6^th World Nursing and Healthcare Conference

Biography

Biography: Jalilova Surayyo

Abstract

Women’s health as well as their abilities to become good mothers and live active family and social life largely depends on their reproductive health. Issues of protection of mother- and childhood have been given a particular priority since early independence of our country. Since recent years we can observe increased frequency of cervical diseases (CD) in women aged 20-40. The incidence rate of the diseases in this age group has increased to reach 2.1% a year and now causes a concern, as women of this particular age group represent the most socially and reproductively active share of the country’s population. According to summary statistics, incidence rates of ectopy make 25-39% of all pathologies occurring in the cervix uteri. Aims of the Research: Review the scope of competence and performance of the nursing staff in the issues relating to cervical diseases (CD). Research findings: In order to review the scope of competence of medical nurses in the afore mentioned issues, we have designed a questionnaire covering 13 issues relating to cervical diseases including their diagnostics and prevention, based on which we have questioned 446 medical nurses from 60 family policlinics in Tashkent Findings from the survey show that however 93.0 ± 1.2% of medical nurses are aware of the issues relating to CD, the knowledge they have is not always correct and complete. So, for example, most respondents mentioned cervical erosion as a most common inflammatory disease of the female reproductive system 85.0±1.7%; the second by the level of incidence, in their opinion is cervicitis 16.7± 1.7%, however this should be salpingoopharitis (only 5.4±0.9% answers). According to opinions of the survey respondents, cervical erosion 76.9±2.0%, candiloma and polypus 9.4± 1.4% are inflammatory diseases of the cervix uteri, while the original inflammatory disease of cervicitis was marked as a correct answer by solely the quarter of the medical nurses 24.9 ±2.0%, and 3±0.8% of the tested could not answer the question. Undoubtedly, ectopy is a dangerous cervical disease however it is far to be considered as an immediate background process for cervical cancer development, though it was chosen by the majority of respondents 44.6±2.3%. Only about 37% of our respondents were able to name the background cervical cancer diseases correctly: polypus 23.2±2.0%, leukoplakia 8.3±1.3%, erythroplakia 5.8±1.1%. 10.9±1.5% of those asked could not answer the questions relating to background diseases for cancer of cervix uteri. It is obvious from the findings that the scope of competence of medical nurses working at family polyclinics, in the issues of cervical diseases is incomplete and insufficient. 69.5±2.2% of medical nurses have come across precancerous diseases in their practical work. Those who have seen patients with possible cervical cancer development are 46.6±2.3% of respondents. According to the respondents, these patients should seek advice of oncologists 61.6±2.3%, gynecologists 28.0±2.1%, breast physicians 4.2±0.5% and of GP 1.6±0.1%. When answering the question, many respondents picked several doctors (average number of answers made 1.3). 15.2±0.38% of respondents were not sure of where the patients suffering possible malignant developments upon the body of their cervix uteri should seek medical advice. When asked about the incidence rates of cancer localization in the female genital organs, 71.3±0.83% of respondents indicated the cervical cancer, 29±0.4% of them indicated – the vulva cancer, 5.38±0.23% - ovarian carcinoma and 2.5 – uterine cancer. Among all factors causing the development of cervical cancers, the human papilloma virus was correctly indicated and was put on the first place by 63.4 ±0.8% respondents. These are followed by the second by their severity risk factors - various complex cervical diseases mentioned by 7.6±0.3%, which occupied only the fourth place in this ranking. The second place in the opinion of respondents can be given to abortions 29.8±0.5%, the third place belongs to hormonal factors 10.9±0.3%, and the fifth – environmental factors 6.9±0.3%. Many of respondents listed several risk factors (1.3). So, all respondents were able to demonstrate good knowledge of risk factors causing cervical cancers. We could also observe good competence of the medical staff in the issues of practical diagnostics for cervical cancer diseases including cytological method mentioned by 81.2±0.9% of respondents, colposcopy 11.2±0.3%, ultrasound examination – 9.9±0.3%, only 3.5±0.2% of respondents could not answer the question, whereas some of the survey participants named several diagnostics methods at a time. Most of medical nurses consider prevention as the most effective measure in combating cervical cancers and various precancerous cervical diseases. 47.3±0,7% of all respondents could properly indicate the level of efficacy of the secondary prophylaxis in 80% of cases, while 18.4±0,4% respondents believe that prevention can be effective in 100% of cases. However, one third of the respondents 34±0.6% think that prevention can be effective in less than half of incidents, that can be regarded as negative data. In our respondents’ judgment, main cervical diseases prevention activities amongst women should be carried out by gynecologists, oncologists, GPs, while medical nurses’ involvement in these works is given only 32,3±0.5%. When asked if cervical diseases prevention issues, including prevention of cervical cancer, are effectively promoted among population, only the half of the respondents could answer positively 56.0±0.7%. So it can be concluded that findings from the survey among medical staff have demonstrated good level of competence in the issues relating to cervical diseases, deflated self-esteem within this category of personnel of family policlinics in terms of their involvement in the activities focused on reducing the incidence rates of cervical diseases, as well as their dissatisfaction with the quality and performance of prevention and awareness raising activities accomplished at their workplaces.