Gutiérrez-Enríquez Sandra Olimpia, Gaytán-Hernández Darío, Zamarripa-Leyva José Manuel, Terán-Figueroa Yolanda
Ginecol Obstet Mex. 2014 May;82(5):296-305; discusdsion 306.
The quality of cervical cytology is one of the factors involved in the optimal performance of screening programs for cervical cancer in México, so it is necessary to design indicators to improve the skills of health personnel in this procedure.
To evaluate the performance of the health workers to take the Pap smear.
Cross-sectional study made in the period 2006-2007 in San Luis Potosí, México, in 21 health centers in a health jurisdiction. We studied the universe of professionals who take the Pap: 100 nurses, doctors and interns. A knowledge test and a check list were applied. The correlation of Pearson, Student's t and ANOVA was used for data analysis.
There is a correlation between knowledge and qualification in the take of the Pap smear (r = 0.340) (p = 001). Providers have a performance on average 62.2% in knowledge and 78.5% in practice. Doctors obtained knowledge that the nurses (6.80) (p = .000) and trainees (4.14) (p = 014). In the practical implementation, there was no difference between the doctors and the nurses (2.68) (p = .718) but there was difference between the doctors and interns (6.47) (p = .036). To know one or more sections of the knowledge influences the qualification of the procedure.
The performance of the service provider is regular. There is heterogeneity in the knowledge and practical skills. Educational interventions are needed to raise the skills.
宫颈细胞学检查质量是墨西哥宫颈癌筛查项目最佳实施所涉及的因素之一，因此有必要设计指标以提高卫生人员在此检查程序中的技能。
评估卫生工作者进行巴氏涂片检查的表现。
2006 - 2007年在墨西哥圣路易斯波托西的一个卫生辖区的21个卫生中心进行横断面研究。我们研究了进行巴氏涂片检查的专业人员总体：100名护士、医生和实习生。应用了知识测试和检查表。数据分析采用皮尔逊相关性分析、学生t检验和方差分析。
巴氏涂片检查的知识与资质之间存在相关性（r = 0.340）（p = 0.001）。提供者在知识方面的平均表现为62.2%，在实践方面为78.5%。医生获得的知识多于护士（6.80）（p = 0.000）和实习生（4.14）（p = 0.014）。在实际操作中，医生和护士之间没有差异（2.68）（p = 0.718），但医生和实习生之间存在差异（6.47）（p = 0.036）。了解知识的一个或多个部分会影响检查程序的资质。
服务提供者的表现一般。知识和实践技能存在异质性。需要进行教育干预以提高技能。
