综合健康教育对女性宫颈癌疾病认知情况、健康生活方式行为与健康状况的影响
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摘要
目的探讨综合健康教育对女性宫颈癌疾病认知情况、健康生活方式行为、健康状况的影响。方法选取2015年3月至2017年12月于我院接受健康教育的妇科住院患者120例作为研究对象,随机将其等分为对照组和研究组。对照组给予常规健康教育,观察组给予综合健康教育,干预前,调查120例患者对宫颈癌和HPV认知情况,干预后,比较两组SF-36健康调查简表、宫颈癌筛查量表、健康生活方式行为量表评分。结果 120例患者中2. 50%有宫颈癌家族史,62. 50%不清楚宫颈癌的危险因素,83. 33%未做过宫颈癌筛查,74. 17%不清楚宫颈癌早期诊断的方法,94. 17%未行过宫颈涂片检查,25. 00%听说过HPV,最常获取HPV的信息来源是媒体和网络,77. 50%不知道HPV疫苗,82. 50%不愿意接种HPV疫苗,不愿意接种HPV疫苗最主要的原因是对HPV了解和认识不足。观察组患者进行宫颈癌和HPV健康教育后,生理职能、情感职能、一般健康状况、运动锻炼、营养、宫颈癌严重性与健康动机认识评分均高于对照组(P <0. 05)。结论健康教育在宫颈癌筛查中具有重要意义,有利于提高女性对宫颈癌的认知水平,提高其参与筛查的积极性,减少宫颈癌的发病率和致死率。
Objective To explore the effect of comprehensive health education on cognition of cervical cancer,healthy lifestyle behavior and health status among females. Methods To select 120 gynecological patients who received health education in our hospital from March 2015 to December 2017 as the study subjects. They were randomly divided into control group and study group with the same number of patients. The control group was given regular health education,while the observation group was given comprehensive health education. Before the intervention,we investigated the cognition of 120 patients towards cervical cancer and HPV. After the intervention,we compared scores of the SF-36 health survey summary,cervical cancer screening scale,and healthy lifestyle behavior scale between the two groups. Results Among the 120 patients,2. 50% of them had family history of cervical cancer,62. 50%of them didn't understand the risk factors for cervical cancer,83. 33% of them didn't have cervical cancer screening,74. 17% of them didn't know the early diagnosis of cervical cancer,and 94. 17% of them didn't have cervical smear examination. Only 25. 00% of the patients had heard of HPV,and they got the information about HPV mainly from media and network. Still there was 77. 50% of the patients didn't know HPV vaccine,and 82. 50% of the patients didn't want to receive HPV vaccine. The main reason was the insufficient awareness and understanding of HPV among these patients. After the cervical cancer and HPV health education,the physiological function,emotional function,general health status,exercise,nutrition,cervical cancer severity and health motivation awareness scores in the observation group were higher than that of the control group( P < 0. 05). Conclusion Health education is of great significance in cervical cancer screening. It is conducive to raising women's awareness of cervical cancer,increasing their enthusiasm for screening,and reducing the incidence and mortality of patients with cervical cancer.
Objective To explore the effect of comprehensive health education on cognition of cervical cancer,healthy lifestyle behavior and health status among females. Methods To select 120 gynecological patients who received health education in our hospital from March 2015 to December 2017 as the study subjects. They were randomly divided into control group and study group with the same number of patients. The control group was given regular health education,while the observation group was given comprehensive health education. Before the intervention,we investigated the cognition of 120 patients towards cervical cancer and HPV. After the intervention,we compared scores of the SF-36 health survey summary,cervical cancer screening scale,and healthy lifestyle behavior scale between the two groups. Results Among the 120 patients,2. 50% of them had family history of cervical cancer,62. 50%of them didn't understand the risk factors for cervical cancer,83. 33% of them didn't have cervical cancer screening,74. 17% of them didn't know the early diagnosis of cervical cancer,and 94. 17% of them didn't have cervical smear examination. Only 25. 00% of the patients had heard of HPV,and they got the information about HPV mainly from media and network. Still there was 77. 50% of the patients didn't know HPV vaccine,and 82. 50% of the patients didn't want to receive HPV vaccine. The main reason was the insufficient awareness and understanding of HPV among these patients. After the cervical cancer and HPV health education,the physiological function,emotional function,general health status,exercise,nutrition,cervical cancer severity and health motivation awareness scores in the observation group were higher than that of the control group( P < 0. 05). Conclusion Health education is of great significance in cervical cancer screening. It is conducive to raising women's awareness of cervical cancer,increasing their enthusiasm for screening,and reducing the incidence and mortality of patients with cervical cancer.
引文
[1]王晓苏,曹书兰,杨学为.微信辅助的授权教育对改善宫颈癌患者生活质量的影响.护理实践与研究[J].2019,16(4):88-90
[2]唐军辉.健康教育在宫颈癌筛查中提升疾病认知的效果[J].护理实践与研究,2018,15(2):105-107.
[3]周艳秋,胡启彩,杨智敬,等.深圳女性人乳头瘤病毒自取样宫颈癌筛查认知与影响因素调查[J].中华现代护理杂志,2016,22(17):2426.
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[5]Acharya Pandey R,Karmacharya E.Cervical cancer screening behavior and associated factors among women of Ugrachandi Nala,Kavre,Nepal[J].European Journal of Medical Research,2017,22(1):32.
[6]Salim S,Yamin M,Alwi I,et al.Validity and reliability of the Indonesian version of SF-36 quality of life questionnaire on patients with permanent pacemakers[J].Acta Medica Indonesiana,2017,49(1):10-16.
[7]Bunevicius A.Reliability and validity of the SF-36 health survey questionnaire in patients with brain tumors:a cross-sectional study[J].Health and Quality of Life Outcomes,2017,15(1):92.
[8]Geremew AB,Gelagay AA,Azale T.Comprehensive knowledge on cervical cancer,attitude towards its screening and associated factors among women aged 30-49 years in Finote Selam town,northwest Ethiopia[J].Reprod Health,2018,15(1):29.
[9]Ndejjo R,Mukama T,Kiguli J,et al.Knowledge,facilitators and barriers to cervical cancer screening among women in Uganda:a qualitative study[J].BMJ Open,2017,7(6):e016282.
[10]Zulqarnain B,Nafeesa Y,Yuanyue L,et al.Knowledge and awareness of cervical cancer,human papillomavirus(HPV),and HPVVaccine Among HPV-Infected Chinese Women[J].Medical Science Monitor,2017,23:4269-4277.
[11]Rees HD,Lombardo AR,Tangoren CG,et al.Knowledge and beliefs regarding cervical cancer screening and HPV vaccination among urban and rural women in León,Nicaragua[J].Peerj,2017,5(1):e3871.
[12]何海燕.农村适龄妇女宫颈癌筛查依从性现状及其影响因素分析[J].护理实践与研究,2018,15(11):88-90.
[13]鞠小梅,张曦霞,张兰凤,等.放置阴道模联合盆底肌肉锻炼在减轻宫颈癌放疗患者阴道狭窄中的应用[J].中华护理杂志,2016,51(9):1124-1126
[14]Crosby RA,Vanderpool R,Jones C.Associations of an abnormal Pap test result with attitudes and beliefs relevant to cervical cancer:a study of rural Appalachian women[J].Cancer Causes Control,2016,27(7):947-950.
[15]Habtu Y,Yohannes S,Laelago T.Health seeking behavior and its determinants for cervical cancer among women of childbearing age in Hossana Town,Hadiya zone,Southern Ethiopia:community based cross sectional study[J].BMC Cancer,2018,18(1):298.
[2]唐军辉.健康教育在宫颈癌筛查中提升疾病认知的效果[J].护理实践与研究,2018,15(2):105-107.
[3]周艳秋,胡启彩,杨智敬,等.深圳女性人乳头瘤病毒自取样宫颈癌筛查认知与影响因素调查[J].中华现代护理杂志,2016,22(17):2426.
[4]Koc Z,Ozdes EK,Topatan S,et al.The Impact of Education about cervical cancer and human papillomavirus on women's healthy lifestyle behaviors and beliefs:using the PRECEDE educational model[J].Cancer Nurs,2019,42(2):106-118.
[5]Acharya Pandey R,Karmacharya E.Cervical cancer screening behavior and associated factors among women of Ugrachandi Nala,Kavre,Nepal[J].European Journal of Medical Research,2017,22(1):32.
[6]Salim S,Yamin M,Alwi I,et al.Validity and reliability of the Indonesian version of SF-36 quality of life questionnaire on patients with permanent pacemakers[J].Acta Medica Indonesiana,2017,49(1):10-16.
[7]Bunevicius A.Reliability and validity of the SF-36 health survey questionnaire in patients with brain tumors:a cross-sectional study[J].Health and Quality of Life Outcomes,2017,15(1):92.
[8]Geremew AB,Gelagay AA,Azale T.Comprehensive knowledge on cervical cancer,attitude towards its screening and associated factors among women aged 30-49 years in Finote Selam town,northwest Ethiopia[J].Reprod Health,2018,15(1):29.
[9]Ndejjo R,Mukama T,Kiguli J,et al.Knowledge,facilitators and barriers to cervical cancer screening among women in Uganda:a qualitative study[J].BMJ Open,2017,7(6):e016282.
[10]Zulqarnain B,Nafeesa Y,Yuanyue L,et al.Knowledge and awareness of cervical cancer,human papillomavirus(HPV),and HPVVaccine Among HPV-Infected Chinese Women[J].Medical Science Monitor,2017,23:4269-4277.
[11]Rees HD,Lombardo AR,Tangoren CG,et al.Knowledge and beliefs regarding cervical cancer screening and HPV vaccination among urban and rural women in León,Nicaragua[J].Peerj,2017,5(1):e3871.
[12]何海燕.农村适龄妇女宫颈癌筛查依从性现状及其影响因素分析[J].护理实践与研究,2018,15(11):88-90.
[13]鞠小梅,张曦霞,张兰凤,等.放置阴道模联合盆底肌肉锻炼在减轻宫颈癌放疗患者阴道狭窄中的应用[J].中华护理杂志,2016,51(9):1124-1126
[14]Crosby RA,Vanderpool R,Jones C.Associations of an abnormal Pap test result with attitudes and beliefs relevant to cervical cancer:a study of rural Appalachian women[J].Cancer Causes Control,2016,27(7):947-950.
[15]Habtu Y,Yohannes S,Laelago T.Health seeking behavior and its determinants for cervical cancer among women of childbearing age in Hossana Town,Hadiya zone,Southern Ethiopia:community based cross sectional study[J].BMC Cancer,2018,18(1):298.