Xiangya School of Nursing, Central South University, Changsha, PR China.
The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong.
Appl Nurs Res. 2018 Feb;39:58-64. doi: 10.1016/j.apnr.2017.09.009. Epub 2017 Sep 28.
In China, cervical cancer cases are increasing, making an impact on the worldwide burden of cervical cancer. Despite the initiatives undertaken by the Chinese government, the current coverage of cervical screening in China remains suboptimal. There is an urgent need to identify the facilitators and barriers associated with the uptake of cervical cancer screening among the Chinese population.
The study aimed to explore the experiences and perceptions of cervical cancer screening of mainland Chinese women in relation to their screening behaviour, particularly in the aspects of health care system and health profession roles.
A qualitative research was conducted using semi-structured interviews. A total of 27 Chinese women aged 25 to 50 (both screened and non-screened women) completed the interviews. The analysis of the interview data was undertaken inductively using latent content analysis.
Results showed that organised health examination programmes provide a good basis for integrating cervical screening into broader checks on the health of women, and utilising different networks of social support facilitate the utilisation of the screening service. However, education on cervical cancer and screening must be made more generally available. More importantly, there is a need for a more participatory and empowering exchange in the encounter between health professions and these women. Appropriate training program is strongly recommended for health professions about communicate skills with patients. Future work should focus on identifying strategies to overcome the barriers to cervical screening related to health care system and medical professions among this population.
在中国，宫颈癌病例不断增加，对全球宫颈癌负担产生影响。尽管中国政府采取了多项举措，但目前中国的宫颈癌筛查覆盖率仍不理想。因此，迫切需要确定与中国人群接受宫颈癌筛查相关的促进因素和障碍。
本研究旨在探讨中国大陆女性对宫颈癌筛查的经验和看法，以及这些看法与她们的筛查行为之间的关系，特别是在卫生保健系统和卫生专业人员角色方面。
采用定性研究方法，通过半结构化访谈收集资料。共对 27 名年龄在 25-50 岁之间的中国大陆女性（包括筛查和未筛查女性）进行了访谈。采用潜类内容分析法对访谈数据进行分析。
结果表明，组织良好的健康检查计划为将宫颈癌筛查纳入女性健康普查提供了良好的基础，并利用不同的社会支持网络促进了筛查服务的利用。但是，必须更广泛地开展关于宫颈癌和筛查的教育。更重要的是，需要在卫生专业人员与这些女性之间进行更具参与性和赋权性的交流。强烈建议为卫生专业人员提供关于与患者沟通技巧的适当培训计划。未来的工作应重点确定在这一人群中克服与卫生保健系统和医疗专业人员相关的宫颈癌筛查障碍的策略。
