Impact of a Video Intervention for Rural Peruvian Women With Cervical Neoplasia Before Loop Excisional Procedures
Impact of a Video Intervention for Rural Peruvian Women With Cervical Neoplasia Before Loop Excisional Procedures
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DOI：
10.1097/lgt.0000000000000107
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发表时间：
2015-07-01
影响因子：
3.7
通讯作者：
Lilienthal, Anneliese
中科院分区：
文献类型：
--
作者：
Ferris, Daron G.;Condorhuaman, Wendy Shulay Guevara;Lilienthal, Anneliese
秘鲁土著妇女的宫颈癌发病率很高。本研究评估了贫困的农村秘鲁妇女寻求环切除surgery.Materials和方法妇女完成基线，postvideo和postsurgery问卷调查，评估知识和态度的过程中的教育视频的影响。使用重复测量方差分析检验组间差异。结果观看视频的女性明显更平静（分别为2.6、2.6和2.3; P = 0.04），放松（分别为2.5、2.5和2.1; P = 0.02）和内容（分别为3.4、3.4和2.4，P < 0.01）。与录像后和手术后结果相比，相同的女性在基线时也明显更紧张（分别为2.5、2.0和2.0; P = 0.01）、不安（分别为1.6、1.1和1.1; P = 0.01）和担忧（分别为3.0、2.0和2.0; P = 0.01）。大约93%的妇女认为，其他妇女计划有环切除手术也应该看video.Conclusions传播文化敏感的视频信息，最大限度地减少与环切除手术前的不良情绪反应。这样的干预措施迅速改善了最终接受宫颈肿瘤手术治疗的妇女的心理健康。
Objective Indigenous Peruvian women have very high rates of cervical cancer. This study assessed the impact of an educational video on impoverished rural Peruvian women seeking loop excision surgery.Materials and Methods Women completed baseline, postvideo and postsurgery questionnaires that assessed knowledge and attitudes about the procedure. Differences between groups were examined using repeated measures analysis of variance.Results Women who watched the video were significantly more calm (2.6, 2.6, and 2.3, respectively; P = 0.04), relaxed (2.5, 2.5, and 2.1, respectively; P = 0.02), and content (3.4, 3.4, and 2.4, respectively, P < 0.01) at postvideo and postsurgery assessments compared with mean results at the baseline assessment. The same women were also significantly more tense (2.5, 2.0, and 2.0, respectively; P = 0.01), upset (1.6, 1.1, and 1.1, respectively; P = 0.01), and worried (3.0, 2.0, and 2.0, respectively; P = 0.01) at baseline compared with postvideo and postsurgery results. Approximately 93% of women believed that other women scheduled to have loop excision surgery should also watch the video.Conclusions Dissemination of culturally sensitive video information minimizes adverse emotional responses associated with loop excision procedures before surgery. Such an intervention quickly improves the psychological well-being of women eventually subjected to surgical management of cervical neoplasia.