Pirzadeh Asiyeh, Mazaheri Maryam Amidi
Department of Health Education & Health Promotion, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.
Int J Prev Med. 2012 Aug;3(8):585-90.
Cervical cancer is the most common gynecological cancer in Iran. The single most effective tool in reducing death due to cervical cancer is the use of pap smear as a screening tool. Therefore, the aim of this study was to determine the effectiveness of education based on Health Belief Model about giving pap smear in women.
This quasi-experimental study was performed on 70 women who referred to two health center in Kouhdasht (Lorestan- Iran). The samples were randomly divided in two groups (35 in intervention group and 35 in control group). The data were collected by a validated and reliable questionnaire. Interventions were run based on Health Belief Model during three sessions only for intervention group. Each educational session was for 45-60 min. The independent t-test and paired t-test were used to analyze data. A two-tailed P value lower than 0.05 was considered statistically significant.
According to results, the mean scores of knowledge were significantly different between two groups after intervention (P < 0.001). The mean scores of the model variables (perceived susceptibility and severity, perceived benefits, and barriers) had no significant difference in the two groups before intervention, but after intervention had significant difference between the two groups (P < 0.001).
Designing and executing health education programs based on health belief model can promote the practice of women regarding to pap smear tests.
宫颈癌是伊朗最常见的妇科癌症。降低宫颈癌死亡率最有效的单一工具是使用巴氏涂片作为筛查手段。因此,本研究的目的是确定基于健康信念模型的教育对女性进行巴氏涂片检查的有效性。
本准实验研究对转诊至库赫达什特(伊朗洛雷斯坦)两个健康中心的70名女性进行。样本随机分为两组(干预组35名,对照组35名)。数据通过经过验证且可靠的问卷收集。仅对干预组在三个疗程中基于健康信念模型进行干预。每个教育疗程时长45 - 60分钟。采用独立样本t检验和配对t检验分析数据。双侧P值低于0.05被认为具有统计学意义。
根据结果,干预后两组之间的知识平均得分有显著差异(P < 0.001)。模型变量(感知易感性和严重性、感知益处和障碍)的平均得分在干预前两组之间无显著差异,但干预后两组之间有显著差异(P < 0.001)。
基于健康信念模型设计和实施健康教育项目可以促进女性进行巴氏涂片检查的行为。