地域母子保健活動を行う助産師による育児期母親への子宮頸がん・検診・HPVワクチンに関するセミナーの効果

Effects of a seminar about cervical cancer screening provided to mothers by midwives involved in community maternal and child health care

要旨

目的

　本研究は、子宮頸がん好発年齢にある育児期母親の検診意識向上を促す助産師によるセミナーの効果を明らかにすることを目的とした。

対象と方法

　A市で乳幼児を育児中の母親に対し、地域母子保健活動を行っている助産師によるセミナーを実施した。有効な回答が得られた366名について、定期的な子宮がん検診受診の有無により「検診あり群」300名、「検診なし群」66名に分け各群をセミナー受講前後で比較した。

結果

　両群とも年齢は30-34歳が最も多かった。セミナー受講前後の母親の意識の変化では、「検診あり群」と「検診なし群」の両群ともにセミナー受講後は受講前より「子宮頸がん検診が早期発見につながる」「定期的に検診を受けようと思う」は有意に高く、「検診への不安」「検診の抵抗感」は有意に低かった。

　理解度においては、両群ともセミナー後は前より、「子宮頸がん」「子宮頸がん検診」「子宮頸がん予防ワクチン」すべての項目において有意に高かった。

結論

　本セミナーが子宮頸がん好発年齢にある育児期母親の子宮頸がん検診意識向上に有効であることが示唆された。

Objective

This study aimed to determine the effects of a seminar on understanding and awareness of cervical cancer, cervical cancer screening and HPV vaccination for mothers provided by midwives who are involved in community maternal and child health care.

Methods

Pre-and post-seminar questionnaires regarding demographic data, knowledge and awareness of cervical cancer, cervical cancer screening, HPV vaccination, and comments and suggestions were completed by 366 mothers (age range, 30 - 34 years) in city A. We separated the women into one group that underwent periodical examinations for cervical cancer (group A; n = 300) and another that did not (group B; n = 66).

Results

Scores for the items associated with cancer awareness, “examination leads to early detection”, “I want to be periodically examined for cervical cancer” were significantly higher for both groups after the seminar. Those for the items associated with cervical cancer awareness of “I am afraid of cervical cancer examination” and “I dislike cervical cancer examinations more than other tests” were significantly lower after the seminar.

Scores for knowledge and awareness of cervical cancer, cervical cancer screening and HPV vaccination were significantly higher after the seminar.

Conclusions

Knowledge and awareness of cervical cancer, cervical cancer screening and HPV vaccination improved in both groups after the seminar.