بررسي تاثير آموزش بر كيفيت پاپ اسمير

The Effect of Training on the Quality of Pop Smear

Pap smear test has been known as an excellent method for the discernment and screening of cervix cancer for about 50 years , its success rate being 80 to 90% rendering about 10 to 20 percents of false negative results in most cases . This experimental crossover study , conducted in 1377-1378 in one of the general hospitals of Tehran , Iran , was meant to check the effect of training on the quality and sensitiveness of the pap smear test , applying an easily accessible and low-cost method . 5 students were randomly selected out of 25 postgraduate students of gynecology to receive the training . They were both case and control of the study . 532 samples before and 545 samples after the training were randomly selected out of their routine samples . The samples were sent to a pathologist as blind samples , which were finally divided into three categories : (a) satisfactory , (b) less than optimal and (c) unsatisfactory. The results indicated that pretraining samples included 61.02% of satisfactory samples, 34.7% less than optimal and 3.9% unsatisfactory ; the rates after the training turned into 87.8% , 9.55 and 2.5% respectively . A significant difference was found to exist between two sets of samples . The proportion of abnormal slides were more likely to occur in samples taken from experimental (educated) group than in the control group ; however , the difference was not statistically significant . Therefore , the results suggest the effectiveness of training (correct sampling technique) on Pap Smear quality and sensitiveness . Through enhancing Pap Smear quality and sensitiveness , the chances of diagnosing cervix cancer increases considerably .