Twinn S, Cheng F
Department of Nursing, The Chinese University of Hong Kong, Shatin, Republic of China.
J Adv Nurs. 2000 Aug;32(2):335-42. doi: 10.1046/j.1365-2648.2000.01481.x.
Women's attendance for regular cervical screening has been identified as a significant factor in the prevention of cervical cancer. Evidence suggests, however, that both extrinsic and intrinsic factors influence women's attendance patterns for screening. Extrinsic factors, in particular the practitioner undertaking the screening procedure, have been shown to influence women's return rates for further screening. In Hong Kong, where uptake rates amongst Chinese women remain comparatively low, a study was undertaken to examine Chinese women's experiences and perceptions of cervical screening undertaken by either a female doctor or nurse. A multiple case study design using both qualitative and quantitative methods of data collection was employed. This paper reports the findings from the qualitative data obtained from 52 women participating in 12 focus group interviews held in the two case studies. Thematic analysis of the data demonstrated the importance of the caring nature, communication skills, experience and expertise of the practitioner to women's attendance pattern for screening. The experience and expertise of the practitioner, described by women as teaching, minimizing pain and discomfort and being considerate, were considered more influential to uptake rates than the professional discipline of the practitioner. Findings such as these indicate the importance of the influence of the practitioner in determining uptake rates for cervical screening amongst this population group.
女性定期进行宫颈癌筛查被认为是预防宫颈癌的一个重要因素。然而,有证据表明,外在因素和内在因素都会影响女性的筛查参与模式。特别是外在因素,即进行筛查程序的从业者,已被证明会影响女性进一步筛查的回访率。在香港,中国女性的筛查参与率相对较低,因此开展了一项研究,以调查中国女性由女医生或护士进行宫颈癌筛查的经历和看法。采用了一种使用定性和定量数据收集方法的多案例研究设计。本文报告了从两个案例研究中参与12次焦点小组访谈的52名女性获得的定性数据的研究结果。对数据的主题分析表明,从业者的关怀特质、沟通技巧、经验和专业知识对女性的筛查参与模式很重要。从业者的经验和专业知识,被女性描述为教导、将疼痛和不适降至最低以及体贴周到,与从业者的专业领域相比,被认为对参与率更有影响力。诸如此类的研究结果表明,从业者的影响对于确定该人群宫颈癌筛查的参与率很重要。