{"id":33237,"date":"2024-11-01T16:08:50","date_gmt":"2024-11-01T16:08:50","guid":{"rendered":"https:\/\/bnssghealthiertogether.org.uk\/?page_id=33237"},"modified":"2025-01-16T21:58:58","modified_gmt":"2025-01-16T21:58:58","slug":"increasing-awareness-training-in-and-use-of-the-left-lateral-cervical-screening-position-in-primary-care-increasing-choice-and-supporting-implementation-of-clinical-guidelines","status":"publish","type":"page","link":"https:\/\/bnssghealthiertogether.org.uk\/tr\/integrated-care-board\/research-and-evidence\/our-research-portfolio\/nihr-funded-projects\/increasing-awareness-training-in-and-use-of-the-left-lateral-cervical-screening-position-in-primary-care-increasing-choice-and-supporting-implementation-of-clinical-guidelines\/","title":{"rendered":"Birinci basamak sa\u011fl\u0131k hizmetlerinde sol lateral servikal tarama pozisyonuna ili\u015fkin fark\u0131ndal\u0131\u011f\u0131n, e\u011fitimin ve kullan\u0131m\u0131n art\u0131r\u0131lmas\u0131: Se\u00e7eneklerin art\u0131r\u0131lmas\u0131 ve klinik k\u0131lavuzlar\u0131n uygulanmas\u0131n\u0131n desteklenmesi"},"content":{"rendered":"
Mod\u00fcl-1 ba\u015fl\u0131kl\u0131 b\u00f6l\u00fcm<\/span><\/a>
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Birinci basamak sa\u011fl\u0131k hizmetlerinde sol lateral servikal tarama pozisyonuna ili\u015fkin fark\u0131ndal\u0131\u011f\u0131n, e\u011fitimin ve kullan\u0131m\u0131n art\u0131r\u0131lmas\u0131: Se\u00e7eneklerin art\u0131r\u0131lmas\u0131 ve klinik k\u0131lavuzlar\u0131n uygulanmas\u0131n\u0131n desteklenmesi<\/h1>\n

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Finansman<\/h2>\n

Ulusal Sa\u011fl\u0131k ve Bak\u0131m Ara\u015ft\u0131rma Enstit\u00fcs\u00fc (NIHR) Hasta Yarar\u0131na Ara\u015ft\u0131rma (RfPB) Referans No: NIHR 204301<\/p>\n

Ara\u015ft\u0131rma sorusu nedir?<\/h2>\n

Tarama i\u00e7in uygun olan ki\u015filere tarama se\u00e7enekleri hakk\u0131nda bilgi verilmesi ve yeni yakla\u015f\u0131m\u0131 uygulamaya y\u00f6nelik destekleyici uygulamalar\u0131n sa\u011flanmas\u0131, rahim a\u011fz\u0131 kanseri taramas\u0131na kat\u0131l\u0131m\u0131 ve tarama deneyimini iyile\u015ftirecek mi?<\/p>\n

Sorun nedir?<\/h2>\n

Rahim a\u011fz\u0131 taramas\u0131 veya smear testleri, kansere yol a\u00e7abilecek bir vir\u00fcs\u00fc veya h\u00fccre de\u011fi\u015fikliklerini tespit etmek i\u00e7in \u00f6nemlidir. Rahim a\u011fz\u0131 olan ki\u015filer 25-64 ya\u015flar\u0131 aras\u0131nda ve daha sonra \u00f6nceki anormal sonu\u00e7lar bulundu\u011funda test i\u00e7in davet edilir.<\/p>\n

Geleneksel testlerde hastan\u0131n s\u0131rt \u00fcst\u00fc yatmas\u0131 ve dizlerinin b\u00fck\u00fcl\u00fcp a\u00e7\u0131lmas\u0131 gerekir, b\u00f6ylece sa\u011fl\u0131k \u00e7al\u0131\u015fan\u0131 s\u00fcr\u00fcnt\u00fc \u00f6rne\u011fi alabilir. Baz\u0131 ki\u015filer bu testi a\u015fa\u011f\u0131lay\u0131c\u0131, utan\u00e7 verici, kayg\u0131 uyand\u0131r\u0131c\u0131 ve rahats\u0131z edici bulduklar\u0131n\u0131 belirtmektedir.<\/p>\n

Ayr\u0131ca, cinsel travma ya\u015fam\u0131\u015f ki\u015filer testin kendilerini savunmas\u0131z hissettirdi\u011fini belirtiyor ve k\u00fclt\u00fcrel nedenlerle genital s\u00fcnnet olan kad\u0131nlarda v\u00fccut b\u00f6lgelerinin a\u00e7\u0131\u011fa \u00e7\u0131kmas\u0131 utan\u00e7 ve kayg\u0131ya yol a\u00e7\u0131yor. Bu sorunlar, taramaya kat\u0131lanlar\u0131n say\u0131s\u0131n\u0131n s\u00fcrekli azalmas\u0131na katk\u0131da bulunuyor.<\/p>\n

2020 y\u0131l\u0131nda ulusal k\u0131lavuzlara yeni sol yanal test pozisyonu (LLTP) dahil edildi ve art\u0131k rahim a\u011fz\u0131 kanseri taramas\u0131na gelen t\u00fcm ki\u015filere her iki pozisyon da sunulmal\u0131d\u0131r.<\/p>\n

Yeni pozisyonda hasta, bacaklar\u0131 hafif\u00e7e a\u00e7\u0131k olacak \u015fekilde, 'iyile\u015fme pozisyonuna' benzer \u015fekilde sol taraf\u0131na yatar. LLTP (Level Legs Progressive) ayn\u0131 derecede etkilidir, daha az risklidir ve daha rahat olabilir, bu da daha fazla ki\u015finin taramaya kat\u0131lmas\u0131n\u0131 te\u015fvik edebilir. Bununla birlikte, ara\u015ft\u0131rmam\u0131z hastalar\u0131n bu pozisyondan habersiz oldu\u011funu ve klinisyenlerin bunu sunmad\u0131\u011f\u0131n\u0131 g\u00f6stermi\u015ftir.<\/p>\n

Ara\u015ft\u0131rman\u0131n amac\u0131 nedir?<\/h2>\n

Tarama i\u00e7in uygun olan ki\u015filere tarama se\u00e7enekleri hakk\u0131nda bilgi verilmesinin ve yeni yakla\u015f\u0131m\u0131 uygulamaya y\u00f6nelik destekleyici uygulamalar\u0131n, servikal kanser taramas\u0131na kat\u0131l\u0131m\u0131 ve tarama deneyimini iyile\u015ftirip iyile\u015ftirmedi\u011fini ara\u015ft\u0131rmak.<\/p>\n

Bu nas\u0131l ba\u015far\u0131lacak?<\/h2>\n

Yeni yakla\u015f\u0131m\u0131n pratikte nas\u0131l i\u015fledi\u011fini de\u011ferlendirece\u011fiz; neyin i\u015fe yarad\u0131\u011f\u0131n\u0131, kimler i\u00e7in, nas\u0131l ve neden sorular\u0131n\u0131 soraca\u011f\u0131z.<\/p>\n

\u00dc\u00e7 a\u015fama (P) olacakt\u0131r:<\/p>\n