Decision making about Pap test use among Korean immigrant women: A qualitative study.
Decision making about Pap test use among Korean immigrant women: A qualitative study.
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韩国移民女性关于巴氏试验使用的决策：一项定性研究。
DOI：
10.1111/hex.12507
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发表时间：
2017
期刊：
影响因子：
--
通讯作者：
Han,Hae-Ra
中科院分区：
文献类型：
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作者：
Kim,Kyounghae;Kim,Soohyun;Gallo,JosephJ;Nolan,MarieT;Han,Hae-Ra
背景了解个人如何就其个人价值做出关于巴氏试验的决定，有助于医疗保健提供者提供量身定制的方法来指导患者的决策。然而，研究在很大程度上忽略了决策的子宫颈癌的风险增加的移民妇女谁的经验有关巴氏试验。ObjectiveExploring decision making about Pap tests among Korean immigrant women.MethodsWe conducted a qualitative descriptive study using 32 semi-structured，in-deep interviews with Korean immigrant women residing in a north-eastern metropolitan area.数据进行录音，逐字转录和分析使用inductive coding.ResultsAlthough大多数妇女作出了自己的决定，积极的决定，一些妇女推迟到他们的供应商，和其他人作出决定，与他们的供应商和其他重要的合作。虽然做出积极决定的女性倾向于考虑巴氏试验的障碍和促进因素，但做出消极决定的女性主要讨论巴氏试验的障碍，例如谦虚和韩国与美国医疗保健系统之间的差异。妇女的反思，他们的决定不同，就他们的巴氏试验decision.ConclusionsWomen的理想角色在决策过程中，并反映他们的决策结果似乎有所不同，虽然大多数参与者积极的决定作出自己的决定，并与他们的决定感到满意。未来的研究应进行纵向，定量研究，以测试我们的研究结果有关的决策过程和结果约Pap tests.ImplicationsThe调查结果应纳入宫颈癌筛查的做法，以满足未满足的需求，移民妇女在患者-供应商的沟通，并促进妇女的决策有关巴氏试验。
BackgroundUnderstanding how individuals make decisions about Pap tests concerning their personal values helps health‐care providers offer tailored approaches to guide patients’ decision making. Yet research has largely ignored decision making about Pap tests among immigrant women who experience increased risk of cervical cancer.ObjectiveTo explore decision making about Pap tests among Korean immigrant women.MethodsWe conducted a qualitative descriptive study using 32 semi‐structured, in‐depth interviews with Korean immigrant women residing in a north‐eastern metropolitan area. Data were audio‐recorded, transcribed verbatim and analysed using inductive coding.ResultsAlthough most women with positive decisions made their own decisions, some women deferred to their providers, and others made decisions in collaboration with their providers and significant others. While women making positive decisions tended to consider both barriers to and facilitators of having Pap tests, women making negative decisions predominantly discussed the barriers to having Pap tests, such as modesty and differences between the South Korean and US health‐care systems. The women's reflections on their decisions differed regarding their Pap test decisions.ConclusionsWomen's desired roles in the decision‐making process and reflection on their decision outcome appeared to vary, although most participants with positive decisions made their own decisions and were satisfied with their decisions. Future research should conduct longitudinal, quantitative studies to test our findings regarding decision‐making processes and outcomes about Pap tests.ImplicationsThe findings should be incorporated into cervical cancer screening practices to fulfil the unmet needs of immigrant women in patient‐provider communication and to facilitate women's decision making about Pap tests.