여성건강간호학회지 (Women's Health Nursing)

  • 제16권4호
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  • Pages.317-325
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  • 2010
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  • 3022-7666(pISSN)
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  • 3022-8247(eISSN)
한국여성건강간호학회 (Korean Society of Women Health Nursing)
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기혼간호사 대상 자궁경부세포 검진의 변화 단계에 따른 관련요인

Relating Factors in Pap Smears by Stages of Change among Married Nurses

  • 김혜원 (관동대학교 간호학과) ;
  • 정연이 (삼성서울병원 진료개선팀)
  • Kim, Hae-Won (Department of Nursing, College of Medicine, Kwandong University) ;
  • Jung, Yeon-Yi (Clinical Quality Improvement Team, Samsung Medical Center)
  • 투고 : 2010.06.15
  • 심사 : 2010.08.13
  • 발행 : 2010.12.20
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초록

Purpose: This study was to examine the differences in health belief variables and HPV (Human Papillomavirus) knowledge in Pap smears according to the stages of change using Trans-theoretical Model (TTM) among married nurses. Methods: The research design was a cross sectional survey. Participants were 387 married nurses working in general hospital located metropolitan city. Measurement variables were perceived threatening, perceived severity, benefits of Pap, HPV knowledge and stages of the change in Pap smear. Results: Classified stages were pre-contemplation 3.9%, contemplation 17.8%, relapsing 29.5%, action 31.0%, and maintenance 17.8%. Accuracy rate of HPV knowledge were low ranging from 15% to 45%. Among the variables, perceived threatening (F=3.56, p=.007), perceived severity (F=9.73, p<.001) and HPV knowledge (F=7.52, p<.001) were significantly different by stages of change. Conclusion: Application of TTM to Pap smears was efficient to know the nurse's level of health behaviors, Health belief variables and HPV knowledge were main factors to identify the stages of change. The continuation of Pap smears and the education in relation to HPV knowledge should be encouraged for married nurses.

키워드

참고문헌

  1. Ayinde, O. A., & Omigbodun, A. O. (2003). Knowledge, attitude and practices related to prevention of cancer of the cervix among female health workers in Ibadan. Journal of Obstetrics and Gynaecology, 23 (1), 59-62. https://doi.org/10.1080/0144361021000043272
  2. Choe, S. A. (2002). Factors influencing continuous pap smear participation in women employed in a general hospital. Unpublished master's thesis, Yonsei University. Seoul.
  3. Garces, D. M. (2006). Applying the health belief model to cervical cancer screening. Revista CES Medicina, 20 (1), 55-63.
  4. Ji, S. W. (2009). A study on the knowledge of Human papillomavirus and cervical cancer in nurses. Unpublished master's thesis, Kwandong University, Gangreung.
  5. Ju, H. O., Kim, J. S., Cho, Y. S., Park, N. H., Eo, Y. S., Cho, Y. R., et al. (2003). A survey on cancer screening among nurses at general hospital in Busan. Korean Journal of Women Health Nursing, 9 (1), 18-27.
  6. Kelaher, M., Gillespie, A. G., Allotey, P., Manderson, L., Potts, H., Sheldrake, M. et al. (1999). The transtheoretical model and cervical screening: Its application among culturally diverse communities in Queensland, Australia. Ethnicity & Health, 4 (4), 259-276. https://doi.org/10.1080/13557859998047
  7. Kim, S. H. (2004). Study on the characteristics and related factors of female cancer's screening and repeat screening. Unpublished master's thesis, Pusan National University, Busan.
  8. Kim, M. (2005). The effect of nursing intervention on the rescreening compliance of cervical cancer screening clients. Unpublished doctoral dissertation, Chonman National University, Gwangju.
  9. Kim, J. U. (2006). Relationship between middle aged women's cognitive perceptual factors and examination for detection of cancer. Unpublished master's thesis, Gachon Medical University, Incheon.
  10. Kim, H. W., & Ahn, H. Y. (2007). Study on the knowledge of Human papillomavirus in female university students. Korean Journal of Women Health Nursing, 13 (1), 13-20.
  11. Kim, H. W. (2009). Effects of prevention education on Human Papillomavirus linked to cervix cancer for unmarried female university students. Journal of Korean Academy of Nursing, 39 (4), 490-498. https://doi.org/10.4040/jkan.2009.39.4.490
  12. Kwak, M. S., Choi, K. S., Spring, B. J., Park S., & Park, E. C. (2009). Predicting the stages of adoption of cervical cancer screening among Korean women. Preventive Medicine, 49 , 48-53. https://doi.org/10.1016/j.ypmed.2009.05.007
  13. Lee-Lin, F., Pett, M., Menon, U., Lee, S., Nail, L., Mooney, K., et al. (2007). Cervical cancer beliefs and Pap test screening practices among Chinese American immigrants. Oncology Nursing Forum, 34 (6), 1203-1209. https://doi.org/10.1188/07.ONF.1203-1209
  14. Lee, H. J., Lee, S. H., Jung, S, H., Shin, H. R., & Oh, D. K. (2005). Analysis of behavioral stages in Pap testing by using transtheoretical model. Journal of Preventive Medicine & Public Health, 38 (1), 82-92.
  15. Mutyaba, T., Mmiro, F. A., & Weiderpass, E. (2006). Knowledge, attitudes and practice on cervical cancer screening among the medical workers of Mulago hospital, Uganda. BMC Medical Education, 6 (13), 1-4. https://doi.org/10.1186/1472-6920-6-1
  16. National Cancer Information Center [NCIC] (2009). Early examination of cervical cancer. Retrieved October 25, 2009, from http://www.ncc.re.kr/index.jsp
  17. Prochaska, J. O., & DiClemente, C. (1992). Stages of change in the modification of problem behaviors. Progress in Behavior Modification, 28, 183-218.
  18. Tiro, J. A., Meissner, H. I., Kobrin, S., & Chollette, V. (2007). What do women in the U.S. know about Human Papillomavirus and cervical cancer? Cancer Epidemiology, Biomarkers & Prevention, 16 (2), 288-294. https://doi.org/10.1158/1055-9965.EPI-06-0756
  19. Tung, W. C., Nguyen, D. H. T., & Tran, D. N. (2008). Applying the transtheoretical model to cervical cancer screening in Vietnamese-American women. International Nursing Review, 55, 73-80. https://doi.org/10.1111/j.1466-7657.2007.00602.x
  20. Turkistanl, E. C, Sogukpinar, N., Saydam, B. K., & Aydemir, G. (2003). Cervical cancer prevention and early detection-The role of nurse and midwives. Asian Pacific Journal of Cancer Prevention, 4, 15-21.
  21. Twinn, S., Shiu, A. T. Y., & Holroyd, E. (2002). Women's knowledge about cervical cancer and cervical screening practice: A pilot study of Hong Kong Chinese women. Cancer Nursing, 25 (5), 377-384. https://doi.org/10.1097/00002820-200210000-00007
  22. Yaren, A., Ozkilinc, G., Guler, A., & Oztop, I. (2007). Awareness of breast and cervical cancer risk factors and screening behaviors among nurses in rural region of Turkey. European Journal of Cancer Care, 17, 278-284.

피인용 문헌

  1. 미혼 간호사의 Pap 검진의도 영향요인 vol.20, pp.3, 2010, https://doi.org/10.4069/kjwhn.2014.20.3.225
  2. 일 지역 간호대학생들의 인유두종바이러스 예방접종에 영향을 미치는 요인 vol.17, pp.3, 2010, https://doi.org/10.5762/kais.2016.17.3.464