在患有 Vulvovaginal 疾病的患者中,护理和气照的经验
Chailee F Moss1, Arthi Chinna-Meyyappan2, Gabriela Skovronsky1
1The Centers for Vulvovaginal Disorders, Washington, DC.
JAMA network open
|May 8, 2025
概括
患有 vulvovaginal 疾病的患者经常经历医疗气光照明,导致痛苦和考虑停止护理. 这项研究强调了需要改善的,以患者为中心的方法在阴道卫生保健.
科学领域:
- 医学研究 医学研究
- 患者体验患者体验
- Vulvovaginal 卫生健康 阴道健康
背景情况:
- 医疗气体照明,当患者的担忧被驳回时,在阴部护理中有事报告,但缺乏量化.
- 患者的不良体验可以显著影响治疗的坚持和结果.
研究的目的:
- 开发和使用以患者为中心的仪器来衡量部阴道护理中的不良经验.
- 量化医疗气体照明的发生率和 vulvovaginal 患者遭遇的相关痛苦.
主要方法:
- 一种混合方法的调查工具是基于倡导团体的患者证词而设计的.
- 该测量,包括定量和定性问题,在初次诊所访问之前给患者进行.
- 用描述性统计数据对定量响应进行分析,使用内容分析对定性主题进行分析.
主要成果:
- 对447名患者的调查显示了显著的不良体验,平均43.5%的前医生表示支持,26.6%低,20.5%轻视.
- 经常报告的问题包括被告知要更多地放松 (41.6%),未经医疗治疗而转诊精神病学 (20.6%),以及感到无效 ('让人感到疯狂'为39.4%).
- 定性分析发现缺乏临床医生的知识和轻视的行为是普遍的主题,导致了大量的患者痛苦和考虑停止护理.
结论:
- 一个以患者为中心的措施有效地捕获了 vulvovaginal 护理的不良经验,包括普遍的气体照明.
- 患者报告了严重的痛苦,并考虑由于临床医生的排斥性行为而停止治疗.
- 迫切需要创伤知情教育和验证的工具来改善阴部医疗保健体验.
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