Journal List > Korean J Women Health Nurs > v.16(4) > 1037246

Kim and Jung: Relating Factors in Pap Smears by Stages of Change among Married Nurses

Abstract

Purpose

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.

Figures and Tables

Table 1
Demographic and Obstetrical Characteristics (N=387)
kjwhn-16-317-i001

HPV=Human Papillomavirus.

Table 2
Stages of the Change in Pap Smear, Health Belief Variables and Knowledge of HPV
kjwhn-16-317-i002

HPV=Human Papillomavirus.

Corrected answer only.

Table 3
Comparisons of Health Belief Variables, Knowledge of HPV and Demographic & Obstetrical Characteristics by Stages of the Change in Pap Smear
kjwhn-16-317-i003

Stage ① = Pre-contemplation; Stage, ② = Contemplation; Stage, ③ = Relapse; Stage, ④ = Action; Stage, ⑤ = Maintenance HPV (Human Papillomavirus).

Kruskal Wallis test.

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