Investigate Young Female Reaction Concerning Their Gynecological Examination

Samia I Hassan^1, , Samia Abdel Hakeem Hanseen Aboud² and Manal Mohamed Elkayal³

¹Woman's Health & Midwifery, Nursing Department, Faculty of Nursing, Mansoura University, Egypt

²Obstetrics and Woman Health Nursing Department, Faculty of Nursing, Benha University, Egypt

³Psychiatric & Mental Health Nursing Department, Faculty of Nursing, Zagazig University, Egypt

Cite this paper:
Samia I Hassan, Samia Abdel Hakeem Hanseen Aboud and Manal Mohamed Elkayal. Investigate Young Female Reaction Concerning Their Gynecological Examination. American Journal of Nursing Research. 2018; 6(5):282-290. doi: 10.12691/ajnr-6-5-9

Abstract

The aim of this study was to investigate young female reaction concerning their gynecological examination. Design: descriptive study. Setting: This study was conducted at obstetrics and gynecology outpatient clinic at Mansoura university hospital, Egypt. Subjects: two hundred and three young female. Sample type: purposive sample. Tools: An interviewing questionnaire schedule, emotional stress reaction questionnaire, visual analogue scale and immediately post gynecological examination assessment. Results: The present study results had revealed that, majority among young female had incorrect knowledge. Also, 90.1% of young female complain from pain during bimanual examination &insertion of instrument, It was observed that majority among young female had totally correspond negative nonverbal reaction during (Gyne Ex) were feeling of embarrassment (92.1%), while (84.2%) closed& tight her thighs during (Gyne Ex). In addition negative verbal emotional stressful reaction during (Gyne Ex) was no clinic discharge information from health team (88.7%). Moreover most of young female were disagreed about technique, pre-preparation (Gyne Ex). Furthermore 71.4% refused to repeated future (Gyne Ex). Additionally the main barriers by self reported by young female were stressful event (88.2%), lack of communication with health team (85.2%) & taking long time for waiting (79.3%). Conclusion: the present study concluded that the majority of the young female had incorrect knowledge. Also, most of them corresponding with negatively verbal and nonverbal emotional reaction as well as the majority were embarrassment and (Gyne Ex) hurted the dignity, Recommendation: design purshor, guideline and poster concerning the importance & technique of female gynecological examination to enhance young female emotional verbal and non verbal reaction towards their regular Gyne Ex).

Keywords:
Gynecological examination Reaction

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]	Yanikkerem, E., Özdemir, M., Bingol, H., Tatar, A. & Karadeniz, G., (2009). Women's attitudes and expectations regarding gynaecological examination. Midwifery, 25(5), pp. 500-508.
[2]	Ricciardi, R., (2008). The first pelvic examination in the adolescent: an update. The Journal for Nurse Practitioners, 4(5), pp. 377-383.
[3]	Starešinič, A., & Mihelič Zajec, A., (2014). Odnos deklet do prvega ginekološkega pregleda in vloga medicinske sestre pri oblikovanju tega odnosa. In: Filej, B. ed. Študenti zdravstvenih ved prispevajo k zdravju družbe: zbornik prispevkov z recenzijo. 6. študentska konferenca s področja zdravstvenih ved, Murska Sobota, 30. maj. Maribor: Alma Mater Europaea, Evropski center, pp. 333-341.
[4]	Swahnberg, K., Wijma, B. & Siwe, K., 2011. Strong discomfort during vaginal examination: why consider a history of abuse? European journal of obstetrics, gynecology, and reproductive biology, 157(2), pp. 200-205.
[5]	Ulker K and Kivrak Y (2016).The Effect of Information About Gynecological Examination on the Anxiety Level of Women Applying to Gynecology Clinics: A Prospective, Randomized, Controlled Study, Iran Red Crescent Med Jv.18(6); Jun.
[6]	Zaić, D. & Prosen, M., (2015). Importance of demographic characteristics and nurses' role in women's perceptions and experiences of gynaecological examination. Obzornik zdravstvene nege, 49(2), pp. 90-105.
[7]	Hsu A, Jillian T. Henderson, Cynthia C. Harper, and George F. Sawaya, (2016). Obstetrician–Gynecologist Practices and Beliefs Regarding External Genitalia Inspection and Speculum Examinations in Healthy Older Asymptomatic Women J Am Geriatr Soc 64: 293-298, 2016.
[8]	Hilden, M., Sidenius, K., Langhoff-Roos, J., Wijma, B. & Schei, B., (2003). Women's experiences of the gynecologic examination: factors associated with discomfort. Acta Obstetricia et Gynecologica Scandinavica, 82(11), pp. 1030-1036.
[9]	Racz, J.M., Srikanthan, A., Philip M.H. & Reid, R.L., (2008). Gender preference for a female physician diminishes as women have increased experience with intimate examinations. Journal of Obstetrics and Gynaecology Canada, 30(10), pp. 910-917.
[10]	Drife, J. & Magowan, B.A., (2004). Clinical obstetrics and gynaecology: history and examination. London: Saunders, pp. 87-96.
[11]	Committee on Gynecologic Practice, (2012). Practice bulletin no. 534: well-woman visit. Obstetrics & Gynecology, 120(2), pp. 421-424.
[12]	Damico D (2016). Health & physical assessment in nursing. Boston: Pearson. pp. 660–665 and 827-848.
[13]	Mayo Clinic (2018). “Pelvic exam - About - Mayo Clinic”. www.mayoclinic.org. Retrieved 2018-01-04.
[14]	National Cancer Institute.(2018). Retrieved 2018-01-04. https://www.cancer.gov/publications/dictionaries/cancer-terms
[15]	Hoffman, Barbara L(2012). Williams Gynecology, (2nd ed ed.). New York: McGraw-Hill Medical. 2012. pp. 2-6.
[16]	Mubuuke A., (2014). A phenomenological study to explore the experiences of Ugandan women that have undergone Transvaginal Ultrasound. Journal of Medical Radiation Sciences 61 (2014) 78-84.
[17]	Modica M.M., (2017). Transvaginal Sonography Provides A Sharper View Into the Pelvis. JOGNN. Accessed 12 July 2017. Available at: http://www.jognn.org/article/S0884-2175(15)32724-6/.
[18]	Onderi A., Joash A. and Mugga A., (2015). Evaluation of the Patients’ Perception Regarding Endocavitary Ultrasound Procedure at the Nyeri Level 5 Hospital, Kenya., international journal of innovative research & development. Vol 4 (6). 13-22.
[19]	Larsson G and Wilde Larsson B (2010). quality of care and patient satisfaction: A new theoretical and methodology approach, International Journal of Health Care Quality Assurance, vo. 23, no. 2, PP. 228-247.
[20]	Jensen MP, Chen C, Brugger AM. (2003). Interpretation of visual analog scale ratings and change scores: a reanalysis of two clinical trials of postoperative pain. J Pain; 4: 407-14.
[21]	Ferraz MB, Quaresma MR, Aquino LR,Atra E, Tugwell P, Goldsmith CH(1990). Reliability of pain scales in the assessment of literate and illiterate patients with rheumatoid arthritis. J Rheumatol; 17: 1022-4.
[22]	Norrell LL, Kuppermann M, Moghadassi MN, Sawaya GF(2016). Women's beliefs about the purpose and value of routine pelvi examinations. Am J Obstet Gynecol. 2017 Jul; 217(1): 86. e1-86.e6. Epub 2016 Dec 28.
[23]	Freyens A, Dejeanne M, Fabre E, Rouge-Bugat ME, and Oustric S. (2017). Young women describe the ideal first pelvic examination Qualitative research using semistructured interviews, Can Fam Physician. 2017 Aug; 63(8): e376-e380.
[24]	Amer-Alshiek J, Alshiek T, Amir Levy Y, Azem F, Amit A, Amir H (2015). Israeli Druze women’s sex preferences when choosing obstetricians and gynecologists. Isr J Health Policy Res 2015; 4(1): 13.
[25]	Amir H, Tibi Y, Groutz A, Amit A, Azem F. (2012). Unpredicted gender preference of obstetricians and gynecologists by Muslim Israeli-Arab women. Patient Educ Couns; 86: 259-63.
[26]	Rizk, E.E.D., El-Zubeir, M.A., Al-Dhaheri, A.M., Al-Mansouri, F.R.& Al-Jenaibi, H.S., (2005). Determinants of women's choice of their obstetrician and gynecologist provider in the UAE. Acta Obstetricia et Gynecologica Scandinavica, 84(1), pp. 48-53.
[27]	Amir H, Abokaf H, Amir YL, Azem F and Sheiner E. (2018). Bedouin Women’s Gender Preferences When Choosing Obstetricians and Gynecologists, JIMH, Volume 20, issue1, pp 51-58.
[28]	Qaseem, A., Humphrey, L.L., Harris, R., Starkey, M. & Denberg, T.D., (2014). Screening pelvic examination in adult women: a clinical practice guideline from the American college of physicians. Annals of Internal Medicine, 161(1), pp. 67-72.
[29]	Sudduth A and Linton, D. (2011). Gynecologic Care of Women with Disabilities, nursing for womens health, volum 5, issue 2, april, may, page 138-148
[30]	Sarah et al., (2012). Pain and Psychological Characteristics in Women Waiting for Gynaecological Surgery J Obstet Gynaecol Can 2012; 34(6): 543-551.