Effects of nursing intervention based on health belief model on compliance of screen by gastroscope in high risk group of gastric cancer
10.3760/cma.j.issn.1674-2907.2017.28.014
- VernacularTitle:健康信念模式护理干预对胃癌高危人群胃镜筛查依从性的影响
- Author:
Ningrui HOU
1
;
Jing CHEN
;
Wanxia YAO
;
Ruijun WANG
Author Information
1. 西安交通大学医学院第一附属医院麻醉手术部
- Keywords:
Stomach neoplasms;
Screen;
High risk group;
Health belief
- From:
Chinese Journal of Modern Nursing
2017;23(28):3618-3622
- CountryChina
- Language:Chinese
-
Abstract:
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 statistically significant differences in scores of all dimensions on cognition about gastric cancer before and after intervention in observation group (P<0.05), while there was no statistically significant differences in those in control group (P>0.05). There were also statistically significant differences in scores of all dimensions of health belief between two groups (P<0.05). Compared within groups, there was no statistically significant differences in scores of all dimensions of health belief except for self efficacy in control group before and after intervention (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.
