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Factors Associated With Adherence to Follow-up Colposcopy.与后续阴道镜检查依从性相关的因素。
Am J Health Educ. 2013;44(6):293-298. doi: 10.1080/19325037.2013.838881.
2
Psychosocial barriers to follow-up adherence after an abnormal cervical cytology test result among low-income, inner-city women.低收入市中心女性宫颈细胞学检查结果异常后随访依从性的社会心理障碍
J Prim Care Community Health. 2014 Oct;5(4):234-41. doi: 10.1177/2150131914529307. Epub 2014 Apr 9.
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Monitoring style of coping with cancer related threats: a review of the literature.应对癌症相关威胁的监测方式：文献综述
J Behav Med. 2014 Oct;37(5):931-54. doi: 10.1007/s10865-014-9553-x. Epub 2014 Feb 2.
4
Tailored telephone counseling to improve adherence to follow-up regimens after an abnormal pap smear among minority, underserved women.量身定制的电话咨询，以提高少数族裔、医疗服务不足的女性在巴氏涂片异常后对后续治疗方案的依从性。
Patient Educ Couns. 2013 Dec;93(3):488-95. doi: 10.1016/j.pec.2013.08.008. Epub 2013 Aug 19.
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Building a navigation system to reduce cancer disparities among urban Black older adults.构建一个导航系统以减少城市黑人老年人之间的癌症差异。
Prog Community Health Partnersh. 2013 Summer;7(2):209-18. doi: 10.1353/cpr.2013.0018.
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Intervention to improve follow-up for abnormal Papanicolaou tests: a randomized clinical trial.改善巴氏涂片检查异常随访的干预措施：一项随机临床试验。
Health Psychol. 2014 Apr;33(4):307-316. doi: 10.1037/a0032722. Epub 2013 Jun 3.
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Patient barriers to follow-up care for breast and cervical cancer abnormalities.患者接受乳腺癌和宫颈癌异常随访治疗的障碍。
J Womens Health (Larchmt). 2013 Jun;22(6):507-17. doi: 10.1089/jwh.2012.3590. Epub 2013 May 14.
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Analysis of patterns of patient compliance after an abnormal Pap smear result: the influence of demographic characteristics on patient compliance.异常巴氏涂片结果后患者依从性模式分析：人口统计学特征对患者依从性的影响。
J Low Genit Tract Dis. 2013 Jul;17(3):298-302. doi: 10.1097/LGT.0b013e31826b683e.
9
The impact of a culturally tailored patient navigator program on cervical cancer prevention in Latina women.文化适应型患者导航员计划对拉丁裔女性宫颈癌预防的影响。
J Womens Health (Larchmt). 2013 May;22(5):426-31. doi: 10.1089/jwh.2012.3900. Epub 2013 Apr 26.
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Cancer statistics, 2013.癌症统计数据，2013 年。
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服务不足的城市内城区女性巴氏涂片异常后，随访建议依从性的预测因素。

Predictors of adherence to follow-up recommendations after an abnormal Pap smear among underserved inner-city women.

机构信息

Department of Patient Empowerment and Decision Making, Fox Chase Cancer Center/Temple University Health System, 333 Cottman Avenue, Philadelphia, PA, 19111, USA; Department of Obstetrics, Gynecology and Reproductive Sciences, Temple University School of Medicine, 3500 N. Broad Street, Philadelphia, PA, 19140, USA.

Department of Patient Empowerment and Decision Making, Fox Chase Cancer Center/Temple University Health System, 333 Cottman Avenue, Philadelphia, PA, 19111, USA.

出版信息

Patient Educ Couns. 2017 Jul;100(7):1353-1359. doi: 10.1016/j.pec.2017.01.020. Epub 2017 Jan 31.

DOI:10.1016/j.pec.2017.01.020
PMID:28190541
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5466500/
Abstract

OBJECTIVES

This study aimed to identify cognitive-affective predictors of adherence to initial diagnostic colposcopy and 6-month follow-up recommendations among underserved women.

METHODS

A secondary data analysis was completed of a randomized clinical trial assessing tailored telephone counseling for colposcopy adherence after an abnormal screening Pap smear among 210 underserved inner-city women.

RESULTS

Adherence to initial diagnostic colposcopy was significantly associated with greater self-efficacy (OR=1.504, 95% CI 1.021-2.216). Women with lower monitoring attentional style had significantly greater adherence to 6-month follow-up recommendations compared to women with higher monitoring scores (OR=0.785, 95% CI 0.659-0.935).

CONCLUSION

Increasing cervical cancer-related self-efficacy and tailoring cervical cancer risk communication to monitoring attentional style may help improve adherence to follow-up recommendations after an abnormal Pap smear test result.

PRACTICE IMPLICATIONS

Future research is needed to develop and implement psychosocial approaches to improving adherence to diagnostic colposcopy and follow-up recommendations adherence among underserved women.

摘要

目的

本研究旨在确定认知-情感预测因素，以预测服务不足的女性对初始诊断性阴道镜检查和 6 个月随访建议的依从性。

方法

对一项随机临床试验进行了二次数据分析，该试验评估了针对服务不足的市中心内城妇女在异常筛查巴氏涂片后进行阴道镜检查依从性的个体化电话咨询。

结果

对初始诊断性阴道镜检查的依从性与更高的自我效能感显著相关（OR=1.504，95%CI 1.021-2.216）。与监测得分较高的女性相比，具有较低监测注意力风格的女性对 6 个月随访建议的依从性显著更高（OR=0.785，95%CI 0.659-0.935）。

结论

增加与宫颈癌相关的自我效能感，并针对监测注意力风格定制宫颈癌风险沟通，可能有助于提高异常巴氏涂片检查结果后对随访建议的依从性。

实践意义

需要开展未来研究，以制定和实施心理社会方法，提高服务不足的女性对诊断性阴道镜检查和随访建议的依从性。