■尽管阴道痉挛是一种相对常见的女性性功能障碍，使阴道渗透疼痛，但社会对阴道痉挛的认识较低，困难,和/或不可能。虽然关于阴道痉挛的现有文献已经在临床上关注受影响的生殖器，缺乏从女性的角度研究女性的阴道痉挛求助经历。
■这篇综合评论的目的是探索：女性的阴道痉挛求助经历，以及这种寻求帮助的经历如何影响他们的自我意识。
■遵循库珀的五步综合审查方法来开发一个研究问题，搜索策略，选择标准，和数据评估，分析,和介绍。
■2023年1月在以下七个数据库中完成了对文献的系统搜索：PsycINFO，ProQuestCentral,PubMed,Scopus,CINAHL,科克伦,和Embase。在通过数据库搜索和其他引文搜索找到的373篇文章中，这项审查包括22项研究，以满足具有经验设计的资格标准，用英语写，并研究女性寻求阴道痉挛的帮助经历及其对自我意识的影响。
■主题分析用于总结1671名参与者的纳入研究的发现。求助流程,医疗管理,寻求帮助和自我意识，调查结果和整体护理建议作为四个主要主题以及相应的子主题出现。
■这项审查表明，即使通过医疗保健系统，女性在寻求和接受阴道痉挛帮助方面仍然面临困难。然而,这些研究没有明确讨论女性寻求阴道痉挛的帮助是如何影响她们的自我意识的。这凸显了一个认识论上的差距，即女性寻求帮助的阴道痉挛如何影响她们的自我意识，这会影响他们的治疗反应。为未来的医疗保健和研究提供了建议，以改善患有阴道痉挛的女性的健康结果。
There is low social awareness of vaginismus despite it being a relatively common female sexual dysfunction that makes vaginal penetration painful, difficult, and/or impossible. While existing literature on vaginismus has had a clinical focus on the affected genitalia, there is a lack of research on women\'s help-seeking experiences of vaginismus from their perspective.
This integrative
review\'s objective was to explore: women\'s help-seeking experiences of vaginismus, and how such help-seeking experiences impact their sense of self.
Cooper\'s five-step integrative
review approach was followed to develop a research question, a search strategy, selection criteria, and data evaluation, analysis, and presentation.
A systematic search of the literature was completed in the following seven databases in January 2023: PsycINFO, ProQuest Central, PubMed, Scopus, CINAHL, Cochrane, and Embase. Out of the 373 articles found through database searches and additional citation searching, 22 studies were included in this
review for meeting the eligibility criteria of having an empirical design, being written in English, and examining women\'s help-seeking experiences for vaginismus and its impact on their sense of self.
Thematic analysis was used to summarize the findings from the included studies which were informed by 1671 participants. Help-Seeking Process, Medical Management, Help-Seeking and Sense of Self, and Holistic Care Recommendations from the Findings emerged as four major themes with corresponding subthemes.
This
review indicates that women continue to face difficulties in seeking and receiving help for vaginismus even through the healthcare system. However, the studies did not explicitly discuss how women\'s help-seeking for vaginismus impacted their sense of self. This highlights an epistemological gap on how women\'s help-seeking for their vaginismus impacts their sense of self, which can affect their treatment responses. Recommendations are provided for future healthcare and research to improve health outcomes for women with vaginismus.
PDF(Pubmed)