Perceived Social Support, Parental Notification, and Parental Engagement after Pelvic Inflammatory Disease among Urban Adolescent and Young Adults.
Perceived Social Support, Parental Notification, and Parental Engagement after Pelvic Inflammatory Disease among Urban Adolescent and Young Adults.
复制标题
DOI：
10.17140/pnnoj-4-124
复制
发表时间：
2016
期刊：
影响因子：
--
通讯作者：
Trent M
中科院分区：
文献类型：
--
作者：
Muñoz Buchanan CR;Chung SE;Butz A;Perin J;Gaydos C;Trent M
城市青少年和年轻成年妇女在向成年过渡的整个过程中往往需要成年人的支持，特别是在寻求医疗保健方面。虽然保密性是提供护理的关键特征，但成功坚持治疗可能是多因素的。本研究的目的是确定与父母的通知和参与自我护理的年轻女性诊断为盆腔炎（PID）的相关因素。这项研究利用了技术增强社区健康护理（TEH-N）研究中187名参与者的数据，这是一项干预措施的随机对照试验，旨在预防诊断为轻度-中度PID后复发性STI。参与者从儿科门诊环境中招募，提供基线人口统计学，生殖史和感知的社会支持，在基线时使用音频计算机自我访谈，并在两周的随访访谈中收集父母通知，作为主要结局。65%的参与者告知父母他们的PID诊断，其中74%的人报告接受支持性治疗。报告对他人有更高责任感的参与者将其诊断告知父母的可能性降低了17%。大多数患有PID的城市年轻妇女将诊断结果告知父母，并在门诊环境中获得自我管理的支持。虽然自主性是向青年过渡的一个重要里程碑，但这些数据表明，对于被诊断患有PID的年轻女性来说，积极主动的青年管理的父母参与可能是一种未充分利用的资源。近70%被诊断患有PID的年轻女性通知了父母。在社会供给量表上，妇女对他人承担更大的责任，她们参与父母的可能性要小得多。临床医生支持患者发起的父母参与尊重保密性可能会为受影响的患者提供额外的支持PID自我管理在门诊设置。
Urban adolescent and young adult women often require adult support throughout their transition to adulthood particularly regarding seeking healthcare. While confidentiality is crucial feature of care delivery, successful adherence to treatment can be multi-factorial. The purpose of this study is to determine factors associated with parental notification and engagement in self-care of young women diagnosed with Pelvic Inflammatory Disease (PID). This study utilizes data from 187 participants in the Technology Enhanced Community Health Nursing (TECH-N) study, a randomized controlled trial of an intervention to prevent recurrent STIs after a diagnosis of mild-moderate PID. Participants were recruited from pediatric ambulatory settings provided baseline demographic, reproductive history, and perceived social support using an audio computerized self-interview at baseline and parental notification collected during a two-week follow-up interview, served as the primary outcome. Sixty-five percent of participants informed a parent of their PID diagnosis, 74% of whom reported receiving supportive care. Participants who reported a higher sense of responsibility to others were 17% less likely to inform a parent of their diagnosis. Most urban young women with PID notify parents of their diagnosis and obtain support for self-management in the outpatient setting. While autonomy is a critical milestone for transition to young adulthood, these data suggest that proactive youth-managed parental engagement may be an underutilized resource for young women diagnosed with PID. Nearly 70% of young women diagnosed with PID notified a parent. Women reporting greater responsibility to others on the social provisions scale were significantly less likely to involve a parent. Clinician support for patient-initiated parental engagement respectful of confidentiality could potentially provide affected patients additional supports for PID self-management in the outpatient setting.