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在一家三级保健中心工作的医生和护理人员对宫颈癌的认识、筛查、做法和态度。

Awareness, screening, practices and attitudes of cervical cancer among doctors and nursing staff working at a tertiary care centre.

机构信息

Department of Obstetrics and Gynaecology, Jinnah Postgraduate Medical Center, Karachi.

Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan.

出版信息

J Pak Med Assoc. 2022 Jun;72(6):1025-1030. doi: 10.47391/JPMA.1443.

Abstract

OBJECTIVES

To assess knowledge, attitude and practice of medical and paramedical staff about cervical cancer as well as its screening and prevention.

METHODS

The descriptive cross-sectional study was conducted at the Jinnah Post-graduate Medical Centre, Karachi, from March 1 to August 30, 2019, and comprised women medical and paramedical staff randomly selected from different specialties. Data was collected using a structured questionnaire. Data was analysed using SPSS 20.

RESULTS

Of the 347 participants 144(41.5%) were nurses and 203(58.5%) were doctors. The overall mean age was 26.22±6.38 years. Of the total, 108(30%) respondents were married and 239(68%) were single. Overall, 239(68.8%) were well aware of Pap smear being the screening test; 85(24.5%) were aware of the true guidelines to repeat the test; 152(43.8%) had an idea of the exact use of visual Inspection with acetic acid; 61(17.6%) had got a Pap smear done; and 156(45%) thought they were at risk of developing carcinoma cervix. The common risk factors identified were multiple sexual partners 254(73.2%), age at first sexual intercourse 160(46%), smoking 131(37.8%), foul-smelling discharge 221(63.7%), and post-coital bleeding 231(66.6%).

CONCLUSIONS

Cervical cancer prevalence is rising due to inadequate knowledge and awareness among healthcare personals. Improvement can be brought by regular use of Pap smear.

摘要

目的

评估医疗和辅助医疗人员对宫颈癌的知识、态度和实践,以及其筛查和预防情况。

方法

本描述性横断面研究于 2019 年 3 月 1 日至 8 月 30 日在卡拉奇的真纳研究生医学中心进行,对象为从不同专业中随机选择的女性医疗和辅助医疗人员。使用结构化问卷收集数据。使用 SPSS 20 进行数据分析。

结果

347 名参与者中,144 名(41.5%)为护士,203 名(58.5%)为医生。总体平均年龄为 26.22±6.38 岁。其中,108 名(30%)受访者已婚,239 名(68%)单身。总的来说,239 名(68.8%)人知晓巴氏涂片检查是筛查测试;85 名(24.5%)人知晓重复测试的正确准则;152 名(43.8%)人了解醋酸视觉检查的确切用途;61 名(17.6%)人进行了巴氏涂片检查;156 名(45%)人认为自己有患宫颈癌的风险。确定的常见危险因素包括多个性伴侣 254 名(73.2%)、初次性行为年龄 160 名(46%)、吸烟 131 名(37.8%)、有异味分泌物 221 名(63.7%)和性交后出血 231 名(66.6%)。

结论

由于医疗保健人员的知识和意识不足,宫颈癌的患病率正在上升。通过定期使用巴氏涂片检查可以改善这种情况。

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