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輔仁醫學期刊

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篇名 女性病患對接受子宮輸卵管攝影檢查感受之研討
卷期 3:3
並列篇名 A Study of Physical and Psychological Stresses of Female Patients Undergoing Hysterosalphingography
作者 黃傳祥彭惠玲陳良光蔡忠宏呂坤木曾明宗陳芳興蘇誠道
頁次 151-157
關鍵字 子宮輸卵管攝影感受女性病患HysterosalpingographyStressFemale patient
出刊日期 200509

中文摘要

背景和目的:本文在探討放射診斷科女性病患對接受子宮輸卵管攝影(hysterosalpingography,以下簡稱HSG) 檢查之感受。方法:由研究者自行設計之簡式問卷,內容包括個案基本資料及對接受HSG檢查之感受及建議二部份,研究對象是自民國91 年10 月1 日至91 年11 月30 日,凡是安排於放射診斷科(新光醫院),做HSG檢查的病患,均為追蹤研究的對象。結果:共收集197 個個案,年齡由21 至48 歲,平均年齡為33 歲,個案中大多數(90.9%) 為第一次檢查。結果發現:個案之感受在身體方面有痛、麻麻的、不舒服的感覺;在心理方面有情緒反應,如不好意思(78 人)、害怕(5 人)、緊張(6 人) 等,但也有部份個案(32 人) 表示很期待、可鬆一口氣;有些個案(14.3%) 則藉轉移注意力的方式,如想事情、看周圍環境及心中默禱等來度過檢查過程,大多數個案(49.2%) 對檢查時的環境沒有特別感受,有40 人(20.3 %) 表示覺得環境很有安全感,另有18 人(9.2%) 表示HSG 檢查時人很多,42 人(21.3 %) 覺得很冷。對整個檢查過程之滿意度以6 分法計,平均為4.47 分;個案對HSG 檢查過程之滿意程度和不同性別醫師執行HSG 檢查,在統計上有顯著差異(p < 0.05),個案建議有:希望檢查前有解釋、希望檢查時醫師動作輕、快一些、冷氣關小一點,及人不要太多。結論:藉由以上的發現,可在日後讓放射科醫護人員在臨床執行HSG檢查時更注意女性病患的感受,以提高檢查服務品質。

英文摘要

Background and Purpose: We studied the psychological and physical stresses of femalepatients undergoing a hysterosalpingographic (HSG) examination. Methods: From 1 October to30 November 2002, 197 consecutive female patients who had an HSG examination in theDepartment of Diagnostic Radiology ofHsin kongHospitalwere recruited for the study. Results:Most (90.9%) of the patients had never had an HSG examination before. The average age of thepatients was 33 years. All of the patients were requested to fill out a questionnaire regarding thepsychological and physical stresses experienced during the HSG examination. For the physicalstress, 'pain'was themost-common complaint. For the psychological stress, 'shame'was themostcommonfeeling. Some patients (14.3%) copedwith the stress by 'thinking', 'focusing', or 'praying'.As to the environment in which the HSGexamination was carried out,most patients (52.2%) hadno abnormal feelings about it, but 48 patients (24.3%) felt it was 'cold'. The average score ofsatisfaction was 4.47 (out of a full score of 6). Suggestions by the patients included: 'providing adetailed explanation prior to the examination', 'giving a gentler and faster examination', and 'turning down the air-conditioner'. Conclusion: From these findings, patients may feel moresatisfied with the HSG examination if we can help them overcome these psychological andphysical stresses.

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