纳入 HPV 检测对治疗意义不明的非典型鳞状细胞女性的社会心理影响：一项在中等收入国家进行的随机实用试验中的研究,Psychology & Health

当前位置： X-MOL 学术 › Psychol. Health › 论文详情

Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)

纳入 HPV 检测对治疗意义不明的非典型鳞状细胞女性的社会心理影响：一项在中等收入国家进行的随机实用试验中的研究
Psychology & Health ( IF 2.4 ) Pub Date : 2019-10-18 , DOI: 10.1080/08870446.2019.1678749
Isabel C Garcés-Palacio ₁ , Gloria I Sanchez ₂ , Armando Baena Zapata ₂ , Verónica Córdoba Sánchez ₃ , Yenny Urrea Cosme ₃ , David Rodríguez Zabala ₃ , Mario Alberto Ruiz Osorio ₃

Affiliation

摘要目的：评估人乳头瘤病毒 (HPV) 检测、阴道镜检查和子宫颈抹片检查作为具有未确定意义的非典型鳞状细胞 (ASCUS) 的子宫颈抹片检查后的分类策略的心理社会影响。我们还试图根据策略的结果评估社会心理影响。方法：在一项随机实用试验中，该试验比较了立即阴道镜检查、重复子宫颈抹片检查和高风险 HPV 检测，我们在 2012 年至 2014 年间招募了 675 名女性。参与者在入组时、分流检测结果后两周和 1此后一年评估宫颈癌和 HPV 知识、自尊、焦虑和 HPV 影响 (HIP)。结果：知识、自尊、焦虑和 HIP 得到改善，两组之间没有差异。在基线，31.4% 和 32。7% 的参与者分别有状态焦虑和特质焦虑，在上次调查中分别下降到 10.7% 和 13.3%。与 HPV 阴性女性相比，第二次调查中 HPV 阳性女性的 HIP 评分更差（HPV–：M 22.9 [SD：15.20]；HPV+：M 35.9 [SD：19.91]；p < 0.001）、特质焦虑（HPV –：M 15.4 [SD 12.73]；HPV+：M 22.9 [SD 13.29]；p = 0.001）和状态焦虑（HPV-：M 10.7 [SD 11.25]；HPV+：M 21.4 [SD 14.81]；p）<0。 . 结论：HPV 检测作为 ASCUS 女性的分类策略在心理社会结果方面与阴道镜检查或子宫颈抹片检查没有区别。亮点 HPV 检测适合作为 ASCUS 女性的分类策略。患有 ASCUS 的女性需要接受教育和获得社会心理支持。HPV 阳性的女性以及有公共医疗保险的女性更需要社会心理支持。

"点击查看英文标题和摘要"

Psychosocial impact of inclusion of HPV test on the management of women with atypical squamous cells of undetermined significance: a study within a randomised pragmatic trial in a middle-income country

Abstract Objective: To assess the psychosocial impact of human papillomavirus (HPV) testing, colposcopy, and Pap-smear, as triage strategies after a Pap-smear with atypical squamous cells of undetermined significance (ASCUS). We also sought to evaluate the psychosocial impact based on the results of the strategies. Methods: Nested within a randomised pragmatic trial, which compared an immediate colposcopy, repeat Pap-smear, and high risk HPV test, we enrolled 675 women between 2012 and 2014. Participants completed surveys at enrollment, two weeks after triage test results, and 1 year thereafter to assess cervical cancer and HPV knowledge, self-esteem, anxiety and HPV impact (HIP). Results: Knowledge, self-esteem, anxiety and HIP improved with no differences among arms. At the baseline, 31.4% and 32.7% of the participants had state anxiety and trait anxiety, respectively, which decreased to 10.7% and 13.3% in the last survey. Compared to HPV-negative women, HPV-positive women in the second survey had worse HIP scores (HPV–: M 22.9 [SD: 15.20]; HPV+: M 35.9 [SD: 19.91]; p < 0.001), trait anxiety (HPV–: M 15.4 [SD 12.73]; HPV+: M 22.9 [SD 13.29]; p = 0.001), and state anxiety (HPV-: M 10.7 [SD 11.25]; HPV+: M 21.4 [SD 14.81]; p < 0.001). Conclusions: HPV testing as a triage strategy for women with ASCUS does not differ from colposcopies or Pap-smears in terms of psychosocial outcomes. Highlights HPV testing is suitable as a triage strategy for women with ASCUS. Women with ASCUS need education and access to psychosocial support. HPV-positive women as well as women with public health insurance are more in need of psychosocial support.

更新日期：2019-10-18

点击分享查看原文

点击收藏

阅读更多本刊新发论文