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자료유형
학술저널
저자정보
박영숙 (계명대학교) 박정숙 (계명대학교)
저널정보
대한종양간호학회 Asian Oncology Nursing Asian Oncology Nursing Vol.14 No.2
발행연도
2014.6
수록면
84 - 92 (9page)

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Purpose: This descriptive study was to identify predictors of follow-up screening among Korean women with low-grade abnormal Papanicolaou smears. Methods: This study was conducted among 158 eligible women with atypical squamous cells of undetermined significance (ASC-US) or low-grade squamous intraepithelial lesion (LSIL) on Pap smear tests from the out-patient department at an academic hospital. Data were collected on self-report questionnaires including demographics, beliefs, knowledge and psychosocial distress. Multivariate logistic regression was used to identify independent factors association with follow-up. Results: Of the 158 women with abnormal Pap smear results, 60.8% completed the recommended follow-up within 6months, and 39.2% did not. In multivariate analysis, attendance of follow-up was significantly increased with good explanation from health care providers (OR=4.89, 95% CI=1.96-12.13), having intention to follow-up (OR=7.96, 95% CI=1.88-33.65), increasing perceived benefit (OR=1.91, 95% CI=1.21-2.99) and decreasing perceived barriers (OR=1.41, 95% C I=1.13-1.74). Conclusion: Despite increasing rates of cervical cancer screening, pervasive problems in the adherence of follow-up of abnormal findings continue. We suggest more intensive interventions including good explanations by health care providers, educational programs for follow-up care and individualized implementations depending on barriers.

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