盆腔检查,妇科护理的常规做法,会引起焦虑,被认为是创伤性的。这项研究旨在确定家庭暴力或性暴力与骨盆检查经验之间的关联。以及家庭暴力或性暴力后接受妇科护理。Pubmed,科克伦图书馆,ScienceDirect,谷歌学者被搜索,截至2023年4月30日。队列,横截面,我们选择并分析了病例对照研究和对照试验,评估有暴力史的女性对盆腔检查或使用妇科护理的看法.每个研究都进行了描述性分析,并使用纽卡斯尔-渥太华量表和RoB2工具评估了偏倚。23条符合纳入标准。11项研究,包括7,329名女性,调查了一生或童年性暴力后骨盆检查的经验。大多数报告暴力与骨盆检查的不良经历之间存在关联,如不适,焦虑,苦恼,和痛觉。十项研究,包括9248名女性,调查了家庭暴力或性暴力后妇科护理的接受情况,并报告了不同的结果,例如摄取减少或增加,特别是急性症状。两项研究,包括1,304名女性,检查了这两个结果。本研究强调了暴力与骨盆检查的不良经历之间的关联,以及妇科护理的摄取结果好坏参半。它认为有必要在协商中筛查暴力,特别是在考虑骨盆检查时,为了保证骨盆检查的实用性,并考虑性暴力对护理的创伤性影响。
Pelvic examination, a routine practice for gynecological care, can cause anxiety and be considered traumatic. This study aimed to define the association between domestic or sexual violence and the experience of pelvic examination, as well as the uptake of gynecological care following domestic or sexual violence. Pubmed, Cochrane Library, ScienceDirect, and Google Scholar were searched, up to April 30, 2023. Cohort, cross-sectional, case-control studies and controlled trials assessing perception of pelvic examination or the use of gynecological care for women with a history of violence were selected and analyzed. Each study underwent a descriptive analysis and was assessed for bias using the Newcastle-Ottawa scale and the RoB2 tool. Twenty-three articles met the inclusion criteria. Eleven studies, including 7,329 women, investigated the experience of pelvic examination following lifetime or childhood sexual violence. Most reported an association between violence and adverse experiences of pelvic examination, such as discomfort, anxiety, distress, and pain perceptions. Ten studies, including 9,248 women, investigated the uptake of gynecological care following domestic or sexual violence and reported mixed results, such as a decreased or an increased uptake, particularly for acute symptoms. Two studies, including 1,304 women, examined both outcomes. The present study highlights the association between violence and adverse experiences of pelvic examination, as well as mixed results on the uptake of gynecological care. It argues for the necessity to screen for violence in consultations, particularly when considering a pelvic examination, to guarantee the utility of pelvic examinations, and to consider the traumatic impact of sexual violence in care.