The relationships between Pap smear strategies and outcome

• Main Authors: Ying-Hsia Kao, 高瑛霞
• Other Authors: Shu Yu
• Format: Others
• Language: zh-TW
• Published: 2007
• Online Access: http://ndltd.ncl.edu.tw/handle/25137447435616196449

碩士 === 國立陽明大學 === 社區護理研究所 === 95 === Cervical cancer has been taking place with high morbidity and resulting in high mortality among Taiwanese women. How to enhance women’s participation in the Pap smear screening to cut down the morbidity and mortality caused by cervical cancer has hence become a critical issue. The objective of this study is to explore the correlation between the promotional strategy of the Pap smear screening and its results in public health centers. This study is based on a cross-sectional design, taking public health centers in Taiwan, Penghu, Kinmen and Matsu as the subjects. Samples selected were the top 25% of the public health centers of 366 urban and rural townships who had higher Pap smear screening rate in 2005, totaling 186 outfits. The data was retrieved from the nursing personnel employed by public health centers and questionnaires issued totaled 1,245 copies with 1,070 copies returned. After deletion of the unqualified ones, the valid copies numbered 924, accounting for a return rate of 74.2%, of which included 163 public health centers as the analytic units. The results discovered: 1) For the promotion of the Pap smear screening, public health centers have applied many strategies, averaging 41.51 varieties out of a total of 47 varieties. The total number of strategies employed by the clusters with high screening rate is higher, of which the frequently used top 10 strategies covered individual sanitation education, poster promotion and single-sheet health flyer, postal cards, telephone conversation, and dispatch of activity notices to inform the general public of the scheduled screening. For the screening site, it was mostly held in public health centers with the nursing personnel playing a key role in the process. Besides, gifts were handed out and a disposable speculum as the sample-collecting tool was used for the promotion. The strategy of drawing was used for clusters with less screening rate. On the whole, strategies used for clusters with high or low screening rate are more or less the same. 2) Factors that affected employment of the promotional strategies by public health centers were the type of the public health center, average number of community residents that the nursing personnel of the public health centers served, average married rate, the ratio of pre-job training for the Pap smear screening activity and the average score for the attitude of the Pap smear screening promotion. 3) Factors that affected the screening rate of the Pap smear screening that public health centers have promoted included the type of the public health center, average number of community residents that the nursing personnel of the public health center served, average educational background, average total length of nursing seniority, and the average score for knowledge for employment of the Pap smear screening strategy. 4) Total number of strategies the public health centers used to prompte the Pap smear screening had obviously direct relationship with the screening rate although contents of the strategies used did not show any significant difference.