Investigation and Multivariate Analysis of Gynecological Examination Fear

Abstract

Objective: to analyze the subjective and objective factors of gynecological examination fear, and to provide a theoretical basis for eliminating gynecological examination fear. Methods: 350 valid and complete questionnaires were obtained from the subjects who underwent gynecological physical examination in the health management center of The First Affiliated Hospital of Ningbo University from October 2021 to December 2021. The subjective and objective factors of fear of gynecological examination were analyzed. Results: among the 350 respondents, 152 (43.43%) had fear of gynecological examination. The main subjective factor was that the previous gynecological examination was very painful; Objective factor analysis: there was a positive correlation between pre examination score and post examination score, and the degree of fear decreased after examination (t = 13.204, P = 0.000). Multivariate analysis showed that the fear of gynecological examination in recent asexual life was 0.369 times higher than that in others (P = 0.012), sexual intercourse pain was 8.304 times higher than that in painless people (P = 0.012), and regular physical examination was 2.979 times higher than that in non regular physical examination (P = 0.006); Cesarean section, childbirth and sexual intercourse pain are the influencing factors of poor cooperation score. Conclusion: gynecological examination fear is very common. The higher the degree of fear, the worse the degree of examination cooperation; Those with sexual intercourse pain, abortion history and regular physical examination have a relatively high degree of fear in gynecological examination. The history of cesarean section and sexual intercourse pain are the influencing factors of poor cooperation in examination. It is suggested that doctors should act gently during operation, use anesthesia during abortion operation, and guide pregnant women to adjust their emotions in time to avoid long-term fear.