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[妇科门诊患者对宫颈癌预防的认知情况]

[Awareness of cervical cancer prevention among patients of gynecological outpatient clinic].

作者信息

Ulman-Włodarz Izabela, Nowosielski Krzysztof, Romanik Małgorzata, Pozowski Janusz, Jurek Marzena

机构信息

Katedra i Klinika Ginekologii i Potoinictwa, Wydzial Opieki Zdrowotnej, Slaski Uniwersytet Medyczny w Katowicach.

出版信息

Ginekol Pol. 2011 Jan;82(1):22-5.

Abstract

INTRODUCTION

Improvement of cervical cancer statistics in Poland is believed to be one of the main goals of all medical services. Cervical cancer is an easily preventable neoplasm thus effective strategies for its prophylaxis should be proposed and introduced to the whole population of Polish citizens.

OBJECTIVES

The aim of the study was to measure the extent of knowledge of females about cervical cancer and its prevention.

MATERIAL AND METHODS

250 female patients of gynecological clinic at the Medical Centre in Krakow, Poland, aged 18-60, were included into the retrospective study The research was based on an original questionnaire designed by the authors containing questions concerning general socio-epidemiological status, as well as cervical cancer epidemiology and HPV infection prevention methods.

RESULTS

The majority of respondents (68%) rated their knowledge on cervical cancer prevention strategies as medium. The main sources of information on that prophylaxis were: women's magazines (59% of respondents), media (47%) and Internet (38%). Additionally only one in three women acquired that information from gynecologist The main reason for performing the Pap smear test was the request of the respondent (43% of cases). Only 3% of them attended the test as a result of a personal invitation sent by National Health Service. The main reasons for not attending Pap smear test were: fear of pain (39%), lack of any symptoms (18%), carelessness (15%) and embarrassment (12%).

CONCLUSIONS

  1. Knowledge on HPV infections and cervical cancer prevention among women attending gynecological outpatient clinic is insufficient. 2. Education, especially in the field of cervical cancer main risk factors as well as the course of pap smear collection, seems to be necessary in order to reduce the cervical cancer morbidity and the fear of performing pap smear tests.
摘要

引言

提高波兰宫颈癌统计数据被认为是所有医疗服务的主要目标之一。宫颈癌是一种易于预防的肿瘤,因此应提出有效的预防策略并推广至全体波兰公民。

目的

本研究旨在衡量女性对宫颈癌及其预防的了解程度。

材料与方法

对波兰克拉科夫医疗中心妇科门诊的250名年龄在18至60岁之间的女性患者进行回顾性研究。该研究基于作者设计的原始问卷,问卷包含有关一般社会流行病学状况、宫颈癌流行病学以及HPV感染预防方法的问题。

结果

大多数受访者(68%)认为自己对宫颈癌预防策略的了解程度为中等。关于该预防措施的主要信息来源有:女性杂志(59%的受访者)、媒体(47%)和互联网(38%)。此外,只有三分之一的女性从妇科医生那里获得该信息。进行巴氏涂片检查的主要原因是受访者的要求(43%的病例)。只有3%的人是因为国家医疗服务机构发出的个人邀请而参加检查。不参加巴氏涂片检查的主要原因有:害怕疼痛(39%)、没有任何症状(18%)、粗心大意(15%)和感到尴尬(12%)。

结论

  1. 妇科门诊女性对HPV感染和宫颈癌预防的知识不足。2. 为了降低宫颈癌发病率以及减少对进行巴氏涂片检查的恐惧,开展教育,尤其是在宫颈癌主要危险因素以及巴氏涂片采集过程方面的教育似乎很有必要。

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