Ndikom Chizoma M, Ofi Bola A, Omokhodion Folashade O, Bakare Patricia O, Adetayo Cecilia Olusade
Department of Nursing, Faculty of Clinical Sciences, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Department of Community Medicine, Faculty of Clinical Sciences, University of Ibadan, Ibadan, Nigeria.
J Cancer Educ. 2019 Feb;34(1):59-65. doi: 10.1007/s13187-017-1267-7.
Cervical cancer is a major cause of death among women especially in developing nations. It can be prevented through screening yet many women are unaware of screening options. Nurses are in vantage position to provide cervical cancer screening (CCS) information and services especially in antenatal clinics. The purpose of this study is to evaluate the effects of an educational intervention (EI) on nurses' knowledge and attitude towards providing CCS information. This quasi-experimental study was conducted in eight health facilities in Ibadan, Nigeria. The facilities were randomly divided into intervention group (IG) and control group (CG). A total of 133 consenting nurses (60 in the IG and 73 in the CG) participated. Baseline data were collected using self-administered questionnaire. The nurses in the IG received the EI and both groups were administered with a post-test questionnaire after 6 months. Data were analysed using chi square and Student's t test at p = 0.05. Nurses' mean age was 41.7 years. Knowledge scores for the IG (11.8 ± 3.3) and CG (11.7 ± 3.3) were comparable at baseline (p = 0.901) but was significantly higher among nurses in the IG (14.63 ± 3.12) than CG (12.7 ± 3.5) at 6 months PI (p = 0.01). More nurses in the IG had high level of knowledge than CG. There was no significant difference in their attitude at baseline and at PI. There was a significant association between knowledge and attitude towards providing cervical cancer screening information (p < 0.000). Education improved knowledge of nurses on cervical cancer screening. Regular education programmes for nurses may result in improved counselling on major health issues like cancer.
宫颈癌是导致女性死亡的主要原因，在发展中国家尤其如此。通过筛查可以预防宫颈癌，但许多女性并不了解筛查选项。护士处于有利位置，可以提供宫颈癌筛查（CCS）信息和服务，特别是在产前诊所。本研究的目的是评估教育干预（EI）对护士提供CCS信息的知识和态度的影响。这项准实验研究在尼日利亚伊巴丹的八个卫生机构进行。这些机构被随机分为干预组（IG）和对照组（CG）。共有133名同意参与的护士（IG组60名，CG组73名）参与。使用自填问卷收集基线数据。IG组的护士接受了EI，两组在6个月后都接受了后测问卷。数据使用卡方检验和学生t检验进行分析，p = 0.05。护士的平均年龄为41.7岁。IG组（11.8 ± 3.3）和CG组（11.7 ± 3.3）在基线时的知识得分具有可比性（p = 0.901），但在干预后6个月时，IG组护士的知识得分（14.63 ± 3.12）显著高于CG组（12.7 ± 3.5）（p = 0.01）。IG组中具有高水平知识的护士比CG组更多。在基线和干预后，他们的态度没有显著差异。在提供宫颈癌筛查信息的知识和态度之间存在显著关联（p < 0.000）。教育提高了护士对宫颈癌筛查的知识。为护士开展定期教育计划可能会改善对癌症等主要健康问题的咨询。
