患者对全科医疗中使用陪诊人员进行私密体格检查的态度。

Patients' attitudes towards chaperone use for intimate physical examinations in general practice.

作者信息

Stanford Lucie, Bonney Andrew, Ivers Rowena, Mullan Judy, Rich Warren, Dijkmans-Hadley Bridget

出版信息

Aust Fam Physician. 2017 Nov;46(11):867-873.

PMID:29101925

Abstract

BACKGROUND

The objective of this article is to investigate patients' attitudes to the use of chaperones for intimate physical examinations (IPEs) in a sample of Australian general practices.

METHODS

A cross-sectional survey of adult patients from 13 randomly selected general practices in regional New South Wales was conducted between September and November 2012. Generalised linear mixed models were used for analysis.

RESULTS

Of 780 surveys distributed, 687 (88%) were returned; the age range was 18-91 years and 356 (52%) were from female patients. Most women had never had a chaperone present for a Papanicolaou (Pap) smear (82.6%). Between 23% and 33% of respondents preferred a chaperone with their usual general practitioner (GP) across IPEs and gender of the respondents. The odds of preference for a chaperone were significantly less with a GP whom the respondents did not know well, compared with their usual GP, for a Pap smear (female) or genital examination (male).

DISCUSSION

Individualised discussion regarding chaperone use for IPEs is warranted, especially with patients seeing their usual GP.

摘要

背景

本文旨在调查澳大利亚普通诊所样本中患者对在进行私密体格检查（IPE）时使用陪诊人员的态度。

方法

2012年9月至11月间，对新南威尔士州地区随机选取的13家普通诊所的成年患者进行了横断面调查。采用广义线性混合模型进行分析。

结果

在分发的780份调查问卷中，回收了687份（88%）；年龄范围为18 - 91岁，其中356名（52%）为女性患者。大多数女性在进行巴氏涂片检查时从未有陪诊人员在场（82.6%）。在各类IPE以及不同性别受访者中，23%至33%的受访者希望在看普通全科医生（GP）时有陪诊人员在场。与看自己熟悉的GP相比，受访者在进行巴氏涂片检查（女性）或生殖器检查（男性）时，对不熟悉的GP配备陪诊人员的偏好几率显著更低。