Psychosocial and educational services for female college students with genital human papillomavirus infection
Psychosocial and educational services for female college students with genital human papillomavirus infection
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DOI：
10.2307/2991697
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发表时间：
1999-05-01
期刊：
影响因子：
--
通讯作者：
Groce, NE
中科院分区：
文献类型：
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作者：
Linnehan, MJE;Groce, NE
背景：大学适龄女性感染人乳头瘤病毒（HPV）的风险很高，这可能会对社会心理和身体产生重大影响。被感染的年轻妇女需要卫生保健专业人员的信息和支持，但很少有人知道提供者对帮助妇女应对HPV的态度或提供干预措施。方法：调查73名护士从业人员和70名医生在大学为基础的卫生诊所探讨他们的看法需要社会心理和教育干预和他们的做法，这些服务的人乳头状瘤病毒患者。采用方差分析和卡方检验检验提供者类型和性别的差异。结果：至少86%的医护人员认为HPV感染对年轻女性有多种心理社会影响，但只有54%的医护人员花至少10分钟的时间向所有HPV患者提供教育和咨询。大约80-90%的人例行性史，解释HPV复发的可能性，并与HPV患者讨论癌症的风险；然而，只有不到一半的医院总是提供各种其他干预措施，帮助患者应对诊断并促进预防行为。女性医务人员比男性医务人员更了解人乳头瘤病毒的社会心理影响和支持需求。然而，执业护士比医生更频繁地提供咨询和教育干预，即使在性别控制下也是如此。结论：高校卫生服务提供者需要改进他们向感染HPV的妇女提供的咨询和教育的内容，以及他们提供这些干预措施的一致性。当他们无法提供服务时，他们应该能够将病人转介到其他地方。
Context: College-age women have a high risk of acquiring human papillomavirus (HPV) infection, which may have substantial psychosocial and physical effects. Young women who become infected need information and support from health care professionals, but little is known about providers' attitudes toward or provision of interventions for helping women cope with HPV.Methods: A survey of 73 nurse practitioners and 70 physicians in college-based health clinics explored their perceptions of the need for psychosocial and educational interventions and their practices regarding such services for HPV patients. Analysis of variance and chi-square testing were used to examine differences by providers' type and gender.Results: At least 86% of providers agree that HPV infection has a variety of psychosocial effects on young women, but only 54% spend at least 10 minutes providing education and counseling to all of their HPV patients. Roughly 80-90% routinely take a sexual history, explain the potential of HPV recurrence and discuss the risk of cancer with HPV patients; however, fewer than half always offer a variety of other interventions that could help patients cope with the diagnosis and promote preventive behaviors. Female providers are more aware of the psychosocial impact of HPV and the need for support than are male providers. However, nurse practitioners provide counseling and educational interventions more frequently than do physicians, even when gender is controlled for.Conclusions: College-based health providers need to improve the content of the counseling and education they offer to women with HPV as well as the consistency with which they deliver those interventions. When they are unable to provide services, they should be able to refer patients elsewhere.