Larsen S B, Kragstrup J
Institute of General Practice, University of Aarhus, Denmark.
J Psychosom Obstet Gynaecol. 1995 Jun;16(2):93-9. doi: 10.3109/01674829509042784.
The purpose of the study was to describe teenagers' expectations and knowledge of the pelvic examination (PE). The study was carried out as a cross-sectional postal questionnaire study. A total of 1500 women, aged 17 years, were selected at random from all Danish women of that age. The response rate was 76%, and 551 of these 1112 teenagers had experienced their first PE. Among the teenagers who had not had a PE, 48% thought the examination would be painful, 29% feared that the doctor would discover abnormal anatomy, 67% felt they would be embarrassed by exposing their genitals and 23% expected to be indisposed for the rest of the examination day. Among the teenagers who had not experienced a PE, only 17% felt that they had sufficient knowledge of the examination, compared to 68% in the group who had already experienced an examination. In the group who had not experienced a PE 33% knew what the doctor was able to inspect during the instrumental part of the examination, compared to 55% in the other group with experience. It is concluded that a considerable proportion of teenagers have negative expectations of the PE, and increased effort to improve teenagers' expectations and knowledge of the PE may be recommended.
该研究的目的是描述青少年对盆腔检查（PE）的期望和了解情况。该研究采用横断面邮寄问卷调查的方式进行。从所有17岁的丹麦女性中随机选取了1500名女性。回复率为76%，在这1112名青少年中，有551人经历了首次盆腔检查。在未进行盆腔检查的青少年中，48%认为检查会很疼，29%担心医生会发现解剖结构异常，67%觉得暴露生殖器会让他们感到尴尬，23%预计在检查当天剩余时间会身体不适。在未经历过盆腔检查的青少年中，只有17%觉得自己对该检查有足够的了解，而在已经经历过检查的组中这一比例为68%。在未经历过盆腔检查的组中，33%知道医生在检查的器械部分能够检查什么，而在有检查经历的另一组中这一比例为55%。研究得出结论，相当一部分青少年对盆腔检查有负面期望，可能建议加大力度提高青少年对盆腔检查的期望和了解。
