海南医学院;海南省妇女儿童医学中心;
目的 了解海南省从事宫颈癌筛查工作的基层医务人员宫颈癌防治知信行状况,为提高宫颈癌筛查项目实施效果提供依据。方法 于2019年3—6月按约为1∶5的比例选取海南省市县级医务人员60人和乡镇社区级医务人员288人为研究对象,采用问卷星对其宫颈癌防治知信行情况进行问卷调查,并对两组基层医务人员的一般情况、宫颈癌防治知识,以及接种人乳头瘤病毒(human papilloma virus,HPV)疫苗/宫颈癌筛查的意愿和行为进行分析。结果 本次调查共发放问卷348份,回收有效问卷327份,回收率94.0%。海南省从事宫颈癌筛查工作的基层医务人员宫颈癌防治知识整体知晓率为49.5%,市县级医务人员知晓率为77.1%,乡镇社区级医务人员知晓率为44.8%,两者比较差异有统计学意义(P<0.05)。从事宫颈癌筛查工作的市县级医务人员愿意接种HPV疫苗的比例(89.6%)低于乡镇社区级医务人员(96.1%),两者比较差异有统计学意义(P<0.05)。在行为方面,市县级医务人员实际接受过HPV疫苗接种的比例(31.3%)高于乡镇社区级医务人员(12.9%),两者比较差异有统计学意义(P<0.05),但实际接受过宫颈癌筛查的比例差异无统计学意义(P> 0.05)。结论海南省基层医务人员宫颈癌防治知识整体知晓率较低,仍有针对宫颈癌常见症状、宫颈癌筛查频次、宫颈癌筛查是否为一级预防等项目掌握程度不够的情况。需继续加强宫颈癌防治知识培训,尤其要重视乡镇社区级、低年资医务人员的培训工作,提高其工作积极性和对知识培训的重视程度,鼓励医务人员积极接受宫颈癌筛查并进行健康宣教,进一步提升妇女宫颈癌防治知识水平。
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基本信息:
DOI：10.19757/j.cnki.issn1674-7763.2022.02.004
中图分类号:R737.33;R193
引用信息:
[1]汪文慧,罗庆,樊利春.海南省基层医务人员宫颈癌防治知信行分析[J].中国妇幼卫生杂志,2022,13(02):15-21.DOI:10.19757/j.cnki.issn1674-7763.2022.02.004.
基金信息:
2017年海南省自然科学基金项目——基于人乳头瘤病毒检测的农村宫颈癌筛查策略及效果评价研究(817363); 海南省临床医学中心建设项目资助(琼卫医函[2021]75号)