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短信培训与小组培训对中年女性乳腺癌筛查知识水平和实践的比较

Comparison of Training via Short Messages and Group Training on Level of Knowledge and Practice of Middle-Aged Women About Breast Cancer Screening Tests.

作者信息

Naserian Neda, Ansari Somayeh, Abedi Parvin

机构信息

Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Menopause Andropause Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

出版信息

J Cancer Educ. 2018 Oct;33(5):1036-1042. doi: 10.1007/s13187-017-1203-x.

Abstract

This study is aimed to compare the effect of two methods of short messages and group training on level of knowledge and practice of middle-aged women about breast cancer screening procedures. This clinical trial study was done on 210 women aged 40-60 years in Mahshahr city, Iran. Eligible middle-aged women were randomly assigned in two groups of short message (n = 105) and group training (n = 105). Data collected through a questionnaire which included three parts (demographic, knowledge and practice of women about breast cancer and screening procedures). Group training was educated for two sessions in 2 weeks that each session lasted 2 h. In the short message group, every woman received texts about breast cancer, reasons, and preventive methods, three times a week, for 2 weeks. The questionnaire (knowledge and practice) was completed 2 months after educational intervention. Data was analyzed using independent t test, paired t test, and chi-square. Results of this study showed that average score of knowledge in two groups increased significantly, from 34.4 ± 7.54 to 40. 8 ± 7.18 in the short text messages (SMS) and from 35 to 39.75 in the group training (P > 0.05). Also, the score of breast examination by health provider in the SMS group was significantly higher than that in the group training, but the score of breast self-examination in the group training was higher than that in the short message (P < 0.05). The results showed that training by each way is effective to increase knowledge and performance of women about breast cancer screening methods. Further studies to compare the cost-effectiveness of two methods are recommended.

摘要

本研究旨在比较两种方法(短信和小组培训)对中年女性乳腺癌筛查程序知识水平和实践的影响。这项临床试验研究在伊朗马赫沙尔市的210名40至60岁女性中进行。符合条件的中年女性被随机分为短信组(n = 105)和小组培训组(n = 105)。通过一份问卷收集数据,该问卷包括三个部分(人口统计学、女性对乳腺癌及筛查程序的知识和实践)。小组培训在2周内进行了两次,每次课程持续2小时。在短信组中,每位女性每周收到三次关于乳腺癌、原因和预防方法的短信,持续2周。在教育干预2个月后完成问卷(知识和实践部分)。数据采用独立t检验、配对t检验和卡方检验进行分析。本研究结果表明,两组的知识平均得分均显著提高,短信组从34.4±7.54提高到40.8±7.18,小组培训组从35提高到39.75(P>0.05)。此外,短信组由医疗服务提供者进行乳房检查的得分显著高于小组培训组,但小组培训组的乳房自我检查得分高于短信组(P<0.05)。结果表明,每种方式的培训都能有效提高女性对乳腺癌筛查方法的知识和表现。建议进一步研究比较两种方法的成本效益。

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