مقایسه ابزار براش کامبی با سرویکس براش در جمع آوری سلول های سرویکس در پاپ اسمیر

نوع مقاله : اصیل پژوهشی

نویسندگان

1 مربی گروه مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران.

2 کارشناس ارشد مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی بابل، بایل، ایران.

3 مربی گروه آمار زیستی، دانشکده بهداشت، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران.

4 متخصص آسیب شناسی، دانشکده پزشکی، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران.

چکیده

مقدمه: سرطان دهانه رحم یکی از  مسائل بهداشتی مهم و جزء بیماری های شایع زنان با میزان مرگ و میر بالا می باشد. مطالعه حاضر با هدف مقایسه ابزار سرویکس براش کامبی با سرویکس براش در جمع آوری سلول های سرویکس در پاپ اسمیر انجام شد.
روش کار: در این مطالعه نیمه تجربی از 100 زن مراجعه کننده به مرکز بهداشتی درمانی شماره 2 شرق اهواز، به طور تصادفی در دو گروه کد 1 (ابتدا سرویکس براش کامبی و سپس سرویکس براش) و کد 2 (ابتدا سرویکس براش و سپس سرویکس براش کامبی) از آندوسرویکس و اگزوسرویکس، 200 نمونه تهیه و سپس سر برس ها از تنه ابزار جدا شده و داخل ویال با پایه الکل انداخته شد. پس از بسته شدن در ویال، 20-15 بار تکانده و به آزمایشگاه ارسال شد. تجزیه و تحلیل داده ها با استفاده از نرم افزار آماری SPSS (نسخه 16) و آزمون های تی‌ مستقل و کای اسکوئر انجام شد. میزان p کمتر از 05/0 معنی دار در نظر گرفته شد.
یافته ها: میانگین تعداد سلول های آندوسرویکس و اگزوسرویکس جمع آوری شده با سرویکس براش کامبی به ترتیب 0/48±3/63 و 5/545±3/636 و سرویکس براش 1/62±0/70 و 8/378±2/607 بود. آزمون تی مستقل و کای اسکوئر اختلاف معنی داری را بین دو ابزار نشان نداد (403/0p=) و (664/0p=).
نتیجه گیری: ابزار سرویکس براش کامبی، دارای کارایی و اثربخشی یکسانی از نظر جمع آوری سلول های سرویکس در مقایسه با ابزار سرویکس براش می باشد.

کلیدواژه‌ها


عنوان مقاله [English]

Comparison of Cervix-Brush-Combi with Cervix- Brush for collection of cervical cells in Pap smear

نویسندگان [English]

  • Shahnaz Najar 1
  • Mahboubeh Pourali 2
  • Pourandokht Afshari 1
  • Seyed Mahmoud Latifi 3
  • Masoud Yazdi Zadeh 4
1 Lecture of Midwifery, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
2 M.Sc. of Midwifery, School of Nursing and Midwifery, Babol University of Medical Sciences, Babol, Iran.
3 Lecture of Biostatistics, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
4 Pathologist, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
چکیده [English]

Introduction: Cervical cancer is one of the important health problems and one of the common gynecologic disease with high mortality rate. This study was performed with the aim to compare the Cervix-Brush-Combi with Cervix- Brush for collection of cervical cells in Pap smear.
Methods: In this quasi experimental study, 100 women referred to health care center No. 2 in east of Ahvaz were randomly divided into two group of code 1 (firstly, Cervix-Brush-Combi and then Cervix- Brush) and code 2 (firstly, Cervix- Brush and then Cervix-Brush-Combi). 200 samples were prepared from Endocervix and exocervix, and then, Brush's tip was removed from the trunk and was thrown into the vial with an alcohol base. After the closure of the vial, 20-15 times was shaken and sent to the laboratory. Data was analyzed by SPSS (version 16), and independent t-test and chi-square test. PResults: Mean number of exocervical and endocervical cells collected by Cervix-Brush-Combi were 63.3±48.0 and 636.3±545.5, respectively and collected by Cervix- Brush were 70.0±62.1 and 607.2±378.8, respectively. Independent t–test and chi-square test were not found significant difference between two tools.
Conclusion: Cervix-brush combi tool has the same efficiency and effectiveness in terms of collection of cervical cells compared to the cervix brush tool.

کلیدواژه‌ها [English]

  • Cervical Cancer
  • Cervix-Brush
  • Cervix-Brush-Combi
  • Pap smear
  • Sampling
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