Effect of a Special Examination Gown and Nature-Based Sounds on Anxiety in Women Undergoing a Gynecological Examination

Aktaş, Demet; Kumas, Meliha Burcu; Odabasıoglu, Betül Sultan; Kaya, Ayten Ayşen

doi:10.1177/1054773816686475

Cited by 17 publications

(35 citation statements)

References 31 publications

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“…In our study, the obstacles to screening utilisation included fear of painful pelvic procedures associated with VIA and Pap smears, avoidance of invasive procedures, encountering male healthcare providers when prompted to screen, and interference with future fertility, similar to other studies. 22 , 23 Utilising novel approaches to cervical cancer screening with self-sampling may increase acceptability of cervical cancer screening in this setting. The WHO recommends molecular testing for HPV as primary screening for cervical cancer in low- and middle-income countries using platforms such as Xpert HPV ® which has better sensitivity than cytology and VIA, even with self-sampling.…”

Section: Discussionmentioning

confidence: 99%

Utilisation of cervical cancer screening among women living with HIV at Kenya’s national referral hospital

Kangethe

Monroe‐Wise

Muiruri

et al. 2022

South. Afr. j. HIV med.

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Background: In 2009, Kenyatta National Hospital (KNH) integrated cervical cancer screening within HIV care using visual inspection with acetic acid (VIA) and Pap smear cytology.Objectives: We evaluated utilisation of cervical cancer screening and human papillomavirus (HPV) vaccination among women living with HIV (WLHIV) receiving HIV care at KNH.Method: From November 2019 to February 2020, WLHIV aged ≥ 14 years were invited to participate in a survey following receipt of routine HIV services. We assessed awareness of cervical cancer, uptake of cervical cancer screening, uptake of the HPV vaccine, and barriers to utilisation of these services. In a subset of survey participants, focus group discussions (FGDs) were also conducted to identify screening barriers.Results: Overall, 305 WLHIV participated in the survey. Median age was 36 years (interquartile range [IQR]: 28–43), 41% were married, and 38% completed secondary education. Most (90%) had HIV RNA 1000 copies/mL. Awareness of cervical cancer was high (84%), although only 45% of WLHIV had screened for cervical cancer at the referral hospital and only 13% knew how to prevent high-risk HPV. No participants had received an HPV vaccination. Older age, higher education, and knowledge of the HPV vaccine were associated with higher likelihood of cervical cancer screening (P 0.05). In FGDs, barriers to utilising the services included user fees, fear of the procedure impacting fertility, age and gender of the provider, and long waiting times.Conclusion: Despite integration with HIV services, the utilisation of cervical cancer screening was low among WLHIV and implementation barriers contributed to low utilisation.

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Section: Discussionmentioning

confidence: 99%

Utilisation of cervical cancer screening among women living with HIV at Kenya’s national referral hospital

Kangethe

Monroe‐Wise

Muiruri

et al. 2022

South. Afr. j. HIV med.

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“…Aktas and colleagues describe anxiety about pelvic examinations related to feelings of embarrassment, fear, pain and irritability. 8 Patients can experience a sense of embarrassment in undressing, exposure of genitals and the self-consciousness of odor and cleanliness. 12,8,11,15,16 Patients' fear can be due to the discovery of a pathologic condition, discomfort, pain, loss of control over their body, or discovery of information about their sexual practices.…”

Section: Risk Factorsmentioning

confidence: 99%

“…Anxiety or fear has been reported in 21%-64% of women. [8][9][10] Yamikkerem and colleagues found that out of 433 women in an outpatient gynecology setting, more than half (54.8%) of women felt anxious or worried. 9 Phumdoung and colleagues found 64% of women experienced anxiety and fear.…”

Section: Introductionmentioning

confidence: 99%

Addressing Anxiety and Fear during the Female Pelvic Examination

O'Laughlin

Strelow

Fellows

et al. 2021

J Prim Care Community Health

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To review the anxiety and fear risk factors, pathophysiology, symptoms, screening and diagnosis while highlighting treatment considerations for women undergoing a pelvic examination. Methods: We reviewed the literature pertaining to anxiety and fear surrounding the pelvic examination to help guide health care providers’ on available screening options and to review options for individualized patient management. Results: Anxiety and fear are common before and during the pelvic examination. In fact, the pelvic exam is one of the most common anxiety-provoking medical procedures. This exam can provoke negative physical and emotional symptoms such as pain, discomfort, anxiety, fear, embarrassment, and irritability. These negative symptoms can interfere with preventative health screening compliance resulting in delayed or avoided care and significant health consequences. Conclusion: Assessing women for anxiety related to pelvic examinations may help decrease a delay or avoidance of examinations. Risk factor and symptom identification is also a key component in this. General anxiety questionnaires can help identify women with anxiety related to pelvic examinations. Strategies to reduce anxiety, fear and pain during a pelvic examination should routinely be implemented, particularly in women with high-risk factors or those identified with screening techniques as having anxiety, fear or pain with examinations. Treatment options should be targeted at understanding the patient’s concerns, starting conversations about pelvic examinations early, educating patient’s about the examination and offering the presence of a chaperone or support person. During an examination providers should ensure the patient is comfortable, negative phrases are avoided, the correct speculum size is utilized and proper lubrication, draping, dressing and positioning are performed. Treating underlying gynecologic or mental health conditions, consideration of cognitive behavioral therapy and complementary techniques such as lavender aromatherapy and music therapy should also be considered when appropriate.

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“…Early detection is essential for effective preventative measures and treatment (Close et al, 2016). Moreover many studies clarified that health care provider had a pivotal role regarding reducing anxiety, stress and disruptions (Aktas et al, 2017), (Altay & Kefeli, 2017. Concerning the age of maternity nurses in this study (Table 1), the findings of the present study clarified that, more than half of the studied nurses were aged (20-30) years old.…”

Section: Discussionmentioning

confidence: 99%

Knowledge, practice and attitude regarding gynecological examination among maternity nurses in Benha university hospital

Mahrous

Ramadan

Mohamed

2017

Menoufia Nursing Journal

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Gynecological examination is crucial for protecting the reproductive health of women. The purpose of this study was to assess knowledge, practice and attitude regarding gynecological examination among maternity nurses at banha university hospital. The study was conducted in obstetrics and gynecology department at banha university hospital . The design of this study was a descriptive research design. A convenient sample included 50 nurses were recruited in the study. Three instruments were utilized for data collection, interviewing questionnaire sheet, observation check list and modified Likert scale. The result of this study revealed that 28% of studied nurses had adequate knowledge, 34% of them had positive attitude and 48% of them had competent performance regarding gynecological examination. Conclusion, this study concluded that less than three quarters of studied nurses had inadequate knowledge regarding gynecological examination and less than half of studied nurses had uncertain attitude, also more than half of studied nurses had incompetent performance of clinical gynecological examination. Therefore, it is recommended that national educational programs and workshops should be designed to promote knowledge, practices and attitudes of maternity nurses regarding gynecological examination.

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Effect of a Special Examination Gown and Nature-Based Sounds on Anxiety in Women Undergoing a Gynecological Examination

Cited by 17 publications

References 31 publications

Utilisation of cervical cancer screening among women living with HIV at Kenya’s national referral hospital

Utilisation of cervical cancer screening among women living with HIV at Kenya’s national referral hospital

Addressing Anxiety and Fear during the Female Pelvic Examination

Knowledge, practice and attitude regarding gynecological examination among maternity nurses in Benha university hospital

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