Yücel Ummahan, Ceber Esin, Ozentürk Gülsün
Department of Midwifery, Ege University Izmir Atatürk School of Health, Izmir, Turkey.
Asian Pac J Cancer Prev. 2009 Jul-Sep;10(3):437-42.
Cervical cancer is the second most common cancer type seen among women in most countries and an important cause of mortality. Although it is a preventable disease, most women living in developing countries cannot reach effective screening programs. It is essential that appropriate education about cervical cancer is provided.
This experimental field study was performed with the aim of evaluating the efficacy of training given to women about cervical cancer risk factors and primary and secondary prevention precautions.
The research focused on women between 25 and 29 years of age, literate, married and having social security. The study was conducted in the district of Evka 4 Health Care Center between the dates of April to August 2005. The women were given survey forms and questionnaires in order to determine their socio-demographic features and knowledge level about cervical cancer in the course of home visits. They were trained and given a manual at the data collection stage. At a second visit, carried out three months later, the trained women were again evaluated for their knowledge level about cervical cancer, risk factors and whether they had undergone a Pap smear test.
Together with the difference between pre-/post-training mean information scores related to women's cervical cancer risk factors, the difference between the women's having a Pap smear test in the pre-/post-training period was found statistically significant. Only 16.3% of the women stated that they had a Pap smear test in the post-training period.
It was determined that the women were in need of knowledge about risk factors related to cervical cancer, prevention from and early diagnosis of cervical cancer, but there was no significant increase in the rate of having a Pap smear test despite the increase in the knowledge level with the training given.
在大多数国家,宫颈癌是女性中第二常见的癌症类型,也是一个重要的死亡原因。尽管它是一种可预防的疾病,但大多数生活在发展中国家的女性无法获得有效的筛查项目。提供关于宫颈癌的适当教育至关重要。
本实验性现场研究旨在评估对女性进行宫颈癌危险因素以及一级和二级预防措施培训的效果。
该研究聚焦于年龄在25至29岁之间、识字、已婚且有社会保障的女性。研究于2005年4月至8月期间在埃夫卡4区医疗保健中心进行。在家庭访视过程中,给这些女性发放调查问卷,以确定她们的社会人口学特征以及对宫颈癌的知识水平。在数据收集阶段,对她们进行培训并发放一本手册。在三个月后进行的第二次访视中,再次评估接受培训的女性对宫颈癌的知识水平、危险因素以及她们是否进行过巴氏涂片检查。
除了培训前后与女性宫颈癌危险因素相关的平均信息得分存在差异外,还发现培训前后女性进行巴氏涂片检查的情况存在统计学上的显著差异。在培训后阶段,只有16.3%的女性表示她们进行过巴氏涂片检查。
确定女性需要了解与宫颈癌相关的危险因素、预防和早期诊断知识,但尽管通过培训知识水平有所提高,但进行巴氏涂片检查的比例并没有显著增加。