Patients attitudes to vaginal examination and use of chaperones at a public hospital in South Africa

Autor: H Ramnarain, OU Amaechina, Jack Moodley
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Adult
medicine.medical_specialty
Adolescent
020205 medical informatics
Cross-sectional study
media_common.quotation_subject
Emotions
Ethnic group
Mothers
02 engineering and technology
South Africa
03 medical and health sciences
0302 clinical medicine
Nursing
Obstetrics and gynaecology
Physicians
Surveys and Questionnaires
0202 electrical engineering
electronic engineering
information engineering

medicine
Humans
030212 general & internal medicine
Referral and Consultation
Pelvic examination
Aged
media_common
Physician-Patient Relations
medicine.diagnostic_test
Hospitals
Public

business.industry
Intimate examinations
patient.physician relationship
use of chaperone
vaginal examinations

General Medicine
Middle Aged
Gynecological Examination
Obstetrics
Cross-Sectional Studies
Attitude
Feeling
Gynecology
Family medicine
Public hospital
Medical Chaperones
Female
business
Attitude to Health
Psychosocial
Zdroj: Nigerian Journal of Clinical Practice; Vol 19, No 1 (2016); 110-114
ISSN: 1119-3077
Popis: Background: Obstetrics and gynecology units in public hospitals in South Africa (SA) are often overloaded with patients. Most physical examinations/consultations in these units involve vaginal examination (VE) and often because of the rapid turnover of patients the pelvic examination may be performed hurriedly without due consideration being given to the psychosocial aspects of such procedures. Objective: This study surveyed the attitudes of patients to VE and the use of chaperones. Methods : A descriptive cross.sectional survey of patients attending obstetrics and gynecology clinics at a public hospital in SA was carried out. A structured questionnaire was used to collect sociodemographic data such as age, ethnic group, gravidity, feelings toward VE, and preferences about the gender of the examining doctor, as well as the presence of a chaperone. Results : Most women (68%) were aged between 20 and 35 years. The respondents stated that the most intimate examination was VE in 48.3% and abdominal in 25% of cases; 19.0% and 1.5% of respondents felt that breast and rectal examinations, respectively, was the most intimate. On the response to the statement gthere is no need for chaperone during VE;h 54% of the participants were in support of chaperone while 45.1% were against chaperone. Women aged 20.35 years, preferred a nurse as their chaperone; younger women, aged .19 years preferred their mother as a chaperone. Conclusion : In an SA public hospital, women are more likely to regard VE as the most intimate examination. Women are equivocal on the use of a chaperone and if it was necessary; nurses are their preferred choice except for teenagers, who preferred their mothers. Key words : Intimate examinations, patient.physician relationship, use of chaperone, vaginal examinations
Databáze: OpenAIRE