医护人员对宫颈癌筛查指南的依从性。夸祖鲁 - 纳塔尔省彼得马里茨堡都会区区级和区域级护理审计。
Healthcare worker compliance with cervical cancer screening guidelines. An audit at district and regional level of care in the Pietermaritzburg Metropolitan area of KwaZulu-Natal.
作者信息
Makhubo Mbali T, Naidoo Thinagrin D
机构信息
Department of Obstetrics and Gynaecology, Nelson R. Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa.
Department of Obstetrics and Gynaecology, Grey's Hospital, Pietermaritzburg, South Africa.
出版信息
South Afr J HIV Med. 2020 Sep 2;21(1):1104. doi: 10.4102/sajhivmed.v21i1.1104. eCollection 2020.
BACKGROUND
In South Africa (SA) there are screening guidelines for cervical cancer in women living with HIV (WLWH). To our knowledge there is lack of data concerning the knowledge of health care workers (HCWs) about cervical cancer screening guidelines before the initiation of antiretroviral therapy (ART) in WLWH.
OBJECTIVES
To investigate the knowledge and familiarity of HCWs regarding cervical cancer screening guidelines in WLWH.
METHODS
A cross-sectional questionnaire-based study exploring compliance with cervical cancer screening guidelines before initiating ART was conducted with 85 HCWs in the antiretroviral (ARV) clinics of a district and regional hospitals in KwaZulu-Natal, SA. Data were analysed using Stata V13 and a p-value of ≤ 0.05 was considered statistically significant.
RESULTS
Eighty-five HCWs were included in the study. Health care workers' responses to knowledge about cervical cancer screening in WLWH were suboptimal and revealed significant gaps. Most HCWs did not know the screening intervals of WLWH. Statistically significant associations were found between an HCW's occupation and responses to the Likert scale questions.
CONCLUSION
Although the majority of HCWs were familiar with cervical cancer screening guidelines in WLWH, the study highlights that there are deficiencies in both knowledge and practice. Creating awareness among HCWs regarding the current methods of cervical cancer screening is a necessary to reduce morbidity and mortality from cervical cancer in WLWH.
背景
在南非，针对感染艾滋病毒的女性制定了宫颈癌筛查指南。据我们所知，缺乏关于医护人员在感染艾滋病毒的女性开始抗逆转录病毒治疗（ART）之前对宫颈癌筛查指南的了解的数据。
目的
调查医护人员对感染艾滋病毒的女性宫颈癌筛查指南的了解和熟悉程度。
方法
在南非夸祖鲁 - 纳塔尔省的一家地区医院和一家省级医院的抗逆转录病毒（ARV）诊所，对85名医护人员进行了一项基于问卷调查的横断面研究，以探讨在开始ART之前对宫颈癌筛查指南的遵守情况。使用Stata V13分析数据，p值≤0.05被认为具有统计学意义。
结果
85名医护人员纳入研究。医护人员对感染艾滋病毒的女性宫颈癌筛查知识的回答不理想，显示出明显差距。大多数医护人员不知道感染艾滋病毒的女性的筛查间隔。在医护人员的职业与对李克特量表问题的回答之间发现了具有统计学意义的关联。
结论
虽然大多数医护人员熟悉感染艾滋病毒的女性的宫颈癌筛查指南，但该研究强调在知识和实践方面都存在不足。提高医护人员对当前宫颈癌筛查方法的认识对于降低感染艾滋病毒的女性宫颈癌的发病率和死亡率是必要的。
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