Department of Obstetrics and Gynaecology, Jinnah Postgraduate Medical Center, Karachi.
Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan.
J Pak Med Assoc. 2022 Jun;72(6):1025-1030. doi: 10.47391/JPMA.1443.
To assess knowledge, attitude and practice of medical and paramedical staff about cervical cancer as well as its screening and prevention.
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.
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%).
Cervical cancer prevalence is rising due to inadequate knowledge and awareness among healthcare personals. Improvement can be brought by regular use of Pap smear.
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。
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。
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%）。
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。
