Changes in public health nurses' knowledge and perception of counseling and clinical skills for breast and cervical cancer control.
Changes in public health nurses' knowledge and perception of counseling and clinical skills for breast and cervical cancer control.
复制标题
公共卫生护士对乳腺癌和宫颈癌控制咨询和临床技能的知识和看法的变化。
DOI：
10.1097/00002820-200010000-00012
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发表时间：
2000
期刊：
影响因子：
--
通讯作者：
Herman,C
中科院分区：
文献类型：
--
作者：
Tessaro,I;Herman,C
本研究讨论了两项调查的结果，459名护士在公共卫生工作的知识和看法的咨询和临床技能有关的乳腺癌和宫颈癌的控制。第一次调查是在1993年进行的，当时北卡罗来纳州还没有开始乳腺癌和宫颈癌控制计划（BCCCP）的专业教育工作。第二次调查于1996年进行。结果表明，从1993年到1996年，认识到年龄增长、未生育、晚育和家族史是乳腺癌的危险因素，吸烟和初次性交年龄早是宫颈癌的危险因素的人数有了显著增加。与1993年的评级相比，1996年护士的技能更有可能被评为优秀或非常好，如教育妇女乳房X线照相术、进行临床乳房检查、通过示范进行乳房自我检查、进行巴氏涂片和双合诊以及就异常巴氏试验向妇女提供咨询。参加BCCCP赞助的成人身体评估课程的护士更有可能知道乳腺癌和宫颈癌的正确风险因素，并在教授乳房自我检查，进行巴氏涂片检查和咨询妇女异常巴氏试验方面表现出改善。
This study discusses the findings from two surveys of 459 nurses working in public health about their knowledge and perception of counseling and clinical skills related to breast and cervical cancer control. The first survey was conducted in 1993 before professional education efforts with the Breast and Cervical Cancer Control Program (BCCCP) began in North Carolina. The second survey was carried out in 1996. The results show a significant increase from 1993 to 1996 in recognition of increasing age, nulliparity, late childbearing, and family history as risk factors for breast cancer, and for smoking and early age at first sexual intercourse as risk factors for cervical cancer. Nurses’ skills were more likely to be rated as excellent or very good in 1996 as compared with ratings in 1993 for educating women about mammography, performing a clinical breast examination, teaching breast self-examination by demonstration, performing a Papanicolaou (Pap) smear and bimanual examination, and counseling women about abnormal Pap tests. Nurses who took a BCCCP-sponsored adult physical assessment course were more likely to know correct risk factors for breast and cervical cancer, and to show improvement in teaching breast self-examination, performing a Pap smear, and counseling women about abnormal Pap tests.