The secondary prevention of the cervical cancer in the primary care establishments of healthcare system

3^rd Euro Nursing & Medicare Summit

July 27-29, 2015 Valencia, Spain

Yangieva G Z and Rahmatova HS N

Tashkent Medical Academy, Uzbekistan

Posters-Accepted Abstracts: J Nurs Care

Abstract :

Aim: The implementation of diagnostic method as screening of cervical cancer in primary care establishments. Method and materials: In Tashkent city there were conducted questioning among 1070 women in the age of 17-63. The aim of questioning was determining anamnesis and women�s knowledge about cervical pathology especially CC. Research methods conducted in 2 steps. In the first step all women were observed by clinic-visual method with usage of 3 or 5% acetic acid, and then Shiller�s test. In second step women were observed by colposcopy. Results: As cervical pathology occurs by women of various ages (15-60 and older) we conduct questioning among 1070 women in the age of 17-63, in Tashkent city. 86% of women were married, and 14% were not. It is known, that early sexual activities and a lot of sexual partners are one of the main risk factors for cervical pathology. So, 45% of women started their sexual activity at the age of 16-20, 25% at 21-26 and 30% till 35. 65% of respondents have had just one sexual partner, 22 % -two, 10% three and more, and 3% didn�t answer. The analyses of gynecologic anamnesis show, those 72% women had cervical erosion, 15% cervicitis, 6% other kind of the cervical pathology, and the others considered themselves as healthy. The analyses of obstetric anamnesis show, that women had no more than 4 pregnancies, also more then half of all women had various kinds of cervical and vaginal injuries during delivery. The results of questioning about women�s knowledge determined that all of them (81%) have an idea about cervical pathology. But answers to specific questions show that 60% respondents haven�t information about cause, signs, symptoms and complications of cervical pathology. Just 1/3 respondents could answer about main symptoms. 61% women are informed by medical workers, 16% by public sources, and 23 % others. Almost all women consider consulting with gynaecologist if they will have signs of genital pathology. Just 12 % of women were observed by gynaecologist first at age of 14-16, 44% at 17-20, and 64% after 20. But in reality just 55% of them went to doctor when they had problems, 70% of them went to gynaecologist, 8% to general doctor, 10% to oncologist, and 12% didn�t consult. During analyses of the time factor we determined that 55% women went to doctor in one month after appearance first signs of disease, 25% in three month, 20% in 6 month or depending on free time. The causes of this situation were: hadn�t free time to visit a doctor (60%), were afraid of gynaecologic observation and of diagnosis. Fear from gynaecologic observation had younger women (till 20 years old) and from diagnosis older women (40 and older). The clinic-visual method with usage of 3 or 5% acetic acid, and then the Shiller�s test found the positive results by 16,5% (33) of observed women. After that women with positive results were observed by colposcopy. In result 43% (13) women were with endocervicitis, 24% (8) with cervical erosion, 13% (4) adnexitis, 9% colpitis, 9% with uterus fibriod, 3% (1) with cervical fibroid and just one woman hadn�t cervical pathology. More than half of respondents ever had cervical pathology, and relatively high percent (21%) of situations with high risk of cancer. One of the perspective direction against CC is its prevention and treating them in early stages. Conclusions: In our research the clinic-visual method determined 16,5% cases of cervical pathology, which was confirmed after the colposcopy. Therefore, the clinic-visual method could be use as screening for secondary prevention of CC in the primary care establishments (polyclinics), because it is more accessible, easy, doesn�t need complicated equipment, less of expenditure both time and financial meaning.