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Volume 5, Issue 3 (Summer 2019)
JCCNC 2019, 5(3): 157-166 |
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Khakbaz Alvandian E, Farahaninia M, Masror D, Haghani H. The Knowledge, Attitudes, and Practices of Healthcare Providers About Colorectal Cancer Screening by Health Belief Model. JCCNC 2019; 5 (3) :157-166
URL: http://jccnc.iums.ac.ir/article-1-225-en.html
URL: http://jccnc.iums.ac.ir/article-1-225-en.html
1- Department of Community Health Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences and Health Services, Tehran, Iran.
2- Department of Community Health Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences and Health Services, Tehran, Iran. ,farahaninia.m@iums.ac.ir
3- Department of Medical-Surgical Nursing, , School of Nursing and Midwifery, Iran University of Medical Sciences and Health Services, Tehran, Iran.
2- Department of Community Health Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences and Health Services, Tehran, Iran. ,
3- Department of Medical-Surgical Nursing, , School of Nursing and Midwifery, Iran University of Medical Sciences and Health Services, Tehran, Iran.
Abstract: (2579 Views)
Background: Colorectal Cancer (CRC) is a serious health problem, and its early detection is crucial for treatment and reducing mortality. Beliefs related to colorectal cancer are an affecting factor in a person’s decision about the CRC Program. The current study aimed at assessing the knowledge, attitude, and practice of healthcare providers regarding colorectal cancer screening based on the Health Belief Model (HBM) in Hamedan City, Iran, in 2018.
Methods: This was a descriptive cross-sectional study. A total of 330 healthcare workers employed in comprehensive centers of urban and rural services in Hamedan were recruited by the census method. The required data were collected by demographic characteristics form and HBM scale of CRC. To analyze the obtained data, frequency, mean, standard deviation, Independent Samples t-test, Analysis of Variance (ANOVA), linear regression, and logistic regression analyses were used in SPSS.
Results: The achieved results suggested that the mean knowledge score of the study subjects was 10.19; it was higher than that of 7.5 in the structure of HBM. The mean score of perceived sensitivity, perceived severity, perceived benefits, and perceived self-efficacy was higher than that of the perceived tool, and the barriers were less. Test performance was satisfactory in people aged >50 years (68.2%), and more than 90% of individuals recommended screening to their clients. They received the most information during training sessions.
Conclusion: Although the level of knowledge of CRC was higher than the average, more education is required for people to receive regarding HBM. On-job training classes should be more precise. Furthermore, considering the favorable performance of the sample, integrating the CRC screening program into the healthcare program has provided desirable results and could be a starting point for other programs.
Methods: This was a descriptive cross-sectional study. A total of 330 healthcare workers employed in comprehensive centers of urban and rural services in Hamedan were recruited by the census method. The required data were collected by demographic characteristics form and HBM scale of CRC. To analyze the obtained data, frequency, mean, standard deviation, Independent Samples t-test, Analysis of Variance (ANOVA), linear regression, and logistic regression analyses were used in SPSS.
Results: The achieved results suggested that the mean knowledge score of the study subjects was 10.19; it was higher than that of 7.5 in the structure of HBM. The mean score of perceived sensitivity, perceived severity, perceived benefits, and perceived self-efficacy was higher than that of the perceived tool, and the barriers were less. Test performance was satisfactory in people aged >50 years (68.2%), and more than 90% of individuals recommended screening to their clients. They received the most information during training sessions.
Conclusion: Although the level of knowledge of CRC was higher than the average, more education is required for people to receive regarding HBM. On-job training classes should be more precise. Furthermore, considering the favorable performance of the sample, integrating the CRC screening program into the healthcare program has provided desirable results and could be a starting point for other programs.
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• Colorectal cancer is the third most common cancer in men, the second in women, and is the third leading cause of cancer deaths.
• If colorectal cancer is detected in the early stages, the 5-year survival rate is increased to 90%.
• Due to the lack of screening programs in many countries, only 39% of early colon cancers are identified.
• The early detection or secondary prevention of cancer is highly important for controlling specific cancers, like the colorectal type.
• People’s health beliefs significantly affect their health, including behaviors preventing illnesses or screening.
Plain Language Summary
Cancer incidence in developing countries is reported to be increasing due to aging populations, changing lifestyles, smoking habits, immobility, and the westernization of diet. Beliefs related to colorectal cancer are a factor impacting a person’s decision about the colorectal cancer program. This study discussed the knowledge, attitudes, and practices of healthcare providers about colorectal cancer screening based on HBM. The study results reported that the knowledge of colorectal cancer was higher than the average. Test performance was also satisfactory in people aged over 50 years. Integrating the colorectal cancer screening program into the healthcare programs has had good results and could be a starting point for other programs.
• If colorectal cancer is detected in the early stages, the 5-year survival rate is increased to 90%.
• Due to the lack of screening programs in many countries, only 39% of early colon cancers are identified.
• The early detection or secondary prevention of cancer is highly important for controlling specific cancers, like the colorectal type.
• People’s health beliefs significantly affect their health, including behaviors preventing illnesses or screening.
Plain Language Summary
Cancer incidence in developing countries is reported to be increasing due to aging populations, changing lifestyles, smoking habits, immobility, and the westernization of diet. Beliefs related to colorectal cancer are a factor impacting a person’s decision about the colorectal cancer program. This study discussed the knowledge, attitudes, and practices of healthcare providers about colorectal cancer screening based on HBM. The study results reported that the knowledge of colorectal cancer was higher than the average. Test performance was also satisfactory in people aged over 50 years. Integrating the colorectal cancer screening program into the healthcare programs has had good results and could be a starting point for other programs.
Type of Study: Research |
Subject:
Special
Received: 2019/02/19 | Accepted: 2019/06/25 | Published: 2019/08/1
Received: 2019/02/19 | Accepted: 2019/06/25 | Published: 2019/08/1
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