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基于动机访谈的培训与传统培训对宫颈癌筛查接受率的影响:一项准实验研究。

Motivational interviewing-based training vs traditional training on the uptake of cervical screening: a quasi-experimental study.

机构信息

Department of Nursing, Zahedan University of Medical Sciences, Zahedan, Iran.

Department of Nursing, Community Nursing Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.

出版信息

Public Health. 2018 Jul;160:94-99. doi: 10.1016/j.puhe.2018.04.007. Epub 2018 May 22.

Abstract

OBJECTIVES

Cervical cancer, a major health issue affecting women, is preventable and can be successfully treated. It is essential that measures are taken to improve the uptake of screening for this cancer. The aim of this study was to compare the effects of motivational interviewing (MI)-based training and traditional training on the frequency of cervical cancer screening tests in a group of working female teachers.

STUDY DESIGN

This is a quasi-experimental study.

METHODS

This research was conducted in 2017 among 134 teachers (aged 30-60 years) working in southeastern Iran. The participants were selected from among the eligible individuals and subsequently divided into MI-based training and traditional training groups (n = 67 for each group). Each group received a three-session training program, and 20 weeks after the end of the last training session, the information obtained from cervical cancer screening tests was documented. To analyze the data, independent t-test and Chi-squared test were run in SPSS, version 21.

RESULTS

There was no significant difference between the two groups in terms of demographic characteristics such as age, age at the first pregnancy, age of marriage, the number of parities, and educational level. Twenty weeks after intervention, 20.9% of the MI-based training group underwent Pap smear screening test, while 9% of the women in the traditional training group took the test, indicating a statistically significant difference between the two groups (P < 0.0.5).

CONCLUSION

MI-based training has a significant positive effect on women's compliance with cervical cancer screening tests. Therefore, it is recommended that this technique be adopted in women's health centers.

TRIAL REGISTRATION NUMBER

IRCT2017100729954N4.

摘要

目的

宫颈癌是影响女性健康的一个主要问题,但可以预防和成功治疗。必须采取措施提高对这种癌症的筛查率。本研究的目的是比较基于动机访谈(MI)的培训和传统培训对一组在职女教师进行宫颈癌筛查测试频率的影响。

研究设计

这是一项准实验研究。

方法

这项研究于 2017 年在伊朗东南部的 134 名(30-60 岁)女教师中进行。参与者是从符合条件的个体中选出的,然后分为基于 MI 的培训组和传统培训组(每组 67 人)。每个组都接受了一个三节课的培训计划,在最后一次培训结束后的 20 周,记录了宫颈癌筛查测试的信息。为了分析数据,使用 SPSS 版本 21 进行了独立 t 检验和卡方检验。

结果

两组在年龄、首次怀孕年龄、结婚年龄、产次和教育水平等人口统计学特征方面没有显著差异。干预 20 周后,基于 MI 的培训组中有 20.9%的人进行了巴氏涂片筛查测试,而传统培训组中只有 9%的人接受了测试,两组之间存在显著差异(P<0.05)。

结论

基于 MI 的培训对女性进行宫颈癌筛查测试的依从性有显著的积极影响。因此,建议在妇女保健中心采用这种技术。

试验注册号

IRCT2017100729954N4。

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