Cervical Cancer Screening in Iranian Women: Healthcare Practitioner Perceptions and Views
Cervical Cancer Screening in Iranian Women: Healthcare Practitioner Perceptions and Views
复制标题
伊朗妇女的宫颈癌筛查：医疗保健从业者的看法和观点
DOI：
--
复制
发表时间：
2017
影响因子：
--
通讯作者：
M. Pakgohar
中科院分区：
文献类型：
--
作者：
M. Refaei;N. Nayeri;Z. Khakbazan;M. Pakgohar
背景资料：虽然用巴氏试验定期筛查宫颈癌是降低宫颈癌发病率和死亡率的一个重要因素，但目前伊朗妇女的实际筛查方案还不够全面。本研究的目的是探讨医疗保健提供者对影响伊朗妇女宫颈癌筛查因素的看法。研究方法：在2015年9月至2016年8月在伊朗哈马丹进行的这项定性研究中，我们对有目的地选择的14名医疗保健提供者进行了半结构化的深入访谈。所有采访都根据传统的主题分析方法进行记录、转录和分析。数据分析采用MAXQDA 10软件。结果如下：从数据中提取了四个主题：“宫颈癌筛查过程的管理效率低下，卫生保健提供者的个人和专业特征，个人障碍和促进者，卫生系统当局需要关注”。结论：加强官方对筛查的关注，确定挑战并根据这些挑战提供战略，将有助于实现成功的筛查计划。应针对医学生的专业特点，在理论培训的基础上，增加与客户互动的技巧。应通过向公众宣传，并通过媒体鼓励，努力提高对卫生保健提供者在巴氏试验方面的信任，并提高社会对这种筛查方式的接受程度。
Background: Although regular screening for cervical cancer with the Papanicolaou test is an important element for reducing the incidence and mortality of cervical cancer, the actual screening program in Iranian women is not sufficiently comprehensive at present. The purpose of this study was to explore healthcare provider perceptions of factors affecting cervical cancer screening in Iranian women. Methods: In this qualitative study performed from September 2015 to August 2016 in Hamadan, Iran, we conducted semi-structured in depth interviews with 14 healthcare providers selected purposefully. All interviews were recorded, transcribed and analyzed according to a conventional thematic analysis approach. MAXQDA10 software was employed for data analysis. Results: Four themes were extracted from data: “Inefficient management of cervical cancer screening process, Personal and professional characteristics of health care providers, Individual barriers and facilitators, Need for health system authorities to pay attention”. Conclusion: Increased official attention to screening, and identifying challenges and providing strategies based on these challenges will help in achieving a successful screening program. It is necessary to attend to professional features of medical science students and increase the skills of interaction with clients in addition to academic training. Efforts should be made to increase trust in healthcare providers regarding the Pap test and receptiveness of society to this screening modality through informing the public, with encouragement through the media.