妇科检查恐惧调查及多因素分析
宁波大学附属第一医院, 健康管理中心, 浙江宁波 315010
| 摘 要： | 目的：分析妇科检查恐惧发生的主观和客观因素，为消除妇检恐惧提供理论基础。方法：选取2021.10到2021.12在宁波大学附属第一医院健康管理中心进行妇科体检的受检者，根据自愿原则以发放调查表和医师面询两种方法，获得有效完整调查问卷350份，分析妇科检查恐惧发生的主观和客观因素。结果：350例被调查者中有妇科检查恐惧者152例（占43.43%），主要主观因素为以前妇科检查非常疼痛；客观因素分析：检前评分和检后评分为正相关，检查后恐惧程度降低（t=13.204，P=0.000），多因素分析显示：近期无性生活者发生妇检恐惧是其他人的0.369倍（P=0.012）、有性交痛者是无痛者的8.304倍（P=0.012）、有定期体检者是不参加定期体检的2.979倍（P=0.006）；剖宫产生育、性交痛是合作度评分欠佳的影响因素，结论：妇科检查恐惧非常普遍，恐惧程度越高检查合作程度越差；有性交痛者、有流产史者、定期体检者妇科检查恐惧程度相对较高，剖宫产史、性交痛是检查合作度欠佳的影响因素，建议医生操作时应动作轻柔；流产手术时使用麻醉；加强孕产期心理辅导，指导产妇及时进行情绪调节，避免恐惧长期存在。 |
| 关 键 词： | 妇科检查; 恐惧; 妇科检查合作度; 多因素分析 |
| DOI： | 10.57237/j.wjcm.2023.02.003 |
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收稿日期: 2023-03-26
接受日期: 2023-05-23
在线出版日期: 2023-06-15
Investigation and Multivariate Analysis of Gynecological Examination Fear
Health Management Center, The First Affiliated Hospital of Ningbo University, Ningbo 315010, China
| Abstract: | Objective: to analyze the subjective and objective factors of gynecological examination fear, and to provide a theoretical basis for eliminating gynecological examination fear. Methods: 350 valid and complete questionnaires were obtained from the subjects who underwent gynecological physical examination in the health management center of The First Affiliated Hospital of Ningbo University from October 2021 to December 2021. The subjective and objective factors of fear of gynecological examination were analyzed. Results: among the 350 respondents, 152 (43.43%) had fear of gynecological examination. The main subjective factor was that the previous gynecological examination was very painful; Objective factor analysis: there was a positive correlation between pre examination score and post examination score, and the degree of fear decreased after examination (t = 13.204, P = 0.000). Multivariate analysis showed that the fear of gynecological examination in recent asexual life was 0.369 times higher than that in others (P = 0.012), sexual intercourse pain was 8.304 times higher than that in painless people (P = 0.012), and regular physical examination was 2.979 times higher than that in non regular physical examination (P = 0.006); Cesarean section, childbirth and sexual intercourse pain are the influencing factors of poor cooperation score. Conclusion: gynecological examination fear is very common. The higher the degree of fear, the worse the degree of examination cooperation; Those with sexual intercourse pain, abortion history and regular physical examination have a relatively high degree of fear in gynecological examination. The history of cesarean section and sexual intercourse pain are the influencing factors of poor cooperation in examination. It is suggested that doctors should act gently during operation, use anesthesia during abortion operation, and guide pregnant women to adjust their emotions in time to avoid long-term fear. |
| Keywords: | Gynecological Examination; Fear; Cooperation Degree of Gynecological Examination; Multivariate Analysis |
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