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題名:提昇門診婦女子宮頸抹片受檢率之改善專案
書刊名:榮總護理
作者:邱鳳君許鳳美歐香縫
作者(外文):Chiu, Feng-chunHsu, Fong-meiOu, Shiang-ferng
出版日期:2011
卷期:28:3
頁次:頁314-321
主題關鍵詞:門診婦女子宮頸抹片篩檢Female-outpatientPap smear screening
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:9
  • 點閱點閱:1
子宮頸癌一直是台灣婦女癌症前十大死因,但癒後五年的存活率卻是超過90%。本專案旨在提昇門診婦女子宮頸抹片受檢率,降低癌症侵襲的風險。本院於2004年6月即配合國民健康局辦理子宮頸抹片門診主動提示系統,當時受檢率為5.88%,但於2006年、2007年子宮頸抹片篩檢率僅4.34%及5.05%,故引發提出改善動機。經現況分析後,確立問題有缺乏門診子宮頸抹片檢查衛教相關訊息、子宮頸抹片檢查時間受限、護理人員未按標準流程執行篩檢作業。透過此專案實施:加強子宮頸抹片檢查衛教宣導、擴大子宮頸抹片檢查時間、加強同仁對子宮頸抹片檢查之認知,並提供獎勵措施等解決辦法。改善後門診婦女子宮頸抹片受檢率由5.05%提升至10.77%,期藉以落實癌症預防篩檢之觀念,減少後續醫療成本的支出。
In Taiwan, cervical cancer has long been one of the ten leading causes of mortality among women. This proposal is motivated by the fact that in 2006 and 2007, there were only 4.34% and 5.05% of our outpatients who took the pap smear respectively. The disappointing figures were only disclosed in the year of 2008 when we attended the national certification for quality of care for cancer patients. The problems should be lack of additional time on the day of outpatient clinic, no identifiable symptoms, being unable to meet the session of the smear, and having not been notified or instructed. We formulated the proposal that specifically corrected the problem. The patient no longer had to take pap smear on the same day. The session of our daily pap smear clinic had also been extended. Meanwhile, health education on cervical cancer was reinforced for both the patients and our colleagues. The rate of female-outpatient who took the pap smear increased from 5.05% to 10.77% after the proposal.
期刊論文
1.張靖梅、林獻鋒(20090900)。婦女未曾接受子宮頸抹片檢查之質性研究。護理暨健康照護研究,5(3),211-219。new window  延伸查詢new window
2.陳慈怡、李嬿如、游山林、陳建仁、謝長堯、陳素秋(20051000)。全民健保實施前後影響子宮頸抹片篩檢之因素及成果。臺灣公共衛生雜誌,24(5),440-451。new window  延伸查詢new window
3.李美鶯、魏美玲、柯月鈴、施美智、陳怡儒、葉昭幸(20051200)。以『電腦提示系統』提升子宮頸抹片檢查篩檢率之改善專案。腫瘤護理雜誌,5(2),51-62。  延伸查詢new window
4.林欣樺、陳淑華、鄭秀玉、陳秀敏(20070200)。提昇子宮頸抹片篩檢率之改善專案。護理雜誌,54(1),62-69。new window  延伸查詢new window
5.廖正義(2004)。漫談子宮頸抹片檢查。高雄榮總醫訊,7(9),7。  延伸查詢new window
6.鄭丞傑(20040400)。子宮頸抹片檢查的最新準則。臺北市醫師公會會刊,48(4),36-39。  延伸查詢new window
7.Fey, M. C.、Beal, M. W.(2004)。Role of human papilloma virus testing in cervical cancer prevention。Journal of Midwifery & Women's Health,49(1),4-12。  new window
8.Holroyd, E.、Twinn, S.、Adab, P.(2004)。Social-cultural influences on Chinese women's attendance for cervical screening。Journal of Advanced Nursing,46(1),42-52。  new window
9.Sirocich, Brenda E.、Woloshin, Steven、Schwartz, Lisa M.(2005)。Screening for cervical cancer: Will women accept less?。The American Journal of Medicine,118(2),151-158。  new window
10.Howson, K.(2003)。Pap screening relief。U. S. News World Report,135(14),73。  new window
學位論文
1.李瑞美(2008)。子宮頸抹片篩檢門診提示系統」臨床實施效果之分析研究(碩士論文)。國立陽明大學。  延伸查詢new window
2.李藝珈(2007)。全民健康保險子宮頸癌醫療給付改善方案對醫療院所子宮頸抹片篩檢率之影響(碩士論文)。國立陽明大學。  延伸查詢new window
3.蔡明芸(2006)。影響婦女接受子宮頸抹片檢查相關因素之探討-以花蓮地區篩檢站婦女為例(碩士論文)。慈濟大學。  延伸查詢new window
其他
1.行政院衛生署(2008)。衛生統計資訊網,http://www.doh.gov.tw/statistic/index.htm。  延伸查詢new window
2.行政院衛生署(2009)。獎勵低收入戶30歲以上婦女接受子宮頸抹片篩檢,http://www.gov.tw/newscenter/pages/detail.aspx?page=f71d0923-0128-4b0d-867f-fd617be70705.aspx。  延伸查詢new window
3.國民健康局(2006)。定期接受子宮頸抹片檢查可保健康,http://bhp.doh.gov.tw/BHPnet /portal/file/ThemeDocFile/200805201126342127/970411.pdf。  延伸查詢new window
4.World Healh Organization(20081105)。Mortality and death registration,http://www.who.int/healthinfo/en。  new window
 
 
 
 
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