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医疗保健提供者对宫颈癌筛查的认知、态度及推荐行为

Health-care providers' perceptions, attitudes towards and recommendation practice of cervical cancer screening.

作者信息

Hweissa N Ab, Lim J N W, Su T T

机构信息

Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.

Department of Allied and Public Health, Faculty of Medical Science, Anglia Ruskin University, Cambridge, UK.

出版信息

Eur J Cancer Care (Engl). 2016 Sep;25(5):864-70. doi: 10.1111/ecc.12537. Epub 2016 Jun 28.

Abstract

In Libya, cervical cancer is ranked third as the most frequent cancer among women with early diagnosis being shown to reduce morbidity and mortality. Health-care providers can influence women's screening behaviours, and their lack of recommendations for screening can be one of the barriers that affect women's participation in screening programmes. This study aims to assess the health-care provider's perception around cervical cancer screening. In-depth, face-to-face interviews were conducted with 16 health-care providers, from both public and private sectors in Az-Zawiya city, Libya, between February and July of 2014. The interviews were recorded and transcribed, then analysed using thematic analysis. Our findings suggest that health-care providers did not provide sufficient information regarding cervical cancer screening for women who attend health-care facilities. The results highlight the role played by health-care professionals in motivating women to attend cervical cancer screening programs, and the need for health education of health-care providers to offer a precious advice regarding the screening. On the other hand, health-care providers highlighted that implementation of reminding system of cervical cancer screening will support them to improve screening attendance. In addition, health-care providers stressed the necessity for educational and awareness campaigns of cervical cancer screening among Libyan women.

摘要

在利比亚,宫颈癌是女性中第三大常见癌症,早期诊断可降低发病率和死亡率。医疗保健提供者会影响女性的筛查行为,而他们不提供筛查建议可能是影响女性参与筛查项目的障碍之一。本研究旨在评估医疗保健提供者对宫颈癌筛查的认知。2014年2月至7月期间,对利比亚扎维耶市公共和私营部门的16名医疗保健提供者进行了深入的面对面访谈。访谈进行了录音和转录,然后采用主题分析法进行分析。我们的研究结果表明,医疗保健提供者没有为前往医疗机构就诊的女性提供足够的宫颈癌筛查信息。结果突出了医疗保健专业人员在促使女性参加宫颈癌筛查项目方面所起的作用,以及对医疗保健提供者进行健康教育以提供有关筛查的宝贵建议的必要性。另一方面,医疗保健提供者强调,实施宫颈癌筛查提醒系统将有助于他们提高筛查参与率。此外,医疗保健提供者强调了在利比亚女性中开展宫颈癌筛查教育和宣传活动的必要性。

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