由护士进行的宫颈癌筛查。家庭医疗实践中的评估。
Cervical cancer screening performed by a nurse. Evaluation in family practice.
作者信息
Thommasen H, Lenci P, Brake I, Anderson G
机构信息
Bella Coola General Hospital, British Columbia.
出版信息
Can Fam Physician. 1996 Nov;42:2179-83.
OBJECTIVE
To determine whether a nurse practitioner could collect adequate Papanicolaou smear samples from the transformation zone of the cervix.
DESIGN
A retrospective, descriptive study.
SETTING
The Bella Coola Medical Clinic, a primary care facility located in the isolated, small village of Bella Coola, BC.
PARTICIPANTS
All women who presented for Pap smears between July 1993 and June 1994.
MAIN OUTCOME MEASURES
Endocervical or metaplastic cells in smear samples.
RESULTS
All Pap smears performed in the Bella Coola Medical Clinic over 1 year by either the nurse or a member of the physician group (which includes family practice residents) were reviewed. Between July 1, 1993, and June 30, 1994, 149 Pap smears were done, 55 by the nurse and 94 by the physicians. All smears collected by the nurse practitioner showed endocervical or metaplastic cells. More than 90% of physician samples showed endocervical or metaplastic cells.
CONCLUSIONS
A Canadian nurse practitioner can be trained to collect adequate Pap smears.
目的
确定执业护士能否从子宫颈转化区采集到足够的巴氏涂片样本。
设计
一项回顾性描述性研究。
地点
贝拉库拉医疗诊所，位于不列颠哥伦比亚省贝拉库拉这个与世隔绝的小村庄的一家初级保健机构。
参与者
1993年7月至1994年6月期间前来进行巴氏涂片检查的所有女性。
主要观察指标
涂片样本中的宫颈管内膜或化生细胞。
结果
对贝拉库拉医疗诊所1年内由护士或医师团队成员（包括家庭医学住院医师）进行的所有巴氏涂片进行了回顾。1993年7月1日至1994年6月30日期间，共进行了149次巴氏涂片，其中护士进行了55次，医师进行了94次。执业护士采集的所有涂片均显示有宫颈管内膜或化生细胞。超过90%的医师采集样本显示有宫颈管内膜或化生细胞。
结论
加拿大的执业护士可以接受培训以采集足够的巴氏涂片。
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