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目的了解包皮环切术患者的就医行为及影响因素,为采取针对性措施提高患者就医行为提供参考。方法采用半结构式访谈法对10例包皮环切术患者进行深入访谈;以Colaizzi现象学资料7步分析法为基础,在NVivo8.0质性分析软件的辅助下分析资料。结果包皮环切术患者因尿路感染、性生活出现问题及相关宣传就医,主要选择就近医院;传统观念、个人背景经历、家人及同伴态度、媒介宣传为其就医行为的影响因素。结论卫生行政部门应结合媒体和医疗机构资源,加强生殖健康知识宣传,转变大众的错误观念;合理利用同伴效应,在年轻人群中重点开展科普教育;同时完善就医流程,以提高包皮环切手术的接受度。
Objective To understand the behavior and influencing factors of circumcision patients’ medical treatment and provide reference for taking targeted measures to improve their medical treatment. Methods The semi-structured interviews were performed in 10 cases of circumcision patients. The data were analyzed with the help of the NVivo8.0 qualitative analysis software based on the 7-step analysis of Colaizzi phenomenological data. Results The circumcision patients were mainly hospitalized because of urinary tract infection, sexual problems and related publicity and medical treatment. The traditional concept, personal background experience, family and peer attitude, and media publicity were the influencing factors of their medical behaviors. Conclusions Health administrative departments should combine the resources of media and medical institutions to strengthen the publicity of reproductive health knowledge and change the misconceptions of the general public. They should make rational use of the peer effect and focus on popular science education among young people. At the same time, improve the medical treatment process to improve the circumcision Acceptance.