Vithana P V S Chiranthika, Ariyaratne M A Y, Jayawardana P L
National Cancer Control Programme, Ministry of Health, Sri Lanka E-mail :
Asian Pac J Cancer Prev. 2015;16(1):227-32. doi: 10.7314/apjcp.2015.16.1.227.
Breast cancer is the commonest cancer among Sri Lankan females, accounting for 26% of the cancer incidence in women. Early detection of breast cancer is conducted by public health midwives (PHMs) in the Well Woman Clinics. The aim of the present study was to determine the effectiveness of an educational intervention on improving knowledge, attitudes and practices (KAP) on breast cancer screening among PHMs in the district of Gampaha.
Two Medical Officer of Health (MOH) areas in Gampaha district were selected using random sampling as intervention (IG) and control (CG) groups. All the PHMs in the two MOH areas participated in the study, with totals of 38 in IG and 47 in CG. They were exposed to an educational intervention with the objective of using them to subsequently conduct the same among 35-59 year women in the community. Following the intervention, post-intervention assessments were conducted at one month and six months to assess the effectiveness of the intervention.
The overall median scores for KAP among PHMs respectively were as follows. Pre-intervention: IG:58%(IQR: 53- 69%), 90%(IQR: 70-100%) and 62%(IQR: 57-70%). CG: 64%(IQR: 56-69%), 90%(IQR: 70-90%) and 62%( IQR: 50-77%). Post-intervention: one month, IG:96%(IQR: 93-96%), 100%(IQR: 100-100%), and 85%(IQR: 81-89%). CG:67%(IQR: 60- 73%), 90%(IQR: 80-100%) and 65%(IQR: 50-73%). Post-intervention: six months, IG: 93% (IQR: 91-93%), 100%(IQR: 90- 100%), and 81%(IQR: 77-89%). CG: 67%(IQR: 58- 71%), 90%(IQR: 90-100%), and 62%( IQR: 58-73%). All the above post-intervention scores of PHMs in the IG were significantly higher in comparison to CG (p<0.001).
This planned educational intervention had a significant impact on improving KAP of PHMs for early detection of breast cancer in the Gampaha district.
乳腺癌是斯里兰卡女性中最常见的癌症，占女性癌症发病率的26%。在健康女性诊所，由公共卫生助产士（PHMs）进行乳腺癌的早期检测。本研究的目的是确定一项教育干预措施对改善甘帕哈地区公共卫生助产士在乳腺癌筛查方面的知识、态度和实践（KAP）的有效性。
采用随机抽样的方法，从甘帕哈地区选取两个卫生医疗官（MOH）辖区作为干预组（IG）和对照组（CG）。两个MOH辖区的所有公共卫生助产士均参与了研究，干预组有38人，对照组有47人。对她们进行了一项教育干预，目的是让她们随后在社区35至59岁的女性中开展同样的活动。干预后，在1个月和6个月时进行干预后评估，以评估干预措施的有效性。
公共卫生助产士KAP的总体中位数得分如下。干预前：干预组：58%（四分位间距：53 - 69%）、90%（四分位间距：70 - 100%）和62%（四分位间距：57 - 70%）。对照组：64%（四分位间距：56 - 69%）、90%（四分位间距：70 - 90%）和62%（四分位间距：50 - 77%）。干预后：1个月时，干预组：96%（四分位间距：93 - 96%）、100%（四分位间距：100 - 100%）和85%（四分位间距：81 - 89%）。对照组：67%（四分位间距：60 - 73%）、90%（四分位间距：80 - 100%）和
