Ferris Daron G, Condorhuaman Wendy Shulay Guevara, Waller Jennifer, Lilienthal Anneliese
1Department of Obstetrics and Gynecology, Georgia Regents University Cancer Center, 2Department of Biostatistics, Georgia Regents University, Augusta, Georgia; 3CerviCusco, Cusco, Peru; and 4Karolinska Institute, Stockholm, Sweden.
J Low Genit Tract Dis. 2015 Jul;19(3):224-8. doi: 10.1097/LGT.0000000000000107.
Indigenous Peruvian women have very high rates of cervical cancer. This study assessed the impact of an educational video on impoverished rural Peruvian women seeking loop excision surgery.
Women completed baseline, postvideo and postsurgery questionnaires that assessed knowledge and attitudes about the procedure. Differences between groups were examined using repeated measures analysis of variance.
Women who watched the video were significantly more calm (2.6, 2.6, and 2.3, respectively; P = 0.04), relaxed (2.5, 2.5, and 2.1, respectively; P = 0.02), and content (3.4, 3.4, and 2.4, respectively, P < 0.01) at postvideo and postsurgery assessments compared with mean results at the baseline assessment. The same women were also significantly more tense (2.5, 2.0, and 2.0, respectively; P = 0.01), upset (1.6, 1.1, and 1.1, respectively; P = 0.01), and worried (3.0, 2.0, and 2.0, respectively; P = 0.01) at baseline compared with postvideo and postsurgery results. Approximately 93% of women believed that other women scheduled to have loop excision surgery should also watch the video.
Dissemination of culturally sensitive video information minimizes adverse emotional responses associated with loop excision procedures before surgery. Such an intervention quickly improves the psychological well-being of women eventually subjected to surgical management of cervical neoplasia.
秘鲁本土女性宫颈癌发病率极高。本研究评估了一部教育视频对寻求环形切除术的秘鲁贫困农村女性的影响。
女性完成了基线、观看视频后和手术后的问卷调查，这些问卷评估了她们对该手术的知识和态度。使用重复测量方差分析来检验组间差异。
与基线评估的平均结果相比，观看视频的女性在观看视频后和手术后评估时明显更加平静（分别为2.6、2.6和2.3；P = 0.04）、放松（分别为2.5、2.5和2.1；P = 0.02）和满足（分别为3.4、3.4和2.4，P < 0.01）。与观看视频后和手术后的结果相比，这些女性在基线时也明显更加紧张（分别为2.5、2.0和2.0；P = 0.01）、心烦（分别为1.6、1.1和1.1；P = 0.01）和担忧（分别为3.0、2.0和2.0；P = 0.01）。约93%的女性认为其他计划进行环形切除术的女性也应该观看该视频。
传播具有文化敏感性的视频信息可将手术前与环形切除术相关的不良情绪反应降至最低。这种干预措施能迅速改善最终接受宫颈肿瘤手术治疗的女性的心理健康。
