Kelley Carol Genet, Daly Barbara J, Anthony Mary K, Zauszniewski Jaclene A, Stange Kurt C
Case Western Reserve University School of Nursing, Cleveland, Ohio, USA.
Clin Nurs Res. 2002 Nov;11(4):433-49. doi: 10.1177/105477302237455.
The purpose of this study was to investigate a reminder to discuss cervical cancer screening with hospitalized females. A quasi-experimental design was used to compare the association of a reminder intervention for nurse practitioners with two outcomes: prevalence of cervical cancer screening as documented in patients' charts and patients' self-report of cervical cancer screening 4 months after discharge. Data were collected by chart review and phone survey. The sample consisted of nurse practitioners caring for eligible female patients at a university teaching hospital. Chi-square was used to test all research questions. The rate of documentation of cervical cancer screening increased from 2% to 69% after implementation of the reminder intervention. The reminder intervention did not impact patients actually receiving Pap smears after discharge. The significant increase in documentation of screening associated with the use of the single reminder in the patients' charts support the use of this low-cost intervention.
本研究的目的是调查一项针对住院女性讨论宫颈癌筛查的提醒措施。采用准实验设计来比较针对执业护士的提醒干预与两个结果之间的关联:患者病历中记录的宫颈癌筛查患病率以及出院4个月后患者对宫颈癌筛查的自我报告。通过病历审查和电话调查收集数据。样本包括在一所大学教学医院照顾符合条件女性患者的执业护士。使用卡方检验来检验所有研究问题。实施提醒干预后,宫颈癌筛查的记录率从2%提高到了69%。提醒干预对出院后实际接受巴氏涂片检查的患者没有影响。患者病历中使用单一提醒与筛查记录的显著增加支持了这种低成本干预措施的使用。