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埃塞俄比亚亚的斯亚贝巴选定公立医院中女性护士对宫颈癌筛查的利用情况及其决定因素。

Utilization of cervical cancer screening and determinant factors among female nurses in selected public hospitals in Addis Ababa, Ethiopia.

机构信息

Department of Human Physiology, School of Medicine, University of Gondar, P. O. Box 196, Gondar, Ethiopia.

Department of Comprehensive Nursing, School of Nursing, University of Gondar, P. O. Box 196, Gondar, Ethiopia.

出版信息

Cancer Treat Res Commun. 2024;40:100815. doi: 10.1016/j.ctarc.2024.100815. Epub 2024 Apr 30.

Abstract

BACKGROUND

Cervical cancer is one of the top cause of death among childbearing women globally and public health issue for underdeveloped nations.It is the world's second most prevalent cancer among women. In 2018, 311,000 women died due to cervical cancer.Approximately 80 % of these deaths occurred in developing countries.However, there has been insufficient research on cervical cancer screening utilisation among Ethiopian nurses, despite the fact that nurses promote women's health and play a key role in cervical cancer education. As a result, evaluating utilization of cervical cancer screening among nurses is critical for program effectiveness.

OBJECTIVE

To assess the magnitude of utilization of cervical cancer screening and determinant factors among female Nurses in selected public hospitals in Addis Ababa, Ethiopia.

METHODOLOGY

An institutional-based cross-sectional study design was employed from October 1 to November 30, 2022. Data was collected using an interviewer-administered questionnaire. The data was entered into Epi data version 3.1 and then exported to SPSS version 22 for data management and analysis. Bivariate and multi-variable logistic regressions were employed to identify the predictor variables. Statistical significance was considered at P < 0.05 with adjusted odds ratio calculated at 95 % CI.

RESULT

The magnitude of utilization of cervical cancer screening among nurses working in selected public hospitals in Addis Ababa was 18.5 % (95 % CI: 14.2, 23.1). Having work experience > 8 years (AOR = 16.78; 95 % CI: 4.82, 58.44), history of STI (AOR = 53.72; 95 % CI: 14.18, 203.45) and having multiple sexual partners (AOR = 12.74; 95 % CI: 4.15, 39.11) were significantly associated with utilization of cervical cancer screening among female nurses.

CONCLUSION

The overall cervical cancer screening rate among female nurses was low compared to the WHO strategy for cervical cancer elimination, which asks for 70 % of women worldwide to be checked for cervical illnesses regularly by 2030. According to the study findings, respondents' work experience, STI history, and having multiple sexual partners influenced their utilization of cervical cancer screening among nurses. To boost the utilization of screening services, female nurses should place a strong emphasis on maintaining screening awareness through education and knowledge sharing.Finally, we recommend future researchers to do comparative study design to draw any scientific and credible conclusions.

摘要

背景

宫颈癌是全球导致育龄妇女死亡的主要原因之一,也是欠发达国家的公共卫生问题。它是全球女性中第二大常见癌症。2018 年,有 31.1 万名妇女死于宫颈癌。这些死亡人数中约有 80%发生在发展中国家。然而,尽管护士在促进妇女健康和开展宫颈癌教育方面发挥着关键作用,但针对埃塞俄比亚护士进行宫颈癌筛查利用情况的研究还不够充分。因此,评估护士对宫颈癌筛查的利用情况对于项目的有效性至关重要。

目的

评估在埃塞俄比亚亚的斯亚贝巴选定公立医院工作的女性护士中进行宫颈癌筛查的利用程度及其决定因素。

方法

采用 2022 年 10 月 1 日至 11 月 30 日期间进行的基于机构的横断面研究设计。使用访谈者管理的问卷收集数据。将数据录入 EpiData 版本 3.1,然后导出到 SPSS 版本 22 进行数据管理和分析。采用二变量和多变量逻辑回归来确定预测变量。以 P<0.05 为统计学显著性标准,采用 95%置信区间计算调整后的优势比。

结果

在亚的斯亚贝巴选定公立医院工作的护士中,宫颈癌筛查的利用程度为 18.5%(95%CI:14.2,23.1)。工作经验>8 年(AOR=16.78;95%CI:4.82,58.44)、性传播感染史(AOR=53.72;95%CI:14.18,203.45)和多个性伴侣(AOR=12.74;95%CI:4.15,39.11)与女性护士进行宫颈癌筛查的利用显著相关。

结论

与世界卫生组织消除宫颈癌战略相比,女性护士的整体宫颈癌筛查率较低,该战略要求到 2030 年,全球 70%的妇女定期接受宫颈癌疾病检查。根据研究结果,受访者的工作经验、性传播感染史和多个性伴侣影响了他们对宫颈癌筛查的利用。为了提高筛查服务的利用率,女性护士应通过教育和知识共享来高度重视保持筛查意识。最后,我们建议未来的研究人员进行比较研究设计,以得出任何科学和可信的结论。

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