The effectiveness of cervical cancer prevention program on women’s perceptions and follow up in women with abnormal pap smear test at gynecological department, Khon Kaen hospital

Abstract

                This research was a quasi-experimental research. To study the effectiveness of cervical cancer prevention programs on women perceptions and monitoring in women with abnormal cervical mucosa. By applying Rogers’ conceptual framework, health beliefs and theories of motivation for disease prevention, the sample was women with abnormal cervical endometrial cells. From receiving a cervical colposcopy at the gynecological department, Khon Kaen Hospital amounted  66  people. The samples were selected according to the criteria. The specified procedure was divided into a simple randomized randomized controlled trial group and a control group of 33 participants each. The trial group participated in the program 2 times, the first time for receiving a cervical colposcopy and the second appointment date. Cervical colposcopy. While waiting for the colposcopic examination, there will be calls to follow up and inquire about problems, including urging them to come and check on an appointment. Data collection during September Until November 2020, data collected before and after the program with questionnaires. Data were analyzed by statistical numbers, percentage, mean, Paired t-test, Independent t-test and Z -test.

                The results showed that the effectiveness of the cervical cancer prevention program on the perception of women and monitoring in women with abnormal cervical mucosa cells. Of the experimental group had an average score of perceived risk of cervical cancer occurs. Perception of cervical cancer, Perception of benefits of cervical colposcopy results, The perception of obstacle to cervical colposcopy was significantly higher than that before the experiment and was significantly higher than that of the comparison group. (p <0.001) and came to have cervical colposcopy more on appointment than the comparison group

                The results of this study show that The Cervical Cancer Prevention Program was effective to improve perceived of cervical cancer prevention and improve adherence to colposcopy fol- low-up in women with abnormal pap smear test r. Hence, the implementation of this program is recommended for other groups of women with abnormal pap smear test in order to promote a higher rate of  adherence for colposcopy.