Tomaino-Brunner C, Freda M C, Runowicz C D
Department of Obstetrics and Gynecology, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY, USA
Oncol Nurs Forum. 1996 Jan-Feb;23(1):39-44.
To determine what women scheduled for colposcopy knew about the procedure and to understand their concerns about the test and its implications.
Descriptive, exploratory, qualitative.
All women scheduled for colposcopy in a three-month period (n = 29) in an inner-city academic center in the northeast United States. The sample consisted of African American (66%), Hispanic (31%), and white (3%) women ranging in age from 17-59 years (x = 39 years).
Women were interviewed on the telephone or in person and were asked seven open-ended questions about why they were referred and what they expected would happen at the appointment. Interviews were content analyzed.
Four themes common to the women's responses emerged from the interview data: fear about their health, apprehension about the colposcopy, uncertainty about the meaning of the Pap test, and pervasive lack of knowledge.
These results suggest that women in this study scheduled for colposcopy had little factual information about the test or its implications, were anxious about the appointment, and wanted more complete information.
Nurses cannot assume that women understand the reasons for their referral for colposcopy or the implications of the test. These study results imply that lengthened appointment time might be required to provide appropriate education and help alleviate women's anxiety. Future nursing research should examine the effect of anticipatory counselling and education for this group of women.
确定安排进行阴道镜检查的女性对该检查了解多少，并了解她们对检查及其影响的担忧。
描述性、探索性、定性研究。
在美国东北部一个市中心学术中心，三个月内所有安排进行阴道镜检查的女性（n = 29）。样本包括非裔美国女性（66%）、西班牙裔女性（31%）和白人女性（3%），年龄在17至59岁之间（平均年龄 = 39岁）。
通过电话或面对面方式对女性进行访谈，询问七个开放式问题，内容涉及她们被转诊的原因以及她们预期在预约检查时会发生什么。对访谈内容进行分析。
从访谈数据中得出女性回答中常见的四个主题：对自身健康的担忧、对阴道镜检查的恐惧、对巴氏试验意义的不确定以及普遍缺乏相关知识。
这些结果表明，本研究中安排进行阴道镜检查的女性对该检查或其影响几乎没有实际信息，对预约检查感到焦虑，并且希望获得更完整的信息。
护士不能假定女性理解她们被转诊进行阴道镜检查的原因或该检查的影响。这些研究结果意味着可能需要延长预约时间，以提供适当的教育并帮助减轻女性的焦虑。未来的护理研究应考察对这组女性进行预期性咨询和教育的效果。
