Somerset M, Peters T J
Division of Primary Care, University of Bristol, England.
J Adv Nurs. 1998 Sep;28(3):563-70. doi: 10.1046/j.1365-2648.1998.00717.x.
In the United Kingdom women are encouraged to attend their general practice for cervical smear testing. Those who subsequently receive a mildly dyskaryotic result are placed under surveillance for 6 months before a further test is carried out. Receipt of a mildly abnormal result has been found to create anxiety in some women although it is suggested that this may be relieved by a specifically designed educational intervention. The qualitative investigation reported here explored the interaction which occurred during 10 nurse-patient consultations during which a practice nurse presented an educational intervention designed to relieve anxiety delivered as part of a randomized controlled trial. The investigation highlights factors relating to aspects of the intervention perceived by patients and nurses as successful and as unsuccessful. Implications for the management of women with mildly dyskaryotic results and for future nurse-led educational interventions are proposed. The need for appropriate training for practice nurses is underlined. It is suggested that training should aim to assist the nurse to identify the patient's needs in order that interventions can be individually tailored and delivered effectively without creating anxiety with regard to other aspects of health.
在英国，鼓励女性前往全科诊所进行宫颈涂片检查。那些随后收到轻度核异质结果的女性会接受6个月的监测，之后再进行进一步检查。尽管有研究表明，通过专门设计的教育干预可能会缓解焦虑，但发现收到轻度异常结果会使一些女性产生焦虑。本文报告的定性研究探讨了在10次护士-患者咨询过程中发生的互动，在此过程中，一名执业护士进行了一项教育干预，该干预旨在缓解焦虑，是一项随机对照试验的一部分。该研究突出了患者和护士认为干预成功和失败的相关因素。文中提出了对轻度核异质结果女性的管理以及未来由护士主导的教育干预的启示。强调了对执业护士进行适当培训的必要性。建议培训应旨在帮助护士识别患者的需求，以便能够针对个体情况调整并有效实施干预措施，同时不会对健康的其他方面造成焦虑。
