Neilson A, Jones R K
East and Midlothian NHS Trust.
J Adv Nurs. 1998 Sep;28(3):571-5. doi: 10.1046/j.1365-2648.1998.00728.x.
An assessment of women's knowledge of cervical screening and cervical cancer was considered important as up to 92% of those dying from this form of cancer had never been tested. What were the reasons which determined their non-attendance? Issues to be addressed were reactions to invitation, women's knowledge of screening, and the possible factors which they envisaged as being associated with cervical cancer. Other issues to be considered were practical problems associated with attendance, and preference for the sex and professional status of the health professionals involved; 187 women in a general practitioner practice in Lothian, Scotland were targeted by questionnaire. As with other studies in this field 50% of those contacted were ineligible for a variety of reasons. Seventy-two women completed the questionnaire, providing a mix of qualitative and quantitative data. Although the majority of women felt the invitation to attend screening was clear and easy to understand, there was a lack of knowledge with regard to both the screening itself and the possible causes of cervical cancer. The main 'causes' were seen as higher sexual activity among those aged under 37 and smoking and a virus by those over 37. The majority of women showed preference for a female professional to take the smear. Practical problems of time and venue were not considered insurmountable. The main reasons cited for non-compliance were the fear and dislike of the test itself.
评估女性对宫颈癌筛查及宫颈癌的了解情况被认为很重要，因为高达92%死于这种癌症的女性从未接受过检测。是什么原因导致她们未参加筛查呢？需要解决的问题包括对邀请的反应、女性对筛查的了解以及她们认为可能与宫颈癌相关的因素。其他需要考虑的问题是与参加筛查相关的实际问题，以及对所涉及的医护人员性别和职业地位的偏好；在苏格兰洛锡安地区一家全科医生诊所中，187名女性被纳入问卷调查对象。和该领域的其他研究一样，50%的被联系对象因各种原因不符合条件。72名女性完成了问卷，提供了定性和定量数据。尽管大多数女性认为参加筛查的邀请清晰易懂，但她们对筛查本身以及宫颈癌的可能病因缺乏了解。主要“病因”在37岁以下人群中被认为是性活动频繁，在37岁以上人群中则是吸烟和病毒感染。大多数女性表示更倾向于由女性医护人员进行涂片检查。时间和地点等实际问题并不被认为是无法克服的。未遵守筛查的主要原因是对检查本身的恐惧和厌恶。
