Scientific title |
Assessment of knowledge of final year nursing students on cervical cancer screening, risk factors and prevention in Bhutan: a cross-sectional study |
Public title |
Assessment of knowledge of final year nursing students on cervical cancer screening, risk factors and prevention in Bhutan: a cross-sectional study |
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Background |
Cervical cancer is the fourth most frequently diagnosed cancer and the fourth leading cause of cancer death in women, with an estimated 604,000 new cases and 342,000 deaths worldwide in 2020[1]. Cervical cancer is a preventable disease. It is also curable if detected early and adequately treated. Yet it remains one of the most common cancers and causes of cancer-related death in women across the globe. The annual number of new cases of cervical cancer has been projected to increase from 570 000 to 700 000 between 2018 and 2030, with the yearly number of deaths projected to increase from 311 000 to 400 000[2]. Cervical cancer is a global public health problem, with a particularly high burden in many low-income and middle-income countries (LMICs)[3]. Few diseases reflect global inequities as much as cancer of the cervix. In LMICs, its incidence is nearly twice as high and its death rates are three times as high as in high-income countries[2].
Cervical cancer is asymptomatic in the early stage and becomes symptomatic only when the disease has spread beyond the cervix. Cervical cancer usually presents with postcoital bleeding, intermenstrual bleeding, foul-smelly vaginal discharges, dyspareunia, and postmenopausal bleeding. Often cervical cancer presents with symptoms specific to organs involved in cancer which include urinary and bowel symptoms, low backache, abdominal pain, jaundice, swelling of limbs, and respiratory symptoms [4].
Early sexual debut, multiple sexual partners, Illiterate, low socioeconomic status, oral contraceptive pill user, HPV infections, smoking, and high parity are the risk factors for cervical cancer [5][6].
Screening for cervical cancer includes conventional cervical cytology, visual inspection with acetic acid, and HPV testing. Among the scree |
Objectives |
General objective
To assess the knowledge of final-year nurse students on cervical cancer screening, risk factors, and prevention in Bhutan.
Specific objectives
• To assess the knowledge of final-year nursing students on cervical screening
• To assess the knowledge of final-year nursing students on risk factors of cervical cancer
• To assess the knowledge of final-year nursing students on the prevention of cervical cancer
• To compare the knowledge score on cervical cancer between genders of final-year nursing students |
Study Methods |
MATERIALS AND METHODS
Study design
This will be a cross-sectional study
Study Site
This study will be conducted to include all the final year nursing students from all Nursing colleges in Bhutan including Arura Academy of Health Sciences, Apollo Nursing College, Khesar Gyalpo University of Medical Sciences of Bhutan (KGUMSB), and Royal Thimphu College.
Period of study
This study will be conducted within two months after obtaining ethical clearance. The study period will be based on the ethical approval date. |
Expected outcomes and use of results |
Outcomes:
The proportion of final year nursing students with good knowledge of cervical cancer screening, symptoms and treatment |
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Keywords |
Cervical cancer; Nursing students; Screening of cervical cancer; Treatment of cervical cancer |