检查提供者在第一次产科体检期间对疼痛的反应
Tien C Nguyen1, Abisola Olaniyan2, Judy C Chang3
1Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Women & health
|November 17, 2025
概括
产科检查期间的疼痛是常见的. 提供者沟通显著影响患者体验,响应范围从支持到轻视,突出了对同情培训的需要.
科学领域:
- 产科和妇科 产科和妇科
- 患者沟通 患者沟通
- 医疗保健的质量 医疗保健的质量
背景情况:
- 妇科检查期间的疼痛是经常发生的.
- 提供者沟通质量会影响患者对疼痛的感知和体验.
- 了解提供者对患者疼痛表达的反应对于改善护理至关重要.
研究的目的:
- 分析医疗服务提供者对患者在初始产科体检期间口头疼痛表达的沟通反应.
- 为了识别提供者承认,支持或驳回患者报告的疼痛的模式.
- 探索与不同提供者响应类型相关的因素.
主要方法:
- 从200次第一次产前检查中录制和转录的数据的二次分析.
- 分析患者疼痛表达和相应的提供者口头反应.
- 后勤回归用于评估提供者/患者特征和响应类型之间的关联.
主要成果:
- 患者在超过25%的检查中表示疼痛.
- 在63.2%的遭遇中,提供者承认或道歉疼痛.
- 疼痛被认为是别的东西 (22.8%) 或被忽视 (19.3%).
- 当第三方在场时,提供者更有可能不提供口头回应 (OR 5.3).
结论:
- 疼痛经常在例行产科检查中表现出来,但由提供者解决的情况有所不同.
- 在考试期间提供者沟通显著影响患者体验.
- 教育干预应侧重于对妇科检查的同情,创伤信息的沟通策略.
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