Mathivha Lindelani, Ramathuba Dorah Ursula, Maputle Maria Sonto
Department of Advanced Nursing Science, Faculty of Health Science at the University of Venda Limpopo Province and South Africa, University of Venda, Thohoyandou 0950, South Africa.
Nurs Rep. 2023 Mar 8;13(1):424-435. doi: 10.3390/nursrep13010039.
In South Africa, the prevalence and death rates as a result of cervical cancer remains high, creating social and economic instability. The main objective of this study was to determine factors affecting participation in cervical screening by female nurses in public health institutions in Vhembe district, Limpopo Province. Early diagnosis and treatment are essential in cervical cancer screening as the prevalence of the disease decreases. The study was carried out at public health institutions in Vhembe district, Limpopo Province. A quantitative, descriptive, cross-sectional design was used in this study. Structured self-reported questionnaires were used in the collection of data. Descriptive statistics were used when analysing data to identify statistically significant differences in variables using SPSS version 26, and the findings were presented in percentages to generate evidence for the study. According to the study findings, (218, 83%) female nurses had been screened for cervical cancer, while the minority (46, 17%) had not been screened. The reasons cited were that they thought they were healthy (82, 31%), (79, 30%) felt embarrassed, and (15%) feared positive results. The majority (190) of them had last been screened more than three years before, with only a few (27, 10%) screened within the previous three years. A hundred and forty-two (53.8%) displayed negative attitudes and practices towards screening if it is paid for, and a hundred and eighteen (44.6%) perceived themselves as not vulnerable to acquiring cervical carcinoma. Furthermore,(128, 48.5%) strongly disagreed and 17(6.4%) were undecided about being screened by a male practitioner. The study concluded that negative attitudes, poor perception, and embarrassment are factors leading to low uptake by female nurses. Therefore, this study recommends that the Department of Health should build the capacity of nursing staff on matters of national significance to achieve sustainable goals and be a healthy nation. Nurses should be at the forefront of departmental programmes.
在南非，宫颈癌的患病率和死亡率仍然很高，造成了社会和经济的不稳定。本研究的主要目的是确定影响林波波省韦姆贝区公共卫生机构中女性护士参与宫颈癌筛查的因素。随着宫颈癌患病率的降低，早期诊断和治疗在宫颈癌筛查中至关重要。该研究在林波波省韦姆贝区的公共卫生机构开展。本研究采用了定量、描述性横断面设计。通过结构化的自填式问卷收集数据。在使用SPSS 26版分析数据以确定变量之间的统计学显著差异时，采用了描述性统计方法，研究结果以百分比呈现，为该研究提供依据。根据研究结果，218名（83%）女性护士接受过宫颈癌筛查，而少数（46名，17%）未接受过筛查。所列举的原因包括她们认为自己健康（82名，31%）、感到尴尬（79名，30%）以及害怕检测结果呈阳性（15%）。其中大多数（190名）上一次筛查是在三年多以前，只有少数（27名，10%）在过去三年里接受过筛查。142名（53.8%）护士对付费筛查表现出消极态度和行为，118名（44.6%）认为自己不易患宫颈癌。此外，128名（48.5%）强烈反对由男医生进行筛查，17名（6.4%）对此犹豫不决。研究得出结论，消极态度、认知不足和尴尬是导致女性护士筛查率低的因素。因此，本研究建议卫生部应就具有国家重要意义的事项加强护理人员的能力建设，以实现可持续目标并打造一个健康的国家。护士应站在部门项目的前沿。
