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年轻女孩预防宫颈癌的准备情况及引入人乳头瘤病毒疫苗的策略

Preparedness of Young Girls for Prevention of Cervical Cancer and Strategy to introduce the HPV Vaccine.

作者信息

Swain Dharitri, Parida Swayam Prangya

机构信息

Department of Obstetrics and Gynecological Nursing, College of Nursing, Bhubaneswar, Odisha, India.

Department of Community Medicine and Family Medicine, AIIMS, Bhubaneswar, Odisha, India.

出版信息

Indian J Community Med. 2018 Dec;43(Suppl 1):S38-S41. doi: 10.4103/ijcm.IJCM_14_18.

DOI:10.4103/ijcm.IJCM_14_18
PMID:30686873
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6324042/
Abstract

OBJECTIVE

Cervical cancer incidence and mortality rates remain high in developing country due to low levels of awareness on preventive measures. The main study objective was to sensitize the young girls on the prevention of cervical cancer.

STUDY DESIGN

Quasi-experimental pretest and posttest design was used.

METHODS

A total of 240 young girls enrolled and 60 were selected randomly for the sensitization program. The preparedness for prevention of cervical cancer was assessed through structured preparedness criteria and perception toward vaccination was ascertained through rating scale.

RESULTS

Changes in knowledge level and intention to be vaccinated and for developing positive attitude to be screened in future were assessed using paired -tests and found to be statistically significant. There is been an improvement in knowledge score noticed from pretest to posttest. The greatest improvements were observed in responses to questions on knowledge on symptoms (60%) and prevention (88%) that is maximum responded vaginal bleeding is the most common symptoms of cervical cancer and avoiding early sexual intercourse is the preventive measures of cancer cervix. Out of the 60 girls, 52 (86%) shown their agreement for human papillomavirus (HPV) vaccination, 35 (58.33%) took the HPV vaccine as a preventive measure.

CONCLUSION

Study concludes that periodical sensitization through educational intervention may act as a cascade for girls and help them to be more aware about the preventive aspects of cervical cancer.

摘要

目的

由于对预防措施的认识水平较低,发展中国家宫颈癌的发病率和死亡率仍然很高。主要研究目的是提高年轻女孩对宫颈癌预防的认识。

研究设计

采用准实验性前测和后测设计。

方法

共有240名年轻女孩登记参加,随机选择60名参加宣传项目。通过结构化的准备标准评估预防宫颈癌的准备情况,并通过评分量表确定对疫苗接种的看法。

结果

使用配对检验评估知识水平、接种疫苗的意愿以及未来对接受筛查形成积极态度的变化,发现具有统计学意义。从前测到后测,知识得分有提高。在关于症状(60%)和预防(88%)知识问题的回答中观察到最大的改善,即最多人回答阴道出血是宫颈癌最常见的症状,避免过早性交是宫颈癌的预防措施。在60名女孩中,52名(86%)表示同意接种人乳头瘤病毒(HPV)疫苗,35名(58.33%)将HPV疫苗作为预防措施。

结论

研究得出结论,通过教育干预进行定期宣传可能会对女孩起到连锁作用,帮助她们更了解宫颈癌的预防方面。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b74/6324042/3ae6ac4b00ce/IJCM-43-38-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b74/6324042/3ae6ac4b00ce/IJCM-43-38-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b74/6324042/3ae6ac4b00ce/IJCM-43-38-g003.jpg

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