Impact of comprehensive gynecologic services on health maintenance behaviours among women with spinal cord injury.
Impact of comprehensive gynecologic services on health maintenance behaviours among women with spinal cord injury.
复制标题
综合妇科服务对脊髓损伤女性健康维持行为的影响。
DOI：
10.1080/09638280210142248
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发表时间：
2002
影响因子：
2.2
通讯作者：
Wongvatunyu,S
中科院分区：
文献类型：
--
作者：
Schopp,LH;Kirkpatrick,HA;Sanford,TC;Hagglund,KJ;Wongvatunyu,S
目的患有脊髓损伤 (SCI) 和其他身体残疾的女性往往无法获得适当的妇科医疗保健，并且可能面临更高的可预防妇科疾病和其他健康问题的风险。本研究的目的是调查为满足 SCI 和其他残疾妇女的需求而建立的妇女健康诊所的效果。具体来说，本研究检查了诊所参与对预防性妇科保健行为率的影响，并评估了患有 SCI 和其他残疾的女性身体和情绪功能之间的关系。方法参与者（n = 28）是在参与诊所之前以及 3 和 12 个月随访时完成调查的女性。结果结果表明，在初次参与诊所三个月后，乳房自检频率有增加的趋势（p = 0.11）。其他健康促进行为（运动、饮食和乳房X光检查）的比例没有增加。结果还表明，尽管身体机能和生活满意度不相关，但本研究中的女性确实经历了中度至高度的心理困扰。结论结果表明，整体女性保健对于增加残疾女性的某些健康行为可能很重要。讨论了综合治疗的意义。
PurposeWomen with spinal cord injury (SCI) and other physical disabilities often lack access to appropriate gynecologic health care and may be at higher risk for preventable gynecologic diseases and other health problems. The purpose of this study was to investigate the effects of a women's health clinic that was established to meet the needs of women with SCI and other disabilities. Specifically, this study examined the effect of clinic participation upon the rate of preventive gynecologic health care behaviours and assessed the relationship between physical and emotional functioning in women with SCI and other disabilities.MethodParticipants ( n =28) were women who completed surveys immediately prior to participation in the clinic, and at 3 and 12 month follow-ups.ResultsResults indicated a trend towards increased frequency of breast self-exam three months after initial participation in the clinic ( p =0.11). Other rates of health promoting behaviours (exercise, diet and mammography) did not increase. Results also indicated that although physical functioning and life satisfaction were not related, women in this study did experience moderate to high levels of psychological distress.ConclusionResults indicate that whole-woman health care may be important to increasing certain health behaviours among women with disabilities. Implications for comprehensive treatment are discussed.