The Briah Foundation for Women's Health, Tel Aviv, Israel.
The Interdisciplinary Doctoral Program in Psychoanalysis, Department of Counseling and Human Development, University of Haifa, Haifa, Israel.
J Psychosom Obstet Gynaecol. 2022 Jun;43(2):190-197. doi: 10.1080/0167482X.2020.1864727. Epub 2021 Jan 8.
To analyze the perception of gynecologic examination from the patients' point of view.
This anonymous electronic cross-sectional survey aimed to evaluate the subjective experiences of women during gynecologic examinations (levels of pain, embarrassment and trauma), the manner the examination was conducted, and women's suggestions for improving their experience.
Overall, 6,508 women answered the survey. The examination was considered an embarrassing event by 47%, painful by 35% and traumatic by 19%. Importantly, only 43% of the respondents stated they would notify the gynecologist in case of physical discomfort or pain during the examination. The quality of physician-to-patient communication was rated as the most important aspect of gynecologic examination, and showed a significant association with the general quality of the experience (levels of pain, embarrassment, and trauma). Matters relating to women's privacy during gynecologic examination were also considered important. An option for a companion was rated as important by 64% of the respondents. Significant differences with large effect-sizes were found between the respondents' preferences and their reports of the observed situation.
The findings highlight the need for establishing guidelines for gynecologic examinations, according to a patient-centered care approach. This study constitutes a first discourse on the subject of gynecologic examinations in Israel in order to provide an overview and initial insights, serving as a starting point for further specific and more in-depth research.
从患者角度分析妇科检查的认知。
本匿名电子横断面调查旨在评估女性在妇科检查（疼痛、尴尬和创伤程度）、检查进行方式以及对改善检查体验的建议方面的主观体验。
共有 6508 名女性回答了该调查。47%的女性认为检查是一件尴尬的事情，35%的女性认为检查是痛苦的，19%的女性认为检查是创伤性的。重要的是，只有 43%的受访者表示，如果在检查过程中感到身体不适或疼痛，会通知妇科医生。医患沟通质量被评为妇科检查最重要的方面，并与整体体验质量（疼痛、尴尬和创伤程度）显著相关。与妇科检查中女性隐私相关的问题也被认为很重要。64%的受访者认为有一个陪同者是重要的。受访者的偏好与他们所观察到的情况之间存在显著差异，且差异具有较大的效应量。
这些发现强调了根据以患者为中心的护理方法制定妇科检查指南的必要性。本研究首次探讨了以色列的妇科检查问题，旨在提供概述和初步见解，为进一步的具体和更深入的研究提供起点。
