醫療職場婦女接受子宮頸抹片檢查與其相關影響因素之探討

Factors Influencing the Acceptance of Papanicolaou Smear Test among Women in the Medical Setting Women

師慧娟(Hui-Chuan Shih) ； 董道興(Tao-Hsin Tung) ； 明勇(Yong Ming)

《南臺灣醫學雜誌》 3卷1期 (2007/06) Pp. 30-38

https://doi.org/10.6726/MJST.200706_3(1).0006

摘要

目的：透過子宮頸抹片檢查可以簡單且有效的偵測早期子宮頸癌。本研究的目的在探究影響醫療職場婦女對於子宮頸癌篩檢的知識、態度及影響因素。方法：針對高雄地區某教學醫院，進行以醫院為主之橫段研究設計，針對30歲以上的醫療職場婦女，利用結構式問卷進行訪視，內容包括子宮頸抹片頻率、對子宮頸癌抹片檢查的知識和態度等。結果：本研究共發出514問卷，利用396份問卷進行分析，受訪率為77.0%。受訪婦女接受初次子宮頸抹片檢查的平均年齡為32.18±5.66歲，且其對子宮頸癌和子宮頸抹片檢查皆有相當高的知識答對比例（88.50%）以及正向的態度。雖然有80.0%的婦女表示曾做過抹片檢查，但僅有23.2%每年定期檢查，沒有接受子宮頸抹片的主要理由在於必須面對男性醫師進行檢查。此外，與子宮頸癌和抹片檢查的知識顯著相關因子為每年定期檢查、年齡、教育程度以及臨床職稱。決定婦女對於子宮頸癌和子宮頸抹片檢查的態度的因子包括每年定期檢查以及其臨床職業。結論：本研究顯示應針對子宮頸癌高風險婦女進行早期篩檢和處理，並提高醫療職場婦女對於定期子宮頸抹片檢查篩檢的意願。

關鍵字

子宮頸抹片檢查 ； 知識 ； 態度

並列摘要

Objective: It was the easiest way to detect early cervical cancer by the Papnicolaou (Pap) smear and therefore the patients can be treated effectively. The purpose of this study was to explore the knowledge, attitudes, and factors that might affect the women in the cervical cancer screening during their medical routine examination. Methods: Using a hospital-based, cross-section study model, 396 women aged 30 years and above during their regular medical examination were interviewed with structured questionnaires including the frequency of Pap smear received, knowledge and attitudes to cervical cancer and Pap smear screening in a teaching hospital in Kaohsiung, Taiwan. Results: The results showed that the mean age of received first Pap smear screening among participants was 32.185.66 years. The medical setting women had relative higher adequate knowledge in cervical cancer and Pap smear (88.50%) and had a positive attitude toward cervical cancer and Pap smear. Although 80.8% women reported having a Pap smear test, only 23.2% took this examination annually. The main reason not to take Pap smear examinations was mainly due intruding of privacy. In addition, the significant associated factors of knowledge in cervical and Pap smear were annual screening, age, education, and clinical professions. Factors that determine women's attitudes to the cervical cancer and Pap smear were annual screening program and clinical professions. Conclusions: Taken together, high-risk women should be encouraged to take part in Pap smear screening program and change the attitude of women about the negative images of Pap smear screening program.

並列關鍵字

papanicolaou smear test ； knowledge ； attitude