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多模式干预对早期宫颈癌诊断对女性宫颈癌筛查计划知识、态度和参与的影响。

The Effect of Multimodal Interventions Regarding Early Cervical Cancer Diagnosis on the Women's Knowledge, Attitude and Participation in Cervical Screening Program.

机构信息

Symbiosis College of Nursing (SCON), Symbiosis International Deemed University (SIDU), Pune, India.

出版信息

Asian Pac J Cancer Prev. 2023 Nov 1;24(11):3949-3956. doi: 10.31557/APJCP.2023.24.11.3949.

Abstract

OBJECTIVE

The objective of the present study was to assess the effect of multimodal interventions on women's knowledge, attitude, and behavior towards the participation in the cervical screening test.

METHODS

A quasi-experimental design is executed with a multi-stage sampling of 300 women residing in rural India.  Various multimodal interventions, including a documentary film, face-to-face meetings, written booklets, reminder letters, SMS, and telephone calls, are used to motivate the women for cervical cancer screening.

RESULTS

Following the interventions, 99% of the participants became aware of cervical cancer and increased their participation in screening from 3.0 % (Pretest) to 79.9% (Posttest). Three reminders have been sent to the participants, throughout the intervention period which has led to a considerable rise in the participants' willingness to participate in screening, hiking from 58% to 79.9%. The Pap smear test results have shown that: among 288 women, 21 have Typical Malignant cells on their cervix, and two women have been diagnosed with cervical cancer (Stage 1a and Stage 1b).

CONCLUSION

The findings of the study indicate that utilizing diverse interventions in health education alters women's behavior, enhances the compliance of cervical cancer screening, and ultimately helps to prevent life-threatening risks.

摘要

目的

本研究旨在评估多模式干预对女性参与宫颈癌筛查的知识、态度和行为的影响。

方法

采用多阶段抽样方法,对印度农村的 300 名女性进行了准实验设计。使用多种多模式干预措施,包括纪录片、面对面会议、书面手册、提醒信、短信和电话,以激励女性进行宫颈癌筛查。

结果

干预后,99%的参与者了解了宫颈癌,并将筛查参与率从 3.0%(预测试)提高到 79.9%(后测试)。在整个干预期间,向参与者发送了三次提醒,这导致了他们参与筛查的意愿大幅上升,从 58%上升到 79.9%。巴氏涂片检查结果显示:在 288 名女性中,有 21 名宫颈有典型恶性细胞,有 2 名女性被诊断患有宫颈癌(1a 期和 1b 期)。

结论

研究结果表明,在健康教育中运用多种干预措施可以改变女性的行为,提高宫颈癌筛查的依从性,最终有助于预防危及生命的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dfc/10772748/fba537c68d20/APJCP-24-3949-g001.jpg

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