Objective To Investigate the cervical cancer patients' knowledge and situation concerniug cervical cancer screening and explore the connection of cervical cancer screening status and clinical stage at diagnosis of cervical lesions.Methods Questionnaires were done for the cervical cancer patients who went to Peking University People's Hospital from February 2010 to October 2011.The patient's age,first visit or not,cause for treatment,awareness of cervical cancer now as well as that before diagnosis of the disease,the last cervical cancer screening' time and the clinical stage were recorded.The results of questionnaires were analyzed with SPSS 16.0.Results (1) One hundred and thirty-eight cases were collected and the average age was (48 ± 10) years old.Concerning the awareness level,the patients were divided into three groups of 10 points,5 points and 0 point based on the score of the second parts of the questionnaires.The number of the patients of the above three groups were 114 ( 82.6％ ),18 ( 13.0％ ) and 6 (4.3％ ) at present,while before the cancer diagnosis the number of the patients of the above three groups were 5 (3.6％),13 (9.4％) and 120 (87.0％).Patient's awareness level was much higher now than that before the cancer diagnosis(P ＜0.05 ).(2) Based on the last cervical cancer screening time,the patients were divided into four groups including within one year ( group 1 ),a year ago but within three years ( group 2),three years ago (group 3) and never done (group 4).There were 9 (6.5％) cases in group 1,30 (21.7％) cases in group 2,29 (21.0％) cases in group 3 and 70 ( 50.7％ ) cases in group 4.There were 5 (5/9)cases with stage Ⅰ a,3 (3/9)cases with stage Ⅰ b and 1 ( 1/9)case with stage Ⅱ or above in group 1;11 (36.7％,11/30) cases with stage Ⅰ a,15 (50.0％,15/30) cases with stage Ⅰ b and 4 (13.3％,4/30) cases with stage Ⅱ or above in group 2;5 (17.2％,5/29) cases with stage Ⅰ a,14 (48.3％,14/29 ) cases with stage Ⅰ b was and 10 ( 34.5％,10/29 )cases with stage Ⅱ or above in group 3;7 (10.0％,7/70) cases stage with Ⅰ a,35 (50.0％,35/70) cases with stage Ⅰ b and 28 (40.0％,28/70) cases with stage Ⅱ or above in group 4.The results showed that there was an increasing trend of advanced cervical carcinoma at diagnosis for the patients with longer last cervical cancer screening time (P ＜0.05 ).Conclusions People's awareness level is much higher after being educated in cervical cancer.Among the cervical cancer patients,the probability of diagnosed patients with advanced cervical cancer has an increasing trend when their screening situation is poor.To raise the screening attendance rate among appropriate women,we should spread knowledge of cervical cancer to the population.%目的 初步了解知识宣教对宫颈癌患者认知度的影响,及宫颈癌患者既往筛查情况与宫颈癌诊断时临床分期的关系.方法 选取2010年2月至2011年10月就诊于北京大学人民医院的宫颈癌患者进行问卷调查,记录其年龄、就诊原因、就医前后对宫颈癌的认知度、末次宫颈癌筛查时间和宫颈癌诊断时临床分期,对问卷内容进行统计分析.结果 (1)入组宫颈癌患者共138例,平均年龄( 48±10)岁.就医前对宫颈癌的认知度得分为10、5和0分者分别为5例(3.6％)、13例(9.4％)和120例(87.0％),就医后认知度得分为10、5和0分者分别为114例(82.6％)、18例(13.0％)和6例(4.3％),宫颈癌患者就医前、后认知度比较,差异有统计学意义(P＜0.05).(2)末次宫颈癌筛查时间为＜1年、1～3年、＞3年和从未筛查的宫颈癌患者分别为9例(6.5％)、30例(21.7％)、29例(21.0％)和70例(50.7％).其中,末次筛查时间＜1年者的临床分期Ⅰa期、Ⅰb期、Ⅱ期及以上分别占5/9、3/9、1/9,1～3年者分别占36.7％ (11/30)、50.0％ (15/30)、13.3％(4/30),＞3年者分别占17.2％(5/29)、48.3％ (14/29)、34.5％( 10/29),从未筛查者分别占10.0％( 7/70)、50.0％ (35/70)、40.0％(28/70),与末次筛查时间较短(包括≤3年)的宫颈癌患者比较,末次筛查时间较长(包括＞3年者)甚至从不筛查者诊断时临床分期较晚的发生率明显增加(P＜0.05).结论 宫颈癌知识宣教后患者的认知度明显提高.与末次筛查时间较短的宫颈癌患者比较,末次筛查时间较长甚至从不筛查者诊断时临床分期较晚的发生率明显增加.
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