在纳米比亚温德霍克的被诊断为HPV的妇女身上使用AAVI和冷疗法进行宫检查
Aune Mbadhi1, Yapo Guill Aboua1, Larai Aku Akai1
1Namibia University of Science and Technology, Windhoek, Namibia.
概括
纳米比亚 纳米比亚 纳米比亚 纳米比亚
科学领域:
- 公共卫生 公共卫生
- 妇科 妇科医生 妇科
- 传染性疾病 传染性疾病
背景情况:
- 纳米比亚卫生和社会服务部 (MoHSS) 在2018年取代了巴氏涂抹以乙酸视觉检查 (AAVI) 和冷治疗为宫癌前期治疗.
- 这一转变旨在改善宫癌查和治疗的可用性.
研究的目的:
- 评估纳米比亚被诊断患有人类乳头瘤病毒 (HPV) 的妇女的AAVI和冷治疗计划的有效性和患者体验.
主要方法:
- 这是一项涉及纳米比亚两家医疗机构265名年龄在20至49岁的妇女的横截面研究.
- 通过问卷和面对面采访收集的数据,使用SPSS和编码主题进行分析.
主要成果:
- 62%的参与者检测出HPV阳性,其中53%的人被转诊为冷治疗,8%的人被转诊为宫内皮质新生病 (CIN I-III) 的结肠镜检查.
- 在怀孕和HPV状态之间发现了显著的关联 (P < .001).
- 80%的人报告过渡性盆腔不适;10%的人在术后经历了可控的棕色色排泄.
结论:
- 对HPV阳性女性来说,AAVI和冷疗法是有效的,尽管可以改善患者的舒适度.
- 卫生卫生部应该重新评估目前的政策,以加强AAVI和冷治疗的推广和实施.
相关概念视频
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