子宫颈癌咨询及筛查对妇女知识、健康信念及防护措施的影响

Hoda HosseAbedelAzim Mohamedin, Yosria El-sayed Hossein
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摘要

背景:宫颈癌是可以预防或早期发现的,特别是通过一系列定期的巴氏试验筛查。研究目的:本研究的目的是评估咨询对宫颈癌及其筛查对妇女知识、健康信念和保护措施的影响。对象与方法:采用准实验设计。选取120名妇女作为方便样本,随机分为实验组和对照组,每组60名妇女来自Minia综合医院妇产科门诊。结果可以观察到,干预组86%的女性有良好的知识,而对照组只有17%,差异有统计学意义。两组患者感知易感性和障碍的平均得分均有所下降,但干预组的下降幅度明显高于干预组(P<0.004)。两组患者感知严重程度和获益的平均得分均升高,但干预组升高的平均得分更高。在保护措施方面,组间观察到高度统计学显著差异(p = .001)。结论:干预组妇女对预防保健措施、易感性、严重程度、健康动机和减少子宫颈抹片检查障碍的认知有高度统计学意义的提高,这可以影响妇女接受预防性检查的意愿和定期参加子宫颈抹片检查的意愿。在我们的研究中,最常见的筛查障碍是缺乏知识。建议:根据这一发现,建议鼓励妇女对自己的健康负责并积极参与筛查方案,需要更多的教育干预,以鼓励坚持常规癌症筛查,提高妇女对宫颈癌的认识,卫生当局考虑了巴氏涂片检查的障碍,以克服宫颈癌筛查的障碍。
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Impact of counseling on cervical cancer and its screening on women knowledge, health beliefs and protective practices
Background: Cervical cancer can be preventable or detected early especially with a series of regular screening with Pap tests.Aim of the study: The aim of this study were to evaluate the impact of counseling on cervical cancer and its screening on women knowledge, health beliefs and protective practices.Subjects and Methods: A quasi-experimental design was used. A convenient ample of 120 women were randomly divided into experimental and control groups, each group consisted of 60 women were recruited from outpatient clinic at Obstetrics and Gynecology Department at Minia General Hospital.Results It can be observed that, 86% of the women in the intervention group had good knowledge compared to only 17% of the control group and the difference is statistically significant. The mean score of perceived susceptibility and barriers in both groups was reduced but the decrease was significantly higher in the intervention group (P<0.004). The mean score of perceived severity and benefits in both groups were increased, but the increased mean score in the intervention group was higher. A highly statistical significant difference was observed between groups regarding protective practices (p = .001).Conclusion: It can be concluded that there was a highly statistical significant improvement in women knowledge was observed and the higher positive beliefs about perceived benefits of preventive health practices, susceptibility, severity, health motivation and reduced the barriers of pap smear this can influence women’s willingness to take preventive test and higher participation in regular Pap smear test in the intervention group. The most commonly barriers to screening cited in our study are lack of knowledge.Recommendations: on the light of this findings it is recommended that, women should be encouraged to take responsibility for their own health and be active participants in the screening program, More educational intervention is needed to encourage adherence to routine cancer screening with raising women’s awareness about cervical cancer, The barriers to Pap smear test are considered by the health authorities in order to overcome barriers of cervical cancer screening.
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