中国大陆女性护士与生殖器相关的护理尴尬及其相关因素：一项全国性横断面研究。
Genitalia-related nursing embarrassment and its associated factors among female nurses in mainland China: a nationwide cross-sectional study.
作者信息
Yang Guoyi, Liu Huixin, Wang Jia, Geng Zixian, Wang Ling, Xu Tao
机构信息
Urology Department, Peking University People's Hospital, Beijing, China.
Department of Clinical Epidemiology and Biostatistics, Peking University People's Hospital, Beijing, China.
出版信息
Ann Transl Med. 2021 Feb;9(3):191. doi: 10.21037/atm-20-5154.
BACKGROUND
Genital-related care is a common nursing procedure and may cause embarrassment for nurses. However, nurses' level of embarrassment and the factors associated with embarrassment have been scarcely studied. Therefore, a cross-sectional study was conducted to investigate genitalia-related care's embarrassment and its associated factors among Chinese female nurses.
METHODS
Online questionnaires regarding the frequency of genitalia-related care and the embarrassment level were distributed to female nurses from the gynecology and urology departments between October and December 2019. Participants also completed the Chinese version of the professional identity scale for nurses and the Jefferson scale of empathy. Mantel-Haenszel chi-square and ordinal logistic regression were used to explore factors associated with the level of embarrassment.
RESULTS
In total, 648 female nurses from 54 hospitals in 31 cities in China were recruited. Among these respondents, approximately 67% provided genitalia-related care at least three days per week, and about 70% of nurses felt slightly embarrassed to extremely embarrassed when providing genitalia-related care. Compared to nurses from gynecology departments, nurses from urology departments felt more embarrassed during genitalia-related care (P<0.001). Ordinal regression analysis showed that the odds of nurses from gynecology and urology departments with total empathy scores greater than 100 experiencing higher levels of embarrassment than nurses with total empathy scores less than 100 were 0.47 and 0.45, respectively. Nurses from gynecology departments with higher professional identity scores, higher education levels, more frequent genital-related care experienced less embarrassment, while nurses from the urology department with prior sexual experience experienced less embarrassment.
CONCLUSIONS
Feeling embarrassed during genitalia-related nursing was common among Chinese female nurses, especially those from urology departments. Embarrassment during genitalia-related nursing was related to professional identity, empathy, educational level, genitalia-related care frequency, and sexual history. These findings highlight the importance of professional identity, empathy, and education among nurses.
背景
生殖器相关护理是一项常见的护理操作，可能会让护士感到尴尬。然而，护士的尴尬程度及其相关因素鲜有研究。因此，开展了一项横断面研究，以调查中国女性护士在生殖器相关护理方面的尴尬情况及其相关因素。
方法
2019年10月至12月，向妇产科和泌尿科的女性护士发放了关于生殖器相关护理频率和尴尬程度的在线问卷。参与者还完成了中文版护士职业认同量表和杰斐逊共情量表。采用Mantel-Haenszel卡方检验和有序逻辑回归分析来探索与尴尬程度相关的因素。
结果
共招募了来自中国31个城市54家医院的648名女性护士。在这些受访者中，约67%的人每周至少有三天提供生殖器相关护理，约70%的护士在提供生殖器相关护理时感到有点尴尬至极其尴尬。与妇产科护士相比，泌尿科护士在生殖器相关护理期间感到更尴尬（P<0.001）。有序回归分析显示，妇产科和泌尿科护士中，共情总分大于100分的护士比共情总分小于100分的护士经历更高程度尴尬的几率分别为0.47和0.45。妇产科中职业认同得分较高、教育水平较高、生殖器相关护理频率较高的护士尴尬程度较低，而泌尿科中有过性经历的护士尴尬程度较低。
结论
在中国女性护士中，尤其是泌尿科的护士，在生殖器相关护理过程中感到尴尬很常见。生殖器相关护理时的尴尬与职业认同、共情、教育水平、生殖器相关护理频率和性史有关。这些发现凸显了护士职业认同、共情和教育的重要性。
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