Attitudes and Practices Contributing to Vaginal Stenosis in Women with Cervical Cancer Following Brachytherapy at Cancer Diseases Hospital in Lusaka, Zambia. A Cross Sectional Study  

作　　者：Royda Matipa Catherine Mubita Ngoma Sebean Mayimbo Victoria Mwiinga Kalusopa Christopher Simoonga Nasson Nathan Tembo Michael Banda Jamia Milanzi Royda Matipa;Catherine Mubita Ngoma;Sebean Mayimbo;Victoria Mwiinga Kalusopa;Christopher Simoonga;Nasson Nathan Tembo;Michael Banda;Jamia Milanzi(Department of Nursing Faculty of Health Sciences, Chreso University, Lusaka, Zambia;Department of Midwifery, Women’s and Child Health School of Nursing Sciences, University of Zambia, Lusaka, Zambia;Department of Basic and Clinical Sciences, School of Nursing Sciences, University of Zambia, Lusaka, Zambia;Department of Epidemiology and Biostatistics, University of Zambia, Lusaka, Zambia;Department of Humanities and Social Sciences, UNICAF University, Lusaka, Zambia;Department of Nursing Sciences, Mulungushi University, Kabwe, Zambia)

机构地区：[1]Department of Nursing Faculty of Health Sciences, Chreso University, Lusaka, Zambia [2]Department of Midwifery, Women’s and Child Health School of Nursing Sciences, University of Zambia, Lusaka, Zambia [3]Department of Basic and Clinical Sciences, School of Nursing Sciences, University of Zambia, Lusaka, Zambia [4]Department of Epidemiology and Biostatistics, University of Zambia, Lusaka, Zambia [5]Department of Humanities and Social Sciences, UNICAF University, Lusaka, Zambia [6]Department of Nursing Sciences, Mulungushi University, Kabwe, Zambia

出　　处：《Open Journal of Obstetrics and Gynecology》2022年第11期1202-1214,共13页妇产科期刊（英文）

摘　　要：Background: Vaginal stenosis is an important adverse effect of brachytherapy for cervicalcancer. This study aimed to determine attitudes and practices contributing to vaginal stenosis following brachytherapy at the Cancer Diseases Hospital in Lusaka—Zambia. Methods: An analytical cross-sectional study design was employed, where 163 respondents were randomly selected after meeting inclusion criteria. A researcher-administered questionnaire was used to collect data and SPSS version 25 was used for data analysis. Results: Out of the 163 women enrolled in this study, 42.3% had developed vaginal stenosis while 57.7% did not with age range 15 - 60+ years. 76% exhibited good practices to measures against vaginal stenosis while majority (93.9%) of the respondents demonstrated poor attitudes towards measures to prevent the condition. Women with poor practices versus good practices (OR = 1.07, CI = 0.52 - 2.21, p = 0.855), poor attitudes versus good attitudes (aOR = 1.28, CI = 0.29 - 5.71, p = 0.746) and those employed versus unemployed (aOR = 1.76, CI = 0.73 - 4.27, p = 0.210) had increased odds of vaginal stenosis. However, these increasing effects were not significant at 5% level of significance. Although length of brachytherapy showed no significant effect independently, the odds of having vaginal stenosis were over 2 times higher for women who had been on brachytherapy between 6 and 12 months compared to those on brachytherapy for less than 6 months (OR = 2.45, CI = 1.03 - 5.82, p = 0.042). Conclusions: Failure to practice recommended measures and poor attitudes towards therapy contributes to vaginal stenosis. Efforts should be channeled towards overcoming religious, traditional, cultural and personal impediments contributing to vaginal stenosis in women with cervical cancer receiving brachytherapy.Background: Vaginal stenosis is an important adverse effect of brachytherapy for cervicalcancer. This study aimed to determine attitudes and practices contributing to vaginal stenosis following brachytherapy at the Cancer Diseases Hospital in Lusaka—Zambia. Methods: An analytical cross-sectional study design was employed, where 163 respondents were randomly selected after meeting inclusion criteria. A researcher-administered questionnaire was used to collect data and SPSS version 25 was used for data analysis. Results: Out of the 163 women enrolled in this study, 42.3% had developed vaginal stenosis while 57.7% did not with age range 15 - 60+ years. 76% exhibited good practices to measures against vaginal stenosis while majority (93.9%) of the respondents demonstrated poor attitudes towards measures to prevent the condition. Women with poor practices versus good practices (OR = 1.07, CI = 0.52 - 2.21, p = 0.855), poor attitudes versus good attitudes (aOR = 1.28, CI = 0.29 - 5.71, p = 0.746) and those employed versus unemployed (aOR = 1.76, CI = 0.73 - 4.27, p = 0.210) had increased odds of vaginal stenosis. However, these increasing effects were not significant at 5% level of significance. Although length of brachytherapy showed no significant effect independently, the odds of having vaginal stenosis were over 2 times higher for women who had been on brachytherapy between 6 and 12 months compared to those on brachytherapy for less than 6 months (OR = 2.45, CI = 1.03 - 5.82, p = 0.042). Conclusions: Failure to practice recommended measures and poor attitudes towards therapy contributes to vaginal stenosis. Efforts should be channeled towards overcoming religious, traditional, cultural and personal impediments contributing to vaginal stenosis in women with cervical cancer receiving brachytherapy.

关 键 词：ATTITUDE PRACTICES Cervical Cancer BRACHYTHERAPY 

分 类 号：R73[医药卫生—肿瘤]