宫颈癌科普讲座在中学女生宫颈癌一级预防中的应用价值  

Application value of cervical cancer science lectures in primary prevention of cervical cancer in middle school girls

作　　者：刘艳勃 吕雯 LIU Yanbo;LV Wen(Tongde Hospital of Zhejiang Province,Hangzhou 310012,China)

机构地区：[1]浙江省立同德医院,浙江杭州310012

出　　处：《中国现代医生》2021年第22期1-3,12,共4页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2020KY089)。

摘　　要：目的探讨宫颈癌科普讲座在中学女生宫颈癌一级预防中的意义与价值。方法2020年10月,选择杭州市某中学的634例女学生,进行宫颈癌科普宣教及问卷调查。结果中学女生中有性生活史232例,其中不安全性行为191例,生殖道感染257例。宫颈癌科普讲座宣教后,中学生对宫颈癌常见症状、宫颈癌高危因素(过早性生活及生育、吸烟、高危型HPV感染、人工流产次数、家族史)、宫颈癌预防措施(知晓宫颈癌可预防、适龄女性应定期宫颈癌筛查、防止多个性伴侣、性生活使用避孕套、不过早使用性生活及生育、生殖道感染)、HPV疫苗知识(HPV疫苗的作用及种类、接种的最佳年龄段、安全性及有效性、接种HPV疫苗的必要性、自费接种的意愿)等宫颈癌一级预防相关内容的认知均较前显著提高(χ^(2)值分别为80.370,135.593,47.245,113.642,86.484,60.832,144.512,49.487,39.552,47.202,74.912,80.773,59.665,78.205,97.030,31.010,41.604,P值均<0.05)。结论中学女生宫颈癌及癌前病变相关知识匮乏,宫颈癌知识科普宣教进校园,可显著提高宫颈癌知识、安全性行为及HPV疫苗知识的认知率,可成为青少年宫颈癌一级预防的重要策略。Objective To explore the significance and value of cervical cancer science lectures in primary prevention of cervical cancer in middle school girls.Methods A total of 634 female students from a middle school in Hangzhou were selected for cervical cancer science education and questionnaire survey in October 2020.Results There were 232 girls with sexual life history,including 191 girls with unsafe sexual activities and 257 girls with reproductive tract infection.After cervical cancer science lectures and education,the awareness of primary prevention of cervical cancer related knowledge was significantly improved in middle school girls,including common symptoms of cervical cancer,high-risk factors for cervical cancer(premature sexual activities and childbirth,smoking,high-risk HPV infection,number of induced abortions,and family history),and preventive measures for cervical cancer(knowing that cervical cancer can be prevented,women of the right age should be screened regularly for cervical cancer,to prevent multiple sexual partners,to use condoms during sexual life,no sexual life and childbirth too early,and reproductive tract infections),HPV vaccine knowledge(role and types of HPV vaccine,best age for vaccination,safety and effectiveness,necessity of HPV vaccination,and willingness to inoculate at one's own expense)(χ^(2) values were 80.370,135.593,47.245,113.642,86.484,60.832,144.512,49.487,39.552,47.202,74.912,80.773,59.665,78.205,97.030,31.010,and 41.604,and P values were all<0.05).Conclusion Middle school girls lack knowledge about cervical cancer and precancerous lesions.Cervical cancer science lectures in campuses can significantly increase the awareness of cervical cancer,safe sexual activities,and HPV vaccine.It can become an important strategy in the primary prevention of cervical cancer in adolescents.

关 键 词：科普讲座 宫颈癌 一级预防 中学生 女性 

分 类 号：R737.33[医药卫生—肿瘤]