Acceptability and Satisfaction Associated With the Introduction of the PrePex Circumcision Device in Maputo, Mozambique.
Acceptability and Satisfaction Associated With the Introduction of the PrePex Circumcision Device in Maputo, Mozambique.
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莫桑比克马普托引进 PrePex 包皮环切装置的可接受性和满意度。
DOI：
10.1097/qai.0000000000000764
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发表时间：
2016
期刊：
影响因子：
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通讯作者：
Ashengo,TigistuA
中科院分区：
文献类型：
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作者：
Cummings,Beverley;Necochea,Edgar;Ferreira,Thais;Soares,Benilde;Mahomed,Mehebub;Muquingue,Humberto;Nhambi,Leonel;Bossemeyer,Debora;Ashengo,TigistuA
背景：在撒哈拉以南非洲地区，成人器械包皮环切术可能惠及更多男性，与外科手术相比，其人力资源和能力需求更少。尽管有这些优点，但对设备的可接受性知之甚少，包括疼痛和设备原位维护。方法：在马普托一家诊所，年龄在18岁至49岁之间的健康hiv阴性男性被连续要求参加包皮环切术研究，包括评估可接受性。临床表格和自我管理的调查被用来收集数据在不同的时间在包皮环切过程中同意的男性。数据被输入中央数据库，并使用统计软件进行分析。结果：2013年5月至7月，504名男性接受了器械包皮环切术。98.2%的男性无痛放置，但在移除过程中疼痛更为常见，38.3%的人报告严重或难以忍受的疼痛，21.5%的人报告中度疼痛。满意度在两个时间点都很高，分别有88.8%和92.6%的男性对植入和移除非常满意或有些满意。一半的男性（50.2%）对该装置在原位非常或比较舒服；而36.8%的人感到有些或非常不舒服。常见的器械问题是勃起疼痛（38.5%）、排尿困难（21.8%）和卫生问题（21.4%）。到第49天的最后一次门诊时，90.4%的患者对手术非常满意或比较满意。讨论：尽管在移除过程中注意到疼痛，并且器械在原位存在一些挑战，但据报道，器械包皮环切术的满意度很高。考虑到这项研究中莫桑比克男性的优势和可接受性，在临床合适的情况下，可以提供器械包皮环切术作为手术的替代方案。
Background:Adult device circumcision may potentially reach more men in Sub-Saharan Africa, with fewer human resource and capacity needs than surgical procedures. Despite these advantages, little is known about device acceptability, including pain and maintaining the device in situ.Methods:Healthy, HIV-negative men, between 18 and 49 years, in a Maputo clinic, were consecutively asked to participate in a circumcision device study that included assessing acceptability. Clinical forms and self-administered surveys were used to collect data at various times during the circumcision process for consenting men. Data were entered into a central database and analyzed using statistical software.Results:Between May and July, 2013, 504 men received device circumcision. Placement was painless for 98.2% of the male population, but the pain was more common during removal with 38.3% reporting severe or unbearable and 21.5% moderate pain. Satisfaction was high at both time points with 88.8% and 92.6% of men being very or somewhat satisfied at placement and removal, respectively. Half of the male population (50.2%) was very or somewhat comfortable with the device in situ; whereas, 36.8% were somewhat or very uncomfortable. Common device difficulties experienced were painful erections (38.5%) and difficult urination (21.8%) and hygiene (21.4%). By the final clinic visit at day 49, 90.4% of them were very or somewhat satisfied with the procedure.Discussion:High levels of satisfaction were reported for device circumcision, despite the pain noted during removal and some challenges with the device in situ. Given the advantages and acceptability among Mozambican men in this study, device circumcision could be offered, when clinically appropriate, as an alternative to surgery.