宫颈癌筛查前开展健康教育对疾病认知程度及筛查依从性的影响

Influence of health education before screening for cervical cancer on disease awareness degree and screening compliance

目的探讨宫颈癌筛查前开展健康教育对疾病认知程度与筛查依从性的影响,为早期研究与干预提供参考。方法选取2015年8月—2018年7月惠州市博罗县人民医院进行健康体检的2 833例女性作为研究对象,根据筛查时间不同将2015年8月—2017年2月进行筛查的1 400例作为对照组,将2017年3月—2018年7月筛查的1 433例作为观察组。对照组筛查前不开展健康教育,观察组筛查前开展健康教育,对比两组疾病认知情况及筛查依从性。结果筛查(健康教育)前,两组疾病认知得分比较,差异无统计学意义(P>0.05);筛查后,观察组疾病认知得分为(17.62±1.93)分,明显高于筛查前及对照组的(14.53±2.04)分,差异有统计学意义(P<0.05);观察组筛查依从性(92.53%)明显高于对照组(69.79%),差异有统计学意义(P<0.05)。结论宫颈癌筛查前开展健康教育不但能够提升筛查对象宫颈癌疾病相关知识认知程度,还能够提升其筛查依从性。

Objective To explore the impact of healthy education on disease awareness and screening compliance before cervical cancer screening. Methods Totally 2 833 women who were chosen to do a healthy physical examination in the People’s Hospital of Boxing from August 2015 to July 2018 were enrolled, and were divided into control group and observation group according to the time of the screening,and there were 1 400 cases of subjects who were screened in control group from August 2015 to February 2017, and 1 433 cases in observation group from March 2017 to July 2018. Control group did not receive health education, but observation group received health education before screening. Disease cognitive situation and screening adherence were compared between the two groups. Results Before screening, there was no significant difference in disease cognitive scores between the two groups(P>0.05).After screening, the disease cognitive score of the observation group was significantly higher than that of the control group, and the difference was statistically significant(17.62±1.93 vs. 14.53±2.04, P<0.05).The screening compliance of the observation group(92.53%) was significantly better than that of the control group(69.79%), and the difference between the two groups was statistically significant(P<0.05).Conclusions Healthy education before screening for cervical cancer can not only improve the knowledge level of cervical cancer disease, but also improve the compliance of screening.