提昇某區域教學醫院子宮頸抹片篩檢人數之改善專案

The Project of Increasing Participant Numbers to Receive Pap Smear Screening in Research Hospitals

黃玉燕(Yu-Yen Huang) ； 陳秀月(Hsiu-Yueh Chen) ； 劉珍如(Chen-Ju Liu)

《高雄護理雜誌》 26卷2期 (2009/11) Pp. 23-34

https://doi.org/10.6692/KJN-2009-26-2-3

摘要

子宮頸癌是威脅台灣全球最常見的癌症，而子宮頸抹片檢查是篩檢子宮頸癌最有效的方法。衛生局2007年訂定本院抹片篩檢人數年度目標為6,000人，但截至2007年8月31日只有3,504人，明顯不足，故引發本專案改善動機，希望透過專案改善提昇篩檢人數，以達到早期發現早期治療的目的。經調查發現婦女受檢認知不足、受檢流程繁瑣、檢查時暴露隱私、醫護人員未告知篩檢訊息、社區篩檢場次少。解決方案有製作衛教單、播放衛教短片、簡化篩檢流程、增加女醫師及轉介時段並列印轉介單、減少身體暴露、規劃獎勵措施、人力規劃及增加社區篩檢場次等。經改善措施實施後，篩檢人數達6,769人，超越目標值6,000人，期望婦女透過專案實施後，能早期發現早期治療子宮頸癌，降低未來醫療成本。

關鍵字

子宮頸抹片 ； 子宮頸抹片篩檢

並列摘要

Cervical cancer is one of the common malignant diseases for Taiwanese women, and Pap smear screening is the most effective tool for its early detection. Although 6,000 Pap smear screenings was the goal set by the Department of Health in our women's hospital, only 3,504 women had participated in this program by August 31, 2007. The enhancement of participation in the Pap smear screening for「early detection, early prevention」 hence became a critical issue for this project. The results showed that lack of information, a complex process, privacy considerations, few community promotions, and little information from health care professionals were barriers to participation in the screening program. The resolutions included providing health information, a user-friendly process, more female doctors, enhancing the transfer service, less privacy exposure, an incentive plan, and increased human resources and Pap smear screening in the community. At the end of this project, participant numbers reached 6,769, which was over the target level of 6,000 women in 2008. Women are expected to participate in this program for early prevention of cervical cancer. Furthermore, the cost of its treatment may be reduced.

並列關鍵字

cervical cancer ； Pap smear screening