THE EFFECT OF GROUP COUNSELING ON CERVICAL CANCER SCREENING KNOWLEDGE AND PRACTICE AMONG RURAL WOMEN IN KABOUDARAHANG CITY, HAMADAN

Parsa, P and Karami, M and Shobeiri, F and Sharifi, F (2017) THE EFFECT OF GROUP COUNSELING ON CERVICAL CANCER SCREENING KNOWLEDGE AND PRACTICE AMONG RURAL WOMEN IN KABOUDARAHANG CITY, HAMADAN. The J Urmia Nurs Midwifery Fac, 14 (10). pp. 875-884.

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Abstract

Cervical cancer has got a high incidence and mortality rate, but the screening program can detect it in early stages. This study aimed to determine the effect of group counseling on knowledge and practice regarding cervical cancer screening in rural women. Methods & Materials: In this quasi experimental study, 80 married women participated who were under the coverage of Kabodarahang health centers in 2015. The participants were randomly allocated into Intervention and Control groups. The data collection instrument was a questionnaire consisting of demographic information, and the women’s knowledge and practice. Group intervention counseling was held in three sessions, weekly, using GATHER steps in the intervention group. It includes consulting about cervical cancer, its symptoms and prevention of cervical cancer. During this time, the control group members had received only routine care. Two months after the intervention, women’s practice about Pap smear test was evaluated in both groups. Results: The mean knowledge score in the intervention group significantly increased from 52.72 before intervention to 76/62 after intervention. No significant difference was observed concerning their knowledge between the two groups before the intervention, but after intervention, the difference was significant (P < 0.001). Two months after intervention, 17 women (42/5%) in the intervention group, and 4 (10%) women in the control group (10%) underwent Pap smear test (P < 0.001). Conclusion: Design and implementation of counseling programs can increase awareness and performance about cervical cancer in the rural women

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