Obstetrics and Gynecology Nursing Department, Nursing Faculty, Ege University, Izmir, Turkey.
Midwifery Department, Health Science Faculty, Manisa Celal Bayar University, Manisa, Turkey.
J Psychosom Obstet Gynaecol. 2020 Mar;41(1):22-29. doi: 10.1080/0167482X.2019.1657090. Epub 2019 Aug 27.
Abnormal Pap smear result means there have been cell changes on the cervix but are not cancer. Women with abnormal test result may be affected from this situation. What do women with abnormal Pap smear results experience from a biopsychosocial perspective? This study aimed to explore the experiences of women with abnormal Pap smear results according to the biopsychosocial model. This phenomenological study's data were collected in interviews with 12 women who had abnormal Pap smear test results. Data collection tool consists of two parts that are an "Women's Information Form (WIF)" identifying women and semi-structured "Interview Form". Interviews were done face-to-face by using in-depth interviews technique. Semi-structured interview was recorded in audio recording device. Thematic approach was used to assess the data. The average age of the women was 42.5 ± 3.64, their age at first sexual intercourse was 23.0 ± 2.8 years and all of them were legally married. Five main themes were determined, which were grouped under the Biopsychosocial Model Domains. The Biological Domain themes were Perception of Health and Disease, and Cervical Cancer Risk Factors; the Psychological Domain themes were Positive Feelings and Negative Feelings; the Social Domain theme was Continuing Social Life. It was concluded that the cultural beliefs, perceptions, emotions and practices of women with abnormal Pap smear results should be considered in the diagnostic and treatment processes. These characteristics of women's experience are also important to consider when developing strategies to address barriers to effective cervical screening, diagnosis and treatment.
巴氏涂片检查结果异常意味着宫颈细胞发生了变化,但不是癌症。异常检测结果的女性可能会受到这种情况的影响。巴氏涂片检查结果异常的女性从生物心理社会角度来看会经历什么?本研究旨在根据生物心理社会模式探讨巴氏涂片检查结果异常女性的经历。这项现象学研究的数据是通过对 12 名巴氏涂片检查结果异常的女性进行访谈收集的。数据收集工具包括两部分,即确定女性身份的“女性信息表(WIF)”和半结构化“访谈表”。访谈采用面对面的方式进行,使用深入访谈技术。半结构化访谈使用音频记录设备进行记录。采用主题方法评估数据。女性的平均年龄为 42.5±3.64 岁,首次性行为年龄为 23.0±2.8 岁,均为合法已婚。确定了五个主要主题,这些主题分为生物心理社会模型领域。生物学领域的主题是对健康和疾病的感知以及宫颈癌风险因素;心理领域的主题是积极的感觉和消极的感觉;社会领域的主题是继续社会生活。研究结论认为,在诊断和治疗过程中应考虑巴氏涂片检查结果异常的女性的文化信仰、观念、情绪和行为。在制定策略以解决有效宫颈筛查、诊断和治疗障碍时,还需要考虑女性体验的这些特征。