Korean J Women Health Nurs.  2010 Dec;16(4):317-325. 10.4069/kjwhn.2010.16.4.317.

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

• Kim HW
• Jung YY

• KMID: 2308193
• DOI: http://doi.org/10.4069/kjwhn.2010.16.4.317

Abstract

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.

Keyword

Cervix cancer; Vaginal smears; Health behavior; Nurses

MeSH Terms

Cross-Sectional Studies
Health Behavior
Health Status
Hospitals, General
Research Design
Uterine Cervical Neoplasms
Vaginal Smears

Reference

1. Ayinde O.A., Omigbodun A.O. Knowledge, attitude and practices related to prevention of cancer of the cervix among female health workers in Ibadan. Journal of Obstetrics and Gynaecology. 2003. 23(1):59–62.

2. Choe S.A. Factors influencing continuous pap smear participation in women employed in a general hospital. 2002. Seoul: Yonsei University;Unpublished master's thesis.

3. Garces D.M. Applying the health belief model to cervical cancer screening. Revista CES Medicina. 2006. 20(1):55–63.

4. Ji S.W. A study on the knowledge of Human papillomavirus and cervical cancer in nurses. 2009. Gangreung: Kwandong University;Unpublished master's thesis.

5. Ju H.O., Kim J.S., Cho Y.S., Park N.H., Eo Y.S., Cho Y.R., et al. A survey on cancer screening among nurses at general hospital in Busan. Korean Journal of Women Health Nursing. 2003. 9(1):18–27.

6. Kelaher M., Gillespie A.G., Allotey P., Manderson L., Potts H., Sheldrake M., et al. The transtheoretical model and cervical screening: Its application among culturally diverse communities in Queensland, Australia. Ethnicity & Health. 1999. 4(4):259–276.

7. Kim S.H. Study on the characteristics and related factors of female cancer's screening and repeat screening. 2004. Busan: Pusan National University;Unpublished master's thesis.

8. Kim M. The effect of nursing intervention on the rescreening compliance of cervical cancer screening clients. 2005. Gwangju: Chonman National University;Unpublished doctoral dissertation.

9. Kim J.U. Relationship between middle aged women's cognitive perceptual factors and examination for detection of cancer. 2006. Incheon: Gachon Medical University;Unpublished master's thesis.

10. Kim H.W., Ahn H.Y. Study on the knowledge of Human papillomavirus in female university students. Korean Journal of Women Health Nursing. 2007. 13(1):13–20.

11. Kim H.W. Effects of prevention education on Human Papillomavirus linked to cervix cancer for unmarried female university students. Journal of Korean Academy of Nursing. 2009. 39(4):490–498.

12. Kwak M.S., Choi K.S., Spring B.J., Park S., Park E.C. Predicting the stages of adoption of cervical cancer screening among Korean women. Preventive Medicine. 2009. 49:48–53.

13. Lee-Lin F., Pett M., Menon U., Lee S., Nail L., Mooney K., et al. Cervical cancer beliefs and Pap test screening practices among Chinese American immigrants. Oncology Nursing Forum. 2007. 34(6):1203–1209.

14. Lee H.J., Lee S.H., Jung S.H., Shin H.R., Oh D.K. Analysis of behavioral stages in Pap testing by using transtheoretical model. Journal of Preventive Medicine and Public Health. 2005. 38(1):82–92.

15. Mutyaba T., Mmiro F.A., Weiderpass E. Knowledge, attitudes and practice on cervical cancer screening among the medical workers of Mulago hospital, Uganda. BMC Medical Education. 2006. 6:13.

16. Early examination of cervical cancer. National Cancer Information Center [NCIC]. 2009. Retrieved October 25, 2009. from http://www.ncc.re.kr/index.jsp.

17. Prochaska J.O., DiClemente C. Stages of change in the modification of problem behaviors. Progress in Behavior Modification. 1992. 28:183–218.

18. Tiro J.A., Meissner H.I., Kobrin S., Chollette V. What do women in the US know about Human Papillomavirus and cervical cancer? Cancer Epidemiology, Biomarkers and Prevention. 2007. 16(2):288–294.

19. Tung W.C., Nguyen D.H.T., Tran D.N. Applying the transtheoretical model to cervical cancer screening in Vietnamese-American women. International Nursing Review. 2008. 55:73–80.

20. Türkistanlı E.C., Sogukpinar N., Saydam B.K., Aydemir G. Cervical cancer prevention and early detection--The role of nurse and midwives. Asian Pacific Journal of Cancer Prevention. 2003. 4:15–21.

21. Twinn S., Shiu A.T.Y., Holroyd E. Women's knowledge about cervical cancer and cervical screening practice: A pilot study of Hong Kong Chinese women. Cancer Nursing. 2002. 25(5):377–384.

22. Yaren A., Ozkilinc G., Guler A., Oztop I. Awareness of breast and cervical cancer risk factors and screening behaviors among nurses in rural region of Turkey. European Journal of Cancer Care. 2007. 17:278–284.