Introduction: Reproductive health of adolescents has an important effect on global health of the whole population. Adolescents go through significant physical and psychological changes and the majority of young women decide for the first gynecologic visit exactly in their adolescence. The first gynecologic visit is often accompanied by fear, shame, and discomfort. Young women's experience of their first gynecologic examination influence all further experience of gynecologic examination. Therefore, it is important that the examination is done professionally, painless and with the utmost care by explaining the procedure and helping women to relax. Purpose: The aim of this thesis is to present the role of a nurse during the first gynecologic examination and young women experiencing it and to find out how many adolescents have already visited the gynecological outpatient clinic, what were the reasons for the visit and how many of them decided for gynecological examination. We also want to find out what is the feeling before the first gynecological examination where the adolescents obtained information, what is the adolescent's knowledge about the examination, and who the adolescents prefer, male or female gynecologists. We want to find out what the range of vaccination and awareness of the adolescents about vaccination against human papillomavirus and ZORA screening program is. Methods: After the professional and scientific literature review, we prepared a survey with 13 questions. We conducted a survey among female students of the 4th year at two high schools: Gimnazija Ormož and Gimnazija Franca Miklošiča Ljutomer. The sample was purpose-made (purposive) and non-random and included 109 female students (n=109). The results were processed in Microsoft Office Excel. Results: The survey showed that 49,54 % of survey respondents have already visited a gynecologist and 46,30 % of those also decided to have their first gynecological examination. The most common feelings before the examination are fear and shame. The majority of these young women agree they do not have enough information about the examination and their knowledge about ZORA screening program is also insufficient. Discussion and conclusion: The research showed that young women's attitude towards the first gynecologic visit is accompanied by negative feelings, such as fear, shame, and discomfort. Young women are aware of the necessity of the visit regarding their health. However, they are not looking forward to it. The most common reason for the gynecologic visit is oral contraceptive prescription. The majority of young women feel positive about human papillomavirus infection vaccination. However, their knowledge about the importance of ZORA screening program is insufficient. Based on the survey results, we conclude that the inclusion of nurses into education and advising about the first gynecologic visit is insufficient. We believe that further research about nurse's role in experiencing the first gynecologic visit is necessary.
|