提高，接受度也在增加。
