Chigbu Chibuike O, Onyebuchi Azubuike K, Egbuji Chuma C, Ezugwu Eusebus C
University of Nigeria Enugu Campus, 400001, Enugu, Nigeria,
J Cancer Educ. 2015 Mar;30(1):81-5. doi: 10.1007/s13187-014-0691-1.
The burden of cervical cancer is on the increase in sub-Saharan Africa mainly due to inadequate provision and utilisation of cervical cancer prevention services. Several evidence-based strategies have been deployed to improve cervical cancer screening uptake without much success. However, patients' experiences and satisfaction with service provision has not been adequately studied. Inefficiencies in service delivery and less fulfilling experiences by women who attend cervical cancer screening could have considerable impact in future voluntary uptake of cervical cancer screening. Six hundred and eighty women who underwent Pap smear screening in three health care facilities in two states in south eastern Nigeria were interviewed to evaluate their satisfaction, willingness to undertake future voluntary screening, unmet needs and correlation between satisfaction level and willingness to undergo future screening. Satisfaction with Pap smear screening correlated positively with willingness to undertake future voluntary screening (Pearson's correlation coefficient = 0.78, P = 0.001). The mean satisfaction score was significantly higher among participants handled by nurses than those handled by the physicians (3.16 ± 0.94 vs 2.52 ± 0.77, P = 0.001). 'Scrapping discomfort' of the spatula was reported as the most dissatisfying aspect of Pap smear experience. The need for less invasive screening procedures was the most unmet need. It was concluded that improving the Pap smear screening experience of women and providing less invasive methods of cervical cancer screening with immediate results could improve uptake of cervical cancer screening in south eastern Nigeria.
撒哈拉以南非洲地区宫颈癌负担呈上升趋势，主要原因是宫颈癌预防服务的提供和利用不足。已采用多种循证策略来提高宫颈癌筛查的接受率，但成效不大。然而，患者对服务提供的体验和满意度尚未得到充分研究。宫颈癌筛查服务提供效率低下以及前来筛查的女性体验不佳，可能会对未来宫颈癌筛查的自愿接受率产生重大影响。对在尼日利亚东南部两个州的三个医疗机构接受巴氏涂片筛查的680名女性进行了访谈，以评估她们的满意度、未来进行自愿筛查的意愿、未满足的需求以及满意度水平与未来筛查意愿之间的相关性。对巴氏涂片筛查的满意度与未来进行自愿筛查的意愿呈正相关（皮尔逊相关系数 = 0.78，P = 0.001）。由护士操作的参与者的平均满意度得分显著高于由医生操作的参与者（3.16 ± 0.94对2.52 ± 0.77，P = 0.001）。刮板的“刮擦不适感”被报告为巴氏涂片体验中最令人不满的方面。对侵入性较小的筛查程序的需求是最未得到满足的需求。研究得出结论，改善女性的巴氏涂片筛查体验并提供侵入性较小且能立即出结果的宫颈癌筛查方法，可能会提高尼日利亚东南部宫颈癌筛查的接受率。
