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计划随访对已婚妇女乳腺癌和宫颈癌筛查健康信念及行为的影响。

Effect of Planned Follow-up on Married Women's Health Beliefs and Behaviors Concerning Breast and Cervical Cancer Screenings.

作者信息

Kolutek Rahsan, Avci Ilknur Aydin, Sevig Umit

机构信息

Sema-Vefa Kucuk School of Health, Nevsehir Haci Bektas Veli University, Nevşehir, Turkey.

Samsun School of Health, Nursing Department, Ondokuz Mayis University, Samsun, Turkey.

出版信息

J Cancer Educ. 2018 Apr;33(2):375-382. doi: 10.1007/s13187-016-1114-2.

Abstract

The objective of this study was to identify the effect of planned follow-up visits on married women's health beliefs and behaviors concerning breast and cervical cancer screenings. The study was conducted using the single-group pre-test/post-test and quasi-experimental study designs. The sample of the study included 153 women. Data were collected using a Personal Information Form, the Health Belief Model (HBM) Scale for Breast Cancer Screening, the HBM Scale for Cervical Cancer Screening, and a Pap smear test. Data were collected using the aforementioned tools from September 2012 to March 2013. Four follow-up visits were conducted, nurses were educated, and telephone reminders were utilized. Friedman's test, McNemar's test, and descriptive statistics were used for data analyzing. The frequency of performing breast self-examination (BSE) at the last visit increased to 84.3 % compared to the pre-training. A statistically significant difference was observed between the pre- and post-training median values in four subscales except for the subscale of perceived seriousness of cervical cancer under "the Health Belief Model Scale for Cervical Cancer and the Pap Smear Test" (p < 0.001). The rate of performing BSE significantly increased after the training and follow-up visits. Also, the rate of having a Pap smear significantly increased after the follow-up visits.

摘要

本研究的目的是确定计划中的随访对已婚妇女关于乳腺癌和宫颈癌筛查的健康观念及行为的影响。该研究采用单组前测/后测和准实验研究设计。研究样本包括153名女性。使用个人信息表、乳腺癌筛查健康信念模型(HBM)量表、宫颈癌筛查HBM量表以及巴氏涂片检查来收集数据。从2012年9月至2013年3月使用上述工具收集数据。进行了四次随访,对护士进行了培训,并使用了电话提醒。采用弗里德曼检验、麦克尼马尔检验和描述性统计进行数据分析。与培训前相比,最后一次访视时进行乳房自我检查(BSE)的频率增至84.3%。在“宫颈癌和巴氏涂片检查健康信念模型量表”中,除了宫颈癌感知严重性子量表外,四个子量表的培训前和培训后中位数之间观察到统计学上的显著差异(p < 0.001)。培训和随访后进行BSE的比率显著增加。此外,随访后进行巴氏涂片检查的比率也显著增加。

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