Author Affiliations: Health Science Faculty, Department of Nursing (Dr Koç); Medicine Faculty, Department of Obstetric Gynecology (Mrs Özdeş); Health Science Faculty, Department of Midwifery (Dr Topatan); and Health Services Vocational School (Mrs Çinarli and Dr Şener), Ondokuz Mayis University, Samsun; Ahmet Erdoğan Health Services Vocational School, Bülent Ecevit University, Zonguldak (Mrs Danaci); and Health Services Vocational School, Gümüşhane University (Mrs Palazoğlu), Turkey.
Cancer Nurs. 2019 Mar/Apr;42(2):106-118. doi: 10.1097/NCC.0000000000000570.
Early detection of cervical cancer improves the chances of successful treatment.
The aim of this study was to determine the effect of education about cervical cancer and human papillomavirus on the healthy lifestyle, behavior, and beliefs of Turkish women who were without cancer, using the PRECEDE education model.
This qualitative and quantitative study was conducted as a prospective, randomized, 2-group (intervention and control) trial at a community training center in north Turkey. A total of 156 Turkish women who were without cancer participated in this study. The semistructured interview form, the SF-36 Health Status Questionnaire, the Health Belief Model Scale for Cervical Cancer and Pap Smear Test, and the Healthy Lifestyle Behavior Scale II were used.
The subdimension scores of the Health Belief Model Scale for Cervical Cancer and Pap Smear Test were found to be higher among women in the study group (cervical cancer seriousness, P = .001; health motivation, P = .001) as compared with the control group after the education program. The SF-36 Health Status Questionnaire domain scores for physical role limitations, mental role limitations, and general health perceptions increased in the study group after the intervention.
The posteducation health motivation of women in the study group was improved, the women's perceptions of obstacles to Papanicolaou testing decreased, and through increased knowledge and awareness, the rate of Papanicolaou testing increased.
Educational programs aimed at motivating women to increase their awareness of cervical cancer, preventing cervical cancer, and having Papanicolaou testing are necessary and beneficial in this sample.
早期发现宫颈癌可提高治疗成功率。
本研究旨在使用 PRECEDE 教育模式，确定关于宫颈癌和人乳头瘤病毒的教育对土耳其无癌妇女健康生活方式、行为和信念的影响。
这是一项在土耳其北部社区培训中心进行的前瞻性、随机、2 组（干预组和对照组）试验的定性和定量研究。共有 156 名土耳其无癌妇女参与了这项研究。使用半结构式访谈表、SF-36 健康状况调查问卷、宫颈癌和巴氏涂片检查健康信念模型量表以及健康生活方式行为量表 II。
与对照组相比，教育计划后，研究组妇女的宫颈癌和巴氏涂片检查健康信念模型量表的子维度评分更高（宫颈癌严重性，P=0.001；健康动机，P=0.001）。干预后，研究组 SF-36 健康状况调查问卷的身体角色限制、心理角色限制和一般健康感知领域的得分增加。
研究组妇女的教育后健康动机得到提高，对巴氏涂片检测障碍的看法减少，通过增加知识和意识，巴氏涂片检测率提高。
在本样本中，针对提高妇女对宫颈癌的认识、预防宫颈癌和进行巴氏涂片检查的动机的教育计划是必要且有益的。
