■性交疼痛(性交时疼痛)是一种常见的疾病,会导致许多女性的身体和情绪压力。这种情况可能是由各种因素引起的,包括身体,荷尔蒙,炎症,病毒,肿瘤,心理,和创伤性事件。解剖原因包括盆底肌肉无力,子宫逆行,处女膜残留物,盆腔器官脱垂.这种情况的病因很复杂,导致它经常被忽视。
■这项研究的主要目的是进行定性的探索性研究,并全面描述哈萨克斯坦妇科医生对医学有效性的知识和态度,诊断,和治疗性交困难。
■这是一项探索性描述性定性研究。
■对10名医生进行了半结构化在线访谈。他们被确定为妇产科专家,妇科肿瘤学家,和门诊妇科医生。他们练习专业的平均年限为15.7年,最短的为4年,最长的为35年。所有参与者都是女性。布劳恩和克拉克的六阶段,专题分析采用分步方法。
■研究结果表明,哈萨克斯坦的妇科医生了解性交困难的最常见原因,尽管他们仍然经常将女性的痛苦归因于心理而不是身体因素。结果发现,由于耻辱和相互尴尬,患者和医生之间缺乏关于性健康的公开对话。此外,妇科医生描述了由于时间限制和国家设施缺乏隐私,讨论症状和进行亲密检查的困难。
■为了有知识地诊断和治疗患有性交困难的患者,妇科医生建议进一步培训,以获得必要的循证知识和能力.
哈萨克斯坦妇科医生的知识和态度的探索性描述性定性研究背景:性交困难(性交疼痛)是导致许多女性身体和情绪困扰的常见病。生物和心理因素有助于这种情况的发生,使医生难以进行诊断和管理。这种痛苦的状况会对女性的身体产生重大影响,情感,和心理健康,以及他们的亲密关系。为什么要进行这项研究?彻底了解性交困难的原因,危险因素,并且需要治疗技术来有效地管理病情,但是在哈萨克斯坦,关于妇科医生对性交困难的理解和态度的研究很少。研究人员做了什么?一项定性研究使用了对哈萨克斯坦妇科医生的在线半结构化访谈。研究人员发现了什么?研究结果表明,参与研究的妇科医生知道性交困难的最常见原因,尽管他们经常将这种情况归因于心理而不是身体原因。结果发现,由于耻辱和相互尴尬,患者和参与者没有参与有关性健康的公开讨论.此外,由于咨询时间限制和国家设施缺乏隐私,妇科医生很难开始讨论女性的性健康和进行亲密检查。研究人员得出了什么结论?建议进行额外的培训,以获得必要的循证知识和能力,以准确诊断和治疗患有性交困难的患者,为了解决哈萨克斯坦缺乏性交困难治疗方案的问题,全球出版的临床指南,包括由美国妇产科学院颁发的,可以考虑在哈萨克斯坦使用。
UNASSIGNED: Dyspareunia (pain during sex) is a common condition that causes physical and emotional stress for many women. This condition can be caused by various factors, including physical, hormonal, inflammatory, viral, neoplastic, psychological, and traumatic events. Anatomical causes include pelvic floor muscular weakness, uterine retroversion, hymenal remnants, and pelvic organ prolapse. The etiology of this condition is complex, causing it to be often overlooked.
UNASSIGNED: The main aim of this study was to conduct a qualitative exploratory study and provide a comprehensive description of the knowledge and attitudes held by gynecologists in Kazakhstan on the medical validity, diagnosis, and treatment of dyspareunia.
UNASSIGNED: This is an exploratory-descriptive qualitative study.
UNASSIGNED: Semi-structured online interviews were conducted with 10 physicians. They were identified as obstetrics and gynecology specialists, gynecologic oncologists, and outpatient gynecologists. The average number of years spent practicing their specialty is 15.7, with the shortest being 4 years and the longest being 35 years. All the participants are female. Braun and Clarke\'s six-stage, step-by-step methodology was used for the thematic analysis.
UNASSIGNED: Findings suggest that
gynecologists in Kazakhstan have knowledge of the most common causes of dyspareunia, although they still often attribute women\'s distress to psychological rather than physical factors. It was found that due to stigma and mutual embarrassment open dialogue about sexual health was lacking between patients and physicians. In addition,
gynecologists describe difficulties discussing symptoms and performing intimate examinations due to time constraints and a lack of privacy at state facilities.
UNASSIGNED: To knowledgeably diagnose and treat patients with dyspareunia, gynecologists recommend further training to acquire the requisite evidence-based knowledge and competencies.
An Exploratory-Descriptive Qualitative Study of Kazakhstani
Gynecologists’ Knowledge and Attitudes Toward DyspareuniaBackground: Dyspareunia (pain during sex) is a common condition that causes physical and emotional distress in many women. Biological and psychological factors contribute to the onset of this condition, making diagnosis and management difficult for physicians. This painful condition can have a significant impact on women’s physical, emotional, and psychological well-being, as well as their close relationships. Why was the study conducted? A thorough understanding of dyspareunia’s causes, risk factors, and treatment techniques is required for effective management of the condition, but little research has been conducted in Kazakhstan on gynecologists’ understanding of and attitudes toward dyspareunia. What did the researchers do? A qualitative study used online semi-structured interviews with
gynecologists in Kazakhstan. What did the researchers find? The findings show that participating
gynecologists are aware of the most common causes of dyspareunia, although they frequently attribute the condition to psychological rather than physical causes. It was found that due to stigma and mutual embarrassment, patients and participants did not engage in open discourse about sexual health. Furthermore, gynecologists have difficulty initiating discussions about women’s sexual health and performing intimate examinations due to consultation time restrictions and a lack of privacy at state facilities. What do the researchers conclude? Additional training is recommended to gain the necessary evidence-based knowledge and competencies to accurately diagnose and treat patients with dyspareunia, and to address the lack of treatment protocols for dyspareunia in Kazakhstan, clinical guidelines published worldwide, including those issued by the American College of Obstetricians and Gynaecologists, may be considered for use in Kazakhstan.