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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.

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。

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