石家庄地区居民宫颈癌组织性筛查弃检情况调查分析

Investigation and analysis of abandonment of cervical cancer tissue screening in Shijiazhuang area

目的:探讨石家庄地区宫颈癌组织性筛查弃检情况,通过调查分析弃检原因,找到预防措施,从而提高本地区居民宫颈癌的筛查率,以减少宫颈癌的发生。方法:选取2021年1月—12月在河北省直属机关第一门诊部体检中心进行宫颈癌组织性筛查的已婚女性共计5654人,其中弃检人数355人。将弃检女性的弃检原因以调查问卷的形式进行信息收集,使用Excel汇总数据,采用描述性方法进行分析。结果:同期体检的已婚女性共计5654人,弃检355人,弃检率达6.28%(355/5654)。在弃检的355人中,因惧怕疼痛放弃妇科检查的226人,且为弃检的首要原因,占63.66%(226/355),其中,围绝经期女性因惧怕疼痛弃检的比例达81.42%(184/226);因为相关妇科知识缺乏,不了解宫颈癌筛查的目的和意义而选择放弃妇科检查的女性151人,弃检率42.54%(151/355);122人选择妇科彩超放弃妇科检查,弃检率34.37%(122/355)。结论:调查发现,惧怕疼痛为女性弃检妇科检查的首要因素,围绝经期女性是此项弃检原因的主要人群,缺乏相关妇科知识,不了解宫颈癌筛查的目的和意义检查也是弃检的主要原因。

Objective To investigate the abandonment of cervical cancer tissue screening in Shijiazhuang.Through investigation and analysis of abandonment reasons,find preventive measures.So as to improve the local residents cervical cancer screening rate,reduce the incidence of cervical cancer.Methods A total of 5654 married women who underwent cervical cancer screening in our physical examination center from January 1,2021 to December 31,2021 were selected,among them,355 were abandoned.The reasons for abandonment were collected in the form of questionnaires.Excel was used to summarize the date and descriptive statistical methods were used for analysis.Results Of the 5654 married women who underwent physical examination,355 dropped out,the abandonment rate reached 6.28%(355/5654).Fear of pain is the main reason for not getting tested,the abandonment rate reached 63.66%(226/355),among them,the proportion of perimenopausal women who gave up the examination due to fear of pain was 81.42%(184/226),151 women gave up cervical cancer screening due to lack of gynecological knowledge,the abandonment rate was 42.54%(151/355),122 people chose gynecological color Doppler ultrasound to give up gynecological examination,and the abandonment rate was 34.37%(122/355).Conclusion Investigation reveals that fear of pain is the main reason for not getting tested,perimenopausal women are the main reason for this rejection,lack of gynecological knowledge and the significance of cervical cancer screening are also the main reasons for abandoning cervical cancer screening.