Federal University of Ouro Preto.
Oncol Nurs Forum. 2022 Dec 16;50(1):59-78. doi: 10.1188/23.ONF.59-78.
Cervical cancer (CC) is a major public health problem in low- and middle-income countries. Although screening can reduce CC incidence, screening programs are difficult to implement in resource-limited countries, making innovative interventions necessary.
PubMed®, MEDLINE®, CINAHL®, LILACS, and SciELO databases were searched for studies published within the past five years that explored interventions to improve CC screening.
Of the 486 articles identified, 35 were included in the review. The evidence was summarized, analyzed, and organized by theme.
Several low-cost interventions improved aspects of CC screening, most of which were associated with a significant increase in adherence and uptake. Other interventions led to better baseline knowledge and involvement among patients and healthcare providers and a higher proportion of patients receiving treatment. Screening programs can use single or multiple approaches and match them to the local conditions and available resources.
By understanding the various interventions that can mitigate CC incidence, healthcare providers can select the best approach to reach women eligible for CC screening.
宫颈癌(CC)是中低收入国家的一个主要公共卫生问题。尽管筛查可以降低 CC 的发病率,但在资源有限的国家,筛查计划难以实施,因此需要创新干预措施。
在过去五年内,我们在 PubMed®、MEDLINE®、CINAHL®、LILACS 和 SciELO 数据库中搜索了探讨改善 CC 筛查干预措施的研究。
在确定的 486 篇文章中,有 35 篇被纳入综述。根据主题对证据进行了总结、分析和组织。
几种低成本干预措施改善了 CC 筛查的各个方面,其中大多数与依从性和接受度的显著提高有关。其他干预措施导致患者和医疗保健提供者的基线知识和参与度提高,以及更多患者接受治疗。筛查计划可以使用单一或多种方法,并根据当地情况和可用资源进行匹配。
通过了解可以减轻 CC 发病率的各种干预措施,医疗保健提供者可以选择最佳方法来覆盖有资格接受 CC 筛查的女性。