Effects of nursing intervention based on health belief model on compliance of screen by gastroscope in high risk group of gastric cancer

健康信念模型 医学 干预(咨询) 癌症 认知 健康教育 护理部 物理疗法 内科学 精神科 公共卫生
作者
Ningrui Hou,Jing Chen,Wanxia Yao,Ruijun Wang
出处
期刊:Chinese Journal of Modern Nursing [Chinese Medical Association]
卷期号:23 (28): 3618-3622
标识
DOI:10.3760/cma.j.issn.1674-2907.2017.28.014
摘要

Objective To explore the effects of nursing intervention based on health belief model (HBM) in improving compliance of screen by gastroscope in high risk group of gastric cancer so as to provide theoretical bases for clinical nursing activity. Methods High risk group of gastric cancer with preliminary screening without completing gastroscopy from five communities of Yanta District, Beilin District, Lianhu District of Xi'an City were selected by convenience sampling from 20th March 2015 to 15th December 2016. They were divided into observation group (n=500, conventional education on screening of gastric cancer) and control group (n=500, nursing intervention based on HBM for one year) with the method of random number table. And then, the cognition, score of health belief and the screening rate of gastroscope of both groups were compared. Results After intervention, the scores of all dimensions on cognition about gastric cancer in observation group were higher than those in control group with significant differences (P 0.05) . There were also statistically significant differences in scores of all dimensions of health belief between two groups (P 0.05) , while there were statistical significances in scores of all dimensions in observation group (P<0.05) . After intervention, the screening rate of gastroscope in observation group was significantly higher than that in control group (P<0.05) . Conclusions The nursing intervention based on HBM helps high risk group of gastric cancer sets up health belief, improves the participation rate of screening by gastroscope along with having important significance for the discovery rate of early gastric cancer. Key words: Stomach neoplasms; Screen; High risk group; Health belief

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