Karasu Ayse Filiz Gokmen, Adanir Ilknur, Aydin Serdar, Ilhan Gulsah Keskin, Ofli Tugba
Faculty of Medicine, Department of Obstetrics and Gynecology, Bezmialem Vakif University, Adnan Menderes Bulvarı Vatan Caddesi, Fatih, 34093, İstanbul, Turkey.
Department of Obstetrics and Gynecology, Suleymaniye Maternity Training and Research Hospital, Istanbul, Turkey.
J Cancer Educ. 2019 Feb;34(1):98-104. doi: 10.1007/s13187-017-1272-x.
Implementing a HPV vaccination program is currently under evaluation by the Turkish health ministry. For screening and vaccination programs to be successful, the cooperation of nurses is essential. We aimed to evaluate (1) basic knowledge of nurses and nursing interns regarding HPV infection and cervical cancer, (2) their attitudes towards smear testing and HPV vaccination, and (3) their viewpoint on vaccination of school age children. This cross-sectional study was undertaken at Bezmialem Vakif University. The survey was designed to assess knowledge about HPV infection, Pap smear testing, cervical cancer, HPV vaccine, attitudes towards HPV vaccination, and school-based vaccination programs. Validity content was determined by expert gynecologists, and a pilot study was performed on 10 nurses. A total of 550 questionnaires were handed out; 499 were completed. Our response rate was 90.7%. Fifty-nine participants answered all the knowledge questions correctly. The calculated knowledge score of the female participants was 6.99 ± 2.22, the male participants was 5.89 ± 2.92. Female participants were more knowledgeable (p < 0.0001). Out of the 353 female participants, 18.6% (n = 66) had undergone smear testing. There were 20 (5.6%) female and 6 (4%) male participants who were vaccinated against HPV. The leading answer for not having a HPV vaccine was "I'm not at risk for a HPV infection" (n = 106, 34.9%). There was a statistical relationship between "HPV knowledge score" and answering "Yes" to "Do you want your children/future children to be vaccinated? (p = 0.001) and "Do you think including the vaccine in the Turkish immunization program is necessary?" (p = 0.001). Nurses in our cohort seem to have satisfactory basic knowledge regarding HPV infection; however, their viewpoints on vaccination were not favorable. Strategies and intervention materials for HPV vaccination will be necessary if a national immunization program will be initiated.
土耳其卫生部目前正在评估实施人乳头瘤病毒（HPV）疫苗接种计划。为使筛查和疫苗接种计划取得成功，护士的合作至关重要。我们旨在评估：（1）护士和实习护士关于HPV感染和宫颈癌的基本知识；（2）他们对涂片检查和HPV疫苗接种的态度；（3）他们对学龄儿童接种疫苗的看法。这项横断面研究在贝兹米阿勒姆瓦基夫大学开展。该调查旨在评估关于HPV感染、巴氏涂片检查、宫颈癌、HPV疫苗、对HPV疫苗接种的态度以及基于学校的疫苗接种计划的知识。有效性内容由妇科专家确定，并对10名护士进行了预试验。共发放550份问卷；499份问卷填写完成。我们的回复率为90.7%。59名参与者正确回答了所有知识问题。女性参与者的计算知识得分是6.99±2.22，男性参与者是5.89±2.92。女性参与者知识更丰富（p<0.0001）。在353名女性参与者中，18.6%（n = 66）接受过涂片检查。有20名（5.6%）女性和6名（4%）男性参与者接种过HPV疫苗。不接种HPV疫苗的主要原因是“我没有HPV感染风险”（n = 106，34.9%）。“HPV知识得分”与对“你希望你的孩子/未来的孩子接种疫苗吗？”回答“是”（p = 0.001）以及“你认为将该疫苗纳入土耳其免疫计划有必要吗？”回答“是”（p = 0.001）之间存在统计学关联。我们队列中的护士似乎对HPV感染有令人满意的基本知识；然而，他们对疫苗接种的看法并不乐观。如果启动国家免疫计划，将需要HPV疫苗接种的策略和干预材料。
