婦女接受子宮頸抹片檢查護理介入之成效

Translated title of the contribution: Pap Smear Behavior in Women: A Nursing Education Intervention

朱湄惠, 陳靜敏, 張碧真

Research output: Contribution to journalArticle

Abstract

The purposes of this study included:(1) to explore and to identify factors related to women's knowledge and health beliefs about cervical cancer and Pap smears and current Pap smear behavior;(2)to compare the effects of nurse's intervention on women's Pap smear behavior; and(3)to explore the effectiveness of nursing intervention in OPD for women's Pap smear behavior. Through longitudinal follow-up and quasi-experimental research design, this study was carried out using convenient sampling in OPD of two hospitals. To avoid contamination, subjects were separated. The experimental group was studied for one week, and the control group for another week. Data were collected through questionnaires. The experimental group received nurse's intervention and recommendations while the control group did not. 150 subjects participated in this study and 144 effective questionnaires were returned. The first part of post-test was carried out by mailed questionnaires two weeks after pre-test with a 68.8% response rate. The second part of post-test was done by telephone interview four weeks after pre test with a response rate of 80.6%.
Major findings included: Most of women have Pap smears before (122, 84.7%). The major reasons for having Pap smear were“belief that the health is very important”, “part of hospital visit” and “part of a physical check up”, Women who did not regularly have Pap smear replied that (89, 61.8%)“having no time”,“being ashamed to expose bodies”, and“just forgetting it” were leading causes. The experimental group who received nursing recommendations had improved in knowledge, perceived susceptibility score and improved behavior and intention to give a Pap smear. Nursing intervention was the only variable predicting the change of pap smear utilization behavior (OR=2.65, 95%CI=1.13-6.23).
Based on this study nursing intervention has effectively improved OPD women's knowledge level and health belief of cervical cancer and as well as improving their Pap smear behavior.
Translated title of the contributionPap Smear Behavior in Women: A Nursing Education Intervention
Original languageChinese (Traditional)
Pages (from-to)37-48
Number of pages12
Journal新臺北護理期刊
Volume2
Issue number1
DOIs
Publication statusPublished - 2000

Keywords

  • Pap smear behavior
  • nursing intervention
  • ambulatory setting
  • knowledge
  • health beliefs

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