The Effect of Educational Program on Increasing Cervical Cancer Screening Behavior among Women in Hamadan, Iran: Applying Health Belief Model.
The Effect of Educational Program on Increasing Cervical Cancer Screening Behavior among Women in Hamadan, Iran: Applying Health Belief Model.
复制标题
教育计划对伊朗哈马丹妇女增加宫颈癌筛查行为的影响：应用健康信念模型。
DOI：
10.34172/jrhs11210
复制
发表时间：
2011
影响因子：
1.5
通讯作者：
J. Poorolajal
中科院分区：
文献类型：
--
作者：
D. Shojaeizadeh;S. Hashemi;B. Moeini;J. Poorolajal
背景
巴氏试验的系统应用有助于宫颈癌的早期诊断和有效治疗。本研究采用健康信念模式(HBM)评价教育对符合巴氏试验条件的妇女健康信念和行为的影响。
方法
这项准实验研究于2010年在伊朗西部的哈马丹市进行，采用事前-事后设计。在这项研究中，70名年龄在16岁到54岁之间的女性自愿参加，她们在研究日期之前从未做过巴氏试验。志愿者们被分成几个小组。每组各进行两次2小时的训练。数据收集工具是根据家庭健康管理结构开发的自我管理多项选择问卷。在干预前和干预4个月后对目标人群的健康信念和健康行为进行评估。
结果
我们的研究结果表明，基于家庭健康管理的教育是有效的，可以显著提高参与者的知识水平，并改善家庭健康管理的结构，包括感知的敏感度、严重性、益处和障碍。培训后，实践率从干预前的零提高到干预后的81.4%。本研究的结果表明，知识的增加对HBM的结构有影响。此外，知识与年龄和教育程度之间存在显著的关系。
结论
以家庭健康管理为基础的健康教育可以提高妇女对宫颈癌的认识，改变她们的健康信念，改善她们对巴氏试验等筛查项目的行为。
BACKGROUND
The systematic application of Pap test helps early diagnosis and effective treatment of cervical cancer. This study was conducted to assess the effect of education on health beliefs and practice of women eligible for Pap test using Health Belief Model (HBM).
METHODS
This quasi-experimental study was conducted in Hamadan City, the west of Iran, in 2010 using before-after design. In this study, 70 women aged 16 to 54 years participated voluntarily who had never done Pap test until the date of the study. The volunteers were divided into several small groups. For each group, 2-hour training session was held twice. The data collection tool was a self-administered multi-choice questionnaire that was developed based on HBM constructs. Health beliefs and practice of the target group were evaluated pre-intervention and four months later.
RESULTS
Our findings indicated that education based on HBM was effective and could enhance the participants' knowledge significantly and improve the HBM constructs including perceived susceptibility, severity, benefits, and barriers. The training program enhanced the practice from zero before intervention to 81.4% after that. The results of the present study revealed that increase in knowledge had effect on the HBM constructs. Furthermore, there was a significant relationship between knowledge and both age and educational level.
CONCLUSION
Health education based on HBM can enhance women's knowledge of cervical cancer, change their health beliefs and improve their behaviors regarding screening programs like Pap test.