Zhao Y, Liao Q, Mi X, Li M Z, Zhao C, Cui S H, Li J R, Wang Y, Wang J L, Wei L H
Department of Obstetrics and Gynecology, Peking University People's Hospital, Beijing 100044, China.
Department of Obstetrics and Gynecology, Beijing Shunyi Women's and Children's Hospital, Beijing 101300, China.
Zhonghua Fu Chan Ke Za Zhi. 2019 May 25;54(5):312-317. doi: 10.3760/cma.j.issn.0529-567x.2019.05.005.
To investigate the acceptance of HPV self-sampling mode in cervical cancer screening population and explore its feasibility. From March 5 to 15, 2018, researchers investigated women who participated in cervical cancer screening organized by Beijing Shunyi Women's and Children's Hospital in the form of questionnaires. Questionnaires were conducted on their acceptance status and the factors that affect the self-sampling experience. The specific contents of the questionnaires were as follows: (1) the experience of using self-sampling included operability, comfortable, sample time-consuming, bleeding or not after sampling; (2) psychological changes after self-sampling, including the willingness to accept self-sampling again, the worrying problems during self-sampling process. According to whether or not have operating video guidance, the self-sampling experience and psychological changes after self-sampling were compared. (1) There were 1 375 women participated in the questionnaire survey, and 86.55% (1 190/1 375) of them thought the self-sampling was convenient, 78.40% (1 078/1 375) thought it was not uncomfortable, 88.58% (1 218/1 375) thought the sampling time was fast (less than 5 minutes), 94.04% (1 293/1 375) self-sampling without bleeding; and 83.27% (1 145/1 375) were willing to self-sampling for cervical cancer screening again, 85.82% (1 180/1 375) were afraid of inaccurate sampling. (2) Among the 1 375 women, 1 202 were in the video guidance group and 173 were in the non-guidance group. The self-sampling experience of women in video guidance group was better than those of non-guidance group in operability, comfortable, sampling time-consuming and bleeding after sampling. The proportion of women who willing to self-sampling again was higher than that of non-guidance group (86.69% vs 59.54%, respectively). The proportion of women who worried operating incorrectly was lower than that of non-guidance group (11.23% vs 32.37%, respectively). The differences were significant (all <0.05). Self-sampling for HPV testing in cervical cancer screening is easy to operate and has little discomfort complaint. It is feasible in cervical cancer screening. Operational video guidance during the screening process could effectively improve the women's experience and willingness to self-sampling again in the future.
为调查宫颈癌筛查人群对人乳头瘤病毒（HPV）自我采样模式的接受度并探讨其可行性。2018年3月5日至15日，研究人员通过问卷调查的形式对参加北京顺义妇女儿童医院组织的宫颈癌筛查的女性进行了调查。问卷内容涉及她们的接受情况以及影响自我采样体验的因素。问卷的具体内容如下：（1）自我采样的体验，包括可操作性、舒适度、采样耗时、采样后是否出血；（2）自我采样后的心理变化，包括再次接受自我采样的意愿、自我采样过程中担心的问题。根据是否有操作视频指导，比较自我采样体验及自我采样后的心理变化。（1）1375名女性参与了问卷调查，其中86.55%（1190/1375）认为自我采样方便，78.40%（1078/1375）认为不难受，88.58%（1218/1375）认为采样时间快（少于5分钟），94.04%（1293/1375）自我采样后未出血；83.27%（1145/1375）愿意再次进行宫颈癌筛查的自我采样，85.82%（1180/1375）担心采样不准确。（2）在1375名女性中，1202名在视频指导组，173名在无指导组。视频指导组女性在可操作性、舒适度、采样耗时及采样后出血方面的自我采样体验优于无指导组。愿意再次自我采样的女性比例高于无指导组（分别为86.69%和59.54%）。担心操作错误的女性比例低于无指导组（分别为11.23%和32.37%）。差异有统计学意义（均<0.05）。宫颈癌筛查中HPV检测的自我采样操作简便，不适主诉少。在宫颈癌筛查中是可行的。筛查过程中的操作视频指导可有效改善女性的体验及未来再次自我采样的意愿。
