宫颈癌初筛阳性者阴道镜检查依从性现状及其影响因素分析  

Analysis of Current Situation and Influencing Factors of Colposcopy Compliance in Persons with Positive Initial Screening for Cervical Cancer

作　　者：叶素琪 廖秀娟 李映芳 易丹妮 何耀娟 Ye Suqi;Liao Xiujuan;Li Yingfang;Yi Danni;He Yaojuan(Women and Children's Medical Center Affiliated with Guangzhou Medical University,Guangzhou 510623,Guangdong Province,China)

机构地区：[1]广州医科大学附属妇女儿童医疗中心,广东广州510623

出　　处：《中国社区医师》2024年第26期130-132,共3页Chinese Community Doctors

摘　　要：目的:了解宫颈癌初筛阳性者阴道镜检查依从性现状,分析其影响因素。方法:选择2023年1—12月广州医科大学附属妇女儿童医疗中心收治的宫颈癌初筛阳性者300例(均行广州市增城区免费两癌筛查项目)作为研究对象,分为依从组(自愿接受阴道镜检查)、不依从组(不接受阴道镜检查)。比较两组一般资料,分析宫颈癌初筛阳性者阴道镜检查依从性的影响因素。结果:300例宫颈癌初筛阳性者,120例患者自愿接受阴道镜检查,检查依从性为40.00%(120/300)。年龄大、学历低、疾病认知不足、家庭月收入低、自费检查费用、居住地与医院距离远是宫颈癌初筛阳性者阴道镜检查依从性的独立危险因素(P<0.05)。结论:年龄、学历、疾病认知情况、家庭月收入、检查费用支付方式、居住地与医院距离是宫颈癌初筛阳性者阴道镜检查依从性的影响因素,临床需对宫颈癌初筛阳性者进行针对性宣教,提高其阴道镜检查依从性及诊治效果。Objective:To understand the current situation of colposcopy compliance in persons with positive initial screening for cervical cancer and analyze the influencing factors.Methods:A total of 300 persons with positive initial screening for cervical cancer who were admitted to the Women and Children's Medical Center Affiliated with Guangzhou Medical University from January 2023 to December 2023 were selected as the study subjects.They all received free screening programs for two cancers in Zengcheng District of Guangzhou.They were divided into compliance group(voluntarily received colposcopy)and non-compliance group(received no colposcopy).General information was compared between two groups.The influencing factors of colposcopy compliance in persons with positive initial screening for cervical cancer were analyzed.Results:Among 300 persons with positive initial screening for cervical cancer,120 cases voluntarily received colposcopy,with an examination compliance rate of 40.00%(120/300).The advanced age,low education level,insufficient disease awareness,lower monthly family income,self-payment of examination fees,and distant distance between residence and hospital were the independent risk factors of colposcopy compliance in persons with positive initial screening for cervical cancer(P<0.05).Conclusion:Age,education level,disease awareness,monthly family income,payment of examination fees,and distance between residence and hospital are the influencing factors of colposcopy compliance in persons with positive initial screening for cervical cancer.In clinical setting,it is necessary to carry out targeted education for persons with positive initial screening for cervical cancer,so as to improve their compliance with colposcopy and the effectiveness of diagnosis and treatment.

关 键 词：宫颈癌初筛阳性 阴道镜检查 依从性 影响因素 

分 类 号：R737.3[医药卫生—肿瘤]