住院青少年对性和生殖健康的看法
Vanessa McFadden1, Kelsey Porada1, Nicole Emlen1
1Section of Hospital Medicine, Department of Pediatrics.
Hospital pediatrics
|June 18, 2024
概括
入院青少年对性和生殖健康讨论 (SHDs) 的偏好各不相同. 提供者应确保隐私,保密性,并根据个人需要为有效的青少年以患者为中心的护理量身定制对话.
科学领域:
- 青少年医学 青少年医学
- 公共卫生 公共卫生
- 定性研究是指质量研究.
背景情况:
- 建议医疗保健提供者在所有接触期间讨论青少年的性和生殖健康 (SRH),包括住院治疗.
- 了解住院青少年对SRH讨论 (SHD) 的看法对于以患者为中心的护理至关重要.
研究的目的:
- 探索住院青少年对性和生殖健康的经验和观点,与医疗保健提供者进行性和生殖健康讨论.
主要方法:
- 对20名13-17岁的住院青少年进行了私人,半结构化的采访.
- 采用主题分析来识别参与者关于SHDs的经验和偏好中的关键主题.
主要成果:
- 青少年对SHDs表达了不同的偏好,强调了住院期间的各种经历.
- 有效的SHD的促进者包括提供者不判断行为,隐私保证和量身定制的沟通.
- 一些讨论涉及未得到满足的需求,而其他讨论则被参与者视为无关紧要.
结论:
- 青少年对于与医疗保健提供者的SHD的偏好有很大差异.
- 建议以明确的目的声明和保密性启动SHD.
- 使用针对自我报告行为的工具可以帮助提供者将对话个性化,以适应青少年的SRH需求和沟通方式.
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