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护士和医生对宫颈癌患者治疗与护理的认知和知识:一项横断面研究。

Nurses and doctors 's awareness and knowledge towards treatment and care of cervical cancer patients: a cross-sectional study.

作者信息

Li Zhen, Chen Sinuo, Mahjabeen Ishrat, Shafique Rabia

机构信息

Department of Cancer Center Day Ward, Henan Provincial Kev Medicine Laboratory of Nursing, Henan Provincial People's Hospital, Zhengzhou City, Henan, 450003, China.

People's Hospital of Zhengzhou University, Zhengzhou City, Henan, 450003, China.

出版信息

BMC Nurs. 2023 Oct 18;22(1):389. doi: 10.1186/s12912-023-01522-3.

DOI:10.1186/s12912-023-01522-3
PMID:37853385
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10583426/
Abstract

AIM

The present study aimed to investigate healthcare professionals' perceptions and experiences in caring for cervical cancer patients. The present study was also designed to assess the healthcare professionals' attitudes toward cervical cancer screening and its prevention.

METHODS

A cross-sectional quantitative descriptive study was conducted, and 540 participants (240 nurses and 300 doctors), from different hospitals of Pakistan have been selected and interviewed.

RESULTS

Data was collected using structured questionnaires and SPSS was used to statistically analyze the data. Participants in the present study are questioned with respect to age, gender, and work experience. The mean age of the participants is 35 years. Among them, 41% of participants are < 35 years of age and 59% are > 35 years of age. In the case of gender, 22% of participants are males and 78% are females. 47% of the participants have work experience < 20 years and 53% have work experience > 20 years. Data from the present study showed that most of the nurses are less educated (basic education of middle and matric degree) with a simple diploma in nursing and midwifery. Nurses and doctors do not have any knowledge/experience of the patient's psychological counselling. Participants are also questioned with respect to HPV vaccination, 39% of nurses and 62% of doctors are vaccinated. The difference in vaccination frequency of participants was observed as statistically significant (p < 0.0001). In the case of treatment modalities, doctors have statistically more knowledge about the pap smear (p < 0.0001), cervical biopsy (p < 0.0001), colposcopy (p < 0.0001), and visual application after acetic acid application (p < 0.0001) compared to nurses. Data analysis showed that Pap smear was performed significantly higher in married females compared to unmarried (p < 0.0001).

CONCLUSION

our study provides a comprehensive and in-depth perspective of the nurses and doctors for cervical cancer patients. Cervical cancer prevalence is increasing due to inadequate knowledge and awareness among healthcare professionals. Improvement can be brought about by the regular use of treatment modalities in unmarried females also.

摘要

目的

本研究旨在调查医护人员在护理宫颈癌患者方面的认知和经验。本研究还旨在评估医护人员对宫颈癌筛查及其预防的态度。

方法

开展了一项横断面定量描述性研究,选取了来自巴基斯坦不同医院的540名参与者(240名护士和300名医生)并进行访谈。

结果

使用结构化问卷收集数据,并使用SPSS对数据进行统计分析。本研究中的参与者接受了关于年龄、性别和工作经验的询问。参与者的平均年龄为35岁。其中,41%的参与者年龄小于35岁,59%的参与者年龄大于35岁。在性别方面,22%的参与者为男性,78%为女性。47%的参与者工作经验少于20年,53%的参与者工作经验多于20年。本研究数据显示,大多数护士受教育程度较低(初中和高中基础教育),拥有护理和助产学的简单文凭。护士和医生对患者的心理咨询没有任何知识/经验。参与者还接受了关于HPV疫苗接种的询问,39%的护士和62%的医生接种了疫苗。观察到参与者的疫苗接种频率差异具有统计学意义(p<0.0001)。在治疗方式方面,与护士相比,医生在巴氏涂片检查(p<0.0001)、宫颈活检(p<0.0001)、阴道镜检查(p<0.0001)以及醋酸涂抹后视觉检查(p<0.0001)方面在统计学上具有更多知识。数据分析表明,已婚女性进行巴氏涂片检查的比例显著高于未婚女性(p<0.0001)。

结论

我们的研究为医护人员护理宫颈癌患者提供了全面而深入的视角。由于医护人员知识和意识不足,宫颈癌患病率正在上升。未婚女性定期使用治疗方式也可以带来改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61d9/10583426/faf9ada262ed/12912_2023_1522_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61d9/10583426/60623650eedd/12912_2023_1522_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61d9/10583426/faf9ada262ed/12912_2023_1522_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61d9/10583426/60623650eedd/12912_2023_1522_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61d9/10583426/faf9ada262ed/12912_2023_1522_Fig2_HTML.jpg

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本文引用的文献

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Clinical Nurses' HPV-related Knowledge and Perception of Cancer Causes: HPV Vaccinated vs. Not Vaccinated.临床护士的人乳头瘤病毒(HPV)相关知识及对癌症病因的认知:接种HPV疫苗与未接种疫苗的情况对比
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National cervical cancer burden estimation through systematic review and analysis of publicly available data in Pakistan.通过对巴基斯坦公开可用数据的系统审查和分析,估算全国宫颈癌负担。
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Cervical Cancer in SAARC Countries.
南亚区域合作联盟国家的宫颈癌
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A Review on the Use of the HPV Vaccine in the Prevention of Cervical Cancer.人乳头瘤病毒疫苗在宫颈癌预防中的应用综述
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