Hassani Laleh, Dehdari Tahereh, Hajizadeh Ebrahim, Shojaeizadeh Davoud, Abedini Mehrandokht, Nedjat Saharnaz
Mother and Child Welfare Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Department of Health Education and Health Promotion, School of Health, Iran University of Medical Sciences, Tehran, Iran.
Int J Community Based Nurs Midwifery. 2017 Oct;5(4):376-385.
Cervical cancer is a preventable disease with a regular screening program. Many studies have reported a large number of barriers that women had for the first time, but this study decided to find other barriers for the second time pap smear.
In this qualitative research, data were gathered through in-depth interviews and expressed through conventional content analysis in the form of constant comparison. The participants were 15 women with family profile at 30 health care centers who lived in the south of Tehran and had done Pap smear for one time but didn't do it for the second time.
Three main themes emerged from the analysis of the interviews: negative experiences of the first Pap test were as follows: results of the first time test, readiness for performing the test, getting the test itself, and the site of the first Pap test. Personal barriers to getting the second Pap test were: inattention to time, physical barriers to the second Pap test, and inhibitory beliefs. Perceived social barriers to getting the second Pap test with two sub-themes included social supports and abstract norms.
This study provided other barriers about Pap smear including lack of the spouse's support, the role of health care providers and physicians in screening program for early diagnosis in women.
宫颈癌是一种可通过定期筛查预防的疾病。许多研究报告了女性首次面临的大量障碍，但本研究决定探寻女性第二次巴氏涂片检查所面临的其他障碍。
在这项定性研究中，通过深入访谈收集数据，并以持续比较的形式通过常规内容分析法进行表述。参与者为居住在德黑兰南部、在30个医疗保健中心有家庭档案、已进行过一次巴氏涂片检查但未进行第二次检查的15名女性。
访谈分析得出三个主要主题：首次巴氏检查的负面经历如下：首次检查结果、进行检查的准备情况、接受检查本身以及首次巴氏检查的地点。进行第二次巴氏检查的个人障碍包括：对时间不重视、进行第二次巴氏检查的身体障碍以及抑制性信念。进行第二次巴氏检查的感知社会障碍包括两个子主题：社会支持和抽象规范。
本研究提供了关于巴氏涂片检查的其他障碍，包括配偶支持的缺失、医疗保健提供者和医生在女性早期诊断筛查项目中的作用。
