提昇門診婦女子宮頸抹片受檢率之改善專案

A Project of Promoting the Rate of Papnicolaou Smear on the Female-Outpatient

邱鳳君(Feng-Chun Chiu) ； 許鳳美(Fong-Mei Hsu) ； 歐香縫(Shiang-Ferng Ou)

《榮總護理》 28卷3期 (2011/09) Pp. 314-321

https://doi.org/10.6142/VGHN.28.3.314

摘要

子宮頸癌一直是台灣婦女癌症前十大死因，但癒後五年的存活率卻是超過90%。本專案旨在提昇門診婦女子宮頸抹片受檢率，降低癌症侵襲的風險。本院於2004年6月即配合國民健康局辦理子宮頸抹片門診主動提示系統，當時受檢率為5.88%，但於2006年、2007年子宮頸抹片篩檢率僅4.34%及5.05%，故引發提出改善動機。經現況分析後，確立問題有缺乏門診子宮頸抹片檢查衛教相關訊息、子宮頸抹片檢查時間受限、護理人員未按標準流程執行篩檢作業。透過此專案實施：加強子宮頸抹片檢查衛教宣導、擴大子宮頸抹片檢查時間、加強同仁對子宮頸抹片檢查之認知，並提供獎勵措施等解決辦法。改善後門診婦女子宮頸抹片受檢率由5.05%提升至10.77%，期藉以落實癌症預防篩檢之觀念，減少後續醫療成本的支出。

關鍵字

門診婦女 ； 子宮頸抹片篩檢

並列摘要

In Taiwan, cervical cancer has long been one of the ten leading causes of mortality among women. This proposal is motivated by the fact that in 2006 and 2007, there were only 4.34% and 5.05% of our outpatients who took the pap smear respectively. The disappointing figures were only disclosed in the year of 2008 when we attended the national certification for quality of care for cancer patients. The problems should be lack of additional time on the day of outpatient clinic, no identifiable symptoms, being unable to meet the session of the smear, and having not been notified or instructed. We formulated the proposal that specifically corrected the problem. The patient no longer had to take pap smear on the same day. The session of our daily pap smear clinic had also been extended. Meanwhile, health education on cervical cancer was reinforced for both the patients and our colleagues. The rate of female-outpatient who took the pap smear increased from 5.05% to 10.77% after the proposal.

並列關鍵字

female-outpatient ； pap smear screening