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教育对乳腺癌和宫颈癌早期诊断的影响以及女性参与筛查项目的态度和行为

The Effect of Education on the Early Diagnosis of Breast and Cervix Cancer on the Women's Attitudes and Behaviors Regarding Participating in Screening Programs.

作者信息

Kocaöz Semra, Özçelik Hanife, Talas Melek Serpil, Akkaya Fulya, Özkul Fatma, Kurtuluş Ayla, Ünlü Fahriye

机构信息

Obstetric and Women's Health Nursing Department, Nursing Department, Niğde Zübeyde Hanım School of Health, Ömer Halisdemir University, Niğde, Turkey.

Internal Nursing Department, Nursing Department, Niğde Zübeyde Hanım School of Health, Ömer Halisdemir University, Niğde, Turkey.

出版信息

J Cancer Educ. 2018 Aug;33(4):821-832. doi: 10.1007/s13187-017-1193-8.

Abstract

The objective of this paper was to define the effect of education on the early diagnosis of breast and cervix cancer on the women's attitudes and behaviors regarding participating in Cancer Early Diagnosis, Screening and Training Centers-CEDSTC screening programs. This semi-experimental study was completed with 342 women. The data were collected with forms "Champion's Health Belief Model Scale Breast Cancer-HBMSBC" and "Health Belief Model Scale for Cervical Cancer and the Pap Smear Test-HBMSCCPST." When the women's health beliefs before and after 6 months of the education about the early diagnosis of breast and cervical cancers are considered, it is seen that the HBMSBC subscales health motivation, breast self-examination (BSE), and evasion to mammography (MMG) decreased and BSE self-efficacy and MMG benefit attitudes increased and HBMSCCPST subscales pap smear benefit attitudes increased and evasion to pap smear attitude decreased (p < 0.05). Six months after the education, 28.4% of the women had undergone MMG, 69.9% had performed BSE, and 33.6% had undergone a pap smear test. Education regarding early diagnosis of breast and cervix cancer was found to have positive effects on the health behaviors of the women related to BSE, MMG, and pap smear tests. The women require professional education program for increasing their attitudes and behaviors for CEDSTC screening programs. We suggest regularly providing education to increase participation in early screening programs.

摘要

本文的目的是确定教育对乳腺癌和宫颈癌早期诊断的影响,以及对女性参与癌症早期诊断、筛查和培训中心(CEDSTC)筛查项目的态度和行为的影响。这项半实验性研究共纳入了342名女性。数据通过“乳腺癌冠军健康信念模型量表(HBMSBC)”和“宫颈癌及巴氏涂片检查健康信念模型量表(HBMSCCPST)”收集。考虑到女性在接受乳腺癌和宫颈癌早期诊断教育6个月前后的健康信念,发现HBMSBC分量表中的健康动机、乳房自我检查(BSE)和逃避乳房X光检查(MMG)有所下降,而BSE自我效能感和MMG益处态度有所增加;HBMSCCPST分量表中的巴氏涂片益处态度增加,逃避巴氏涂片检查的态度下降(p<0.05)。教育6个月后,28.4%的女性进行了MMG,69.9%的女性进行了BSE,33.6%的女性进行了巴氏涂片检查。发现乳腺癌和宫颈癌早期诊断教育对女性与BSE、MMG和巴氏涂片检查相关的健康行为有积极影响。女性需要专业教育项目来增强她们对CEDSTC筛查项目的态度和行为。我们建议定期提供教育,以提高对早期筛查项目的参与度。

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