https://scholars.lib.ntu.edu.tw/handle/123456789/633405
標題: | Adding a nonpainful end to reduce pain recollection of Pap smear screening: a randomized controlled trial | 作者: | Yen, Hung-Kuan SHAO-YI CHENG Chiu, Kai-Nan CHU-CHUN HUANG Yu, Jung-Yang CHIEN-HSIEH CHIANG |
公開日期: | 12-四月-2023 | 卷: | Publish Ahead of Print | 來源出版物: | Pain | 摘要: | The pain experienced during Pap tests is a crucial gap in reducing cervical cancer burden. This study sought to investigate whether adding a nonpainful step at the end of Pap tests helps women recall less pain. We conducted a randomized controlled trial on women aged 30 to 70 years at a cervical cancer screening center. A nonpainful step was added at the end of Pap test in the modified Pap group. The outcomes included recalled pain after Pap smear screening, real-time pain, and 1-year willingness to receive further Pap tests. Among 266 subjects in the intention-to-treat analysis, the modified Pap group (n = 133) experienced lower 5-minute recalled pain than the traditional Pap group on a 1 to 5 numeric scale (mean [SD], 1.50 [0.77] vs 2.02 [1.12]; P < 0.001) and a 0 to 10 visual analog scale (2.12 [1.79] vs 3.12 [2.23]; P < 0.001). In exploratory subgroup analyses, the association between the modified Pap test and reduced 5-minute recalled pain was not affected by predicted pain, demographic, or socioeconomic characteristics, but it was more apparent in postmenopausal women. Consistently, the modified Pap test attenuated 1-year recalled pain on both pain scales. Furthermore, the modified Pap test increased 1-year willingness grade to receive further Pap tests (adjusted β [SE], 2.11 [0.27]; P < 0.001). In conclusion, adding a nonpainful step at the end of Pap smear screening reduces on-site and long-term recalled pain and strengthens willingness to undergo subsequent Pap tests regularly. The modified Pap test contributes to cervical cancer screening participation. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/633405 | ISSN: | 0304-3959 1872-6623 |
DOI: | 10.1097/j.pain.0000000000002897 |
顯示於: | 醫學系 |
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