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Minerva Psichiatrica 2018 December;59(4):171-6

DOI: 10.23736/S0391-1772.18.01977-5


lingua: Inglese

Quantitative investigation on perceived anxiety and pain during the cervical cancer screening path

Matilde M. CANEPA 1 , Alessandra GOBBI 2, Gabriele TIBALDI 2, Massimiliano GRASSI 3

1 Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, and Mother and Child Health (DINOGMI), University of Genoa, San Martino Polyclinic Hospital, Genoa, Italy; 2 ASL Torino 5, Chieri, Turin, Italy; 3 University of Genoa, Genoa, Italy

BACKGROUND: Cervical screening causes the patient a psychological pain due to the cancer fear. Patient’s anxiety is an important and common feeling during the cervical cancer screening path. The midwives have a basic role in improving the adherence to this program and in psychologically supporting the patients who undergo these procedures. The aims of this single-center, prospective study were to estimate the women’s anxiety and pain levels resulting from these procedures, to understand if the nursing is essential to modify their feelings and improve the standard of quality given.
METHODS: A quantitative research was conducted on 119 consecutive women aged 25 to 64 afferent to colposcopy by the State-Trait Anxiety Inventory Scale Forms Y-1 and Y-2 to value the anxiety and by the Numerical Rating Scale (NRS) for pain.
RESULTS: This study reveals that anxiety increases in patients during the cervical cancer diagnostic iter and that few of them had a preexistent depression, exposing them to a consistent risk of developing a severe depression. The analysis revealed a low perceived pain level in the majority of women, in agreement with the previous literature. However, about 30% of subjects reported a NRS score of 5 or more.
CONCLUSIONS: This study shows that the quality of care is satisfactory, but there are still some critical issues. In accordance with our findings, it is essential to specifically train the health care workers to recognize women at risk of developing severe depression, in order to support them. This will raise the quality of care and reduce the costs of the medical, pharmacological, psychological, and economical support needed for a major depression patient. About one-third of the women interviewed reported perceiving “medium-to-high” pain, so the use of anesthesia can be reconsidered in a selected population.

KEY WORDS: Neurotic disorders - Anxiety disorders - Pain measurement - Uterine cervical neoplasms

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