Expressions of cervical cancer-related signs and symptoms

Expressions of cervical cancer-related signs and symptoms
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DOI:
10.1016/j.ejon.2010.06.003
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发表时间:
2011-02-01
影响因子:
2.8
通讯作者:
Mwinituo, Prudence P.
Mwinituo, Prudence P.
中科院分区:
医学2区
文献类型:
--
作者:
Issah, Fati;Maree, Johanna E.;Mwinituo, Prudence P.

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背景:宫颈癌是世界范围内女性第二大常见癌症。虽然发展中国家是宫颈癌的重灾区,但生活在欧洲的妇女也有患这种疾病的风险。研究目的:研究的目的是探讨在南非茨瓦内的一家学术医院接受宫颈癌治疗的妇女,在与卫生保健专业人员进行初步咨询时,如何表达她们的宫颈癌相关体征和症状。方法和样本:采用质性、探索性和情境性研究设计。采样方法有针对性,方便快捷。自我报告的数据收集使用半结构化访谈。迪克尔曼的诠释学分析方法被用来分析数据。结果:调查共发现四个主题:忽视、沟通、延迟诊断和期望。所有参与者都缺乏对宫颈癌体征和症状的了解和认识。大多数人未能沟通的真实的性质,他们的体征和症状,只有在几次访问后,诊断到基层健康clinic.Conclusion:护士应利用一切机会,以筛选妇女宫颈癌的妇女可能无法表达她的宫颈癌相关的体征和症状。(C)2010爱思唯尔有限公司保留所有权利。
Background: Cervical cancer is the second most common cancer in women worldwide. Although developing countries are the hardest hit by cervical cancer, women living in Europe are also at risk for this disease.Purpose of the study: The purpose of the study was to explore how women treated for cervical cancer at an academic hospital in Tshwane, South Africa, expressed their cervical cancer-related signs and symptoms during the initial consultation with health care professionals.Methods and sample: A qualitative, exploratory and contextual research design was used. The sampling method was purposive and convenience. Self-reported data were gathered using semi-structured interviews. Diekelmann's hermeneutical analysis approach was used to analyze the data. The sample size totaled 12 (n = 12).Results: Four themes emerged from the data - ignorance, communication, delayed diagnosis and expectations. All participants lacked knowledge and awareness of the signs and symptoms of cervical cancer. The majority failed to communicate the real nature of their signs and symptoms and was only diagnosed after several visits to the primary health clinic.Conclusion: Nurses should use every opportunity to screen women for cervical cancer as the woman might not be able to express her cervical cancer-related signs and symptoms. (C) 2010 Elsevier Ltd. All rights reserved.