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本文引用的文献

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Emotional response to testing positive for human papillomavirus at cervical cancer screening: a mixed method systematic review with meta-analysis.宫颈癌筛查 HPV 检测阳性的情绪反应:混合方法系统评价与荟萃分析。
Health Psychol Rev. 2021 Sep;15(3):395-429. doi: 10.1080/17437199.2020.1762106. Epub 2020 May 24.
2
Quality of Life for Women with Human Papillomavirus-induced Lesions.人乳头瘤病毒所致病变女性的生活质量
Rev Bras Ginecol Obstet. 2020 Apr;42(4):211-217. doi: 10.1055/s-0040-1709192. Epub 2020 Apr 24.
3
Association Between Family Support, Coping Strategies and Anxiety in Cancer Patients Undergoing Chemotherapy at General Hospital in Medan, North Sumatera, Indonesia.印度尼西亚北苏门答腊棉兰市一家综合医院中接受化疗的癌症患者的家庭支持、应对策略与焦虑之间的关联
Asian Pac J Cancer Prev. 2019 Oct 1;20(10):3015-3019. doi: 10.31557/APJCP.2019.20.10.3015.
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The experiences of patients and their family members when receiving bad news about cancer: A qualitative meta-synthesis.癌症坏消息告知体验的质性元分析:患者及其家属视角。
Psychooncology. 2019 Dec;28(12):2286-2294. doi: 10.1002/pon.5241. Epub 2019 Oct 30.
5
The Correlation between Stigma and Family Acceptance with Religiosity of PLWH MSM in Medan, Indonesia.印度尼西亚棉兰男男性行为艾滋病毒感染者的耻辱感、家庭接纳度与宗教信仰之间的相关性
Asian Pac Isl Nurs J. 2019;4(3):123-127. doi: 10.31372/20190403.1048.
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The Prevalence of HPV Genotypes in Iranian Population: An Update.伊朗人群中HPV基因型的流行情况:最新进展。
Iran J Pathol. 2019 Summer;14(3):197-205. doi: 10.30699/ijp.2019.90356.1861.
7
The psychosexual impact of testing positive for high-risk cervical human papillomavirus (HPV): A systematic review.高危型人乳头瘤病毒(HPV)检测阳性对性心理的影响:系统评价。
Psychooncology. 2019 Oct;28(10):1959-1970. doi: 10.1002/pon.5198. Epub 2019 Aug 21.
8
'I'm here to save my life': a qualitative study of experiences navigating a cryotherapy referral system for human papillomavirus-positive women in western Kenya.“我来这里是为了救我的命”:肯尼亚西部 HPV 阳性女性在冷冻治疗转诊系统中的体验定性研究。
BMJ Open. 2019 Jul 24;9(7):e028669. doi: 10.1136/bmjopen-2018-028669.
9
The Ethics of Truth-Telling in Health-Care Settings.医疗环境中告知真相的伦理问题。
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10
Human Papillomavirus and Genital Disease in Men: What We Have Learned from the HIM Study.人乳头瘤病毒与男性生殖系统疾病:我们从男性人乳头瘤病毒感染自然史研究中学到了什么
Acta Cytol. 2019;63(2):109-117. doi: 10.1159/000493737. Epub 2019 Feb 22.

人乳头瘤病毒诊断后的感知支持悖论:一项定性内容分析

Perceived Supportive Paradox After Diagnosing Human Papillomavirus: A Qualitative Content Analysis.

作者信息

Nick Narjes, Torabizadeh Camellia, Ghahartars Mehdi

机构信息

Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.

Community Based Psychiatric Care Research Center, Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Int J Community Based Nurs Midwifery. 2021 Apr;9(2):92-105. doi: 10.30476/ijcbnm.2021.88802.1547.

DOI:10.30476/ijcbnm.2021.88802.1547
PMID:33875962
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8053204/
Abstract

BACKGROUND

Human papillomavirus (HPV) is the most globally-prevalent sexually-transmitted disease. Many stresses experienced by the patients after their disease is diagnosed affect the disease progression, and these problems and consequences demonstrate the importance of the support for the patients. The present research was conducted to explore the perception and experience of support in patients diagnosed with HPV.

METHODS

In this qualitative study, 24 participants (17 patients, 2 spouses of these patients, and 5 health service providers), selected using purposeful and snowballing sampling from April 2019 to March 2020, underwent an inductive content analysis conducted in dermatology clinic of Shahid Faghihi hospital, Shiraz, Iran. The data were collected through in-depth semi-structured interviews, all of which were recorded and transcribed. The data were analyzed in MAXQDA 2018 until data saturation was reached.

RESULTS

The patients aged 19-50 years old were married in 14 of the cases and their majority had genital or anal warts. Their level of education ranged from junior high school to an MSc degree. Perceived supportive paradox emerged as the main theme which consisted of 2 categories of supportiveness and lack of support.

CONCLUSION

The present findings showed many challenges for the patients in the face of contradictory behaviors by their relatives and health service providers. Integrated systems are required to develop in order to promote the understanding of health service providers of HPV and counsel the patients to take appropriate strategies and, therefore, eliminate their confusion and reduce their anxiety.

摘要

背景

人乳头瘤病毒(HPV)是全球最普遍的性传播疾病。患者在被诊断出疾病后所经历的许多压力会影响疾病进展,这些问题及后果凸显了为患者提供支持的重要性。本研究旨在探索被诊断为HPV的患者对支持的认知与体验。

方法

在这项定性研究中,于2019年4月至2020年3月期间采用目的抽样和滚雪球抽样法选取了24名参与者(17名患者、其中2名患者的配偶以及5名医疗服务提供者),在伊朗设拉子的沙希德·法吉希医院皮肤科诊所进行了归纳性内容分析。数据通过深入的半结构化访谈收集,所有访谈均进行了录音和转录。在MAXQDA 2018中对数据进行分析,直至达到数据饱和。

结果

14例患者年龄在19至50岁之间,多数已婚,且大多患有生殖器或肛门疣。他们的教育程度从初中到硕士学位不等。感知到的支持性悖论成为主要主题,该主题由支持性和缺乏支持两类组成。

结论

目前的研究结果表明,患者在面对亲属和医疗服务提供者的矛盾行为时面临诸多挑战。需要建立综合系统,以增进医疗服务提供者对HPV的了解,并为患者提供咨询,使其采取适当策略,从而消除他们的困惑并减轻焦虑。