Effects of health knowledge supportive program on uncertainty of illness and coping among women receiving colposcopy
Article Sidebar
Main Article Content
Abstract
This study was experimental research using a two-group pretest-posttest design. The objective was to examine the effects of a health knowledge support program on uncertainty in illness and stress coping among women undergoing colposcopy. The sample consisted of 54 women with abnormal cervical cancer screening results who underwent colposcopy at Vajira hospital between November 2024 and February 2025. The research instruments included: (1) the intervention tool and (2) data collection tools-personal information questionnaire, the Mishel Uncertainty in Illness Scale, and a stress coping assessment form. Data were analyzed using descriptive statistics (frequency, percentage, mean, standard deviation), chi-square, fisher’s exact test and inferential statistics including Dependent t-test, independent t-test, wilcoxon matched-pairs signed rank test, and mann-whitney U test
The results showed that the experimental group had significantly reduced uncertainty in illness and improved stress coping after receiving the health knowledge support program (p<0.05). Comparisons between groups revealed that the experimental group had significantly better scores in both uncertainty in illness and stress coping than the control group (p<0.05). This study suggests that implementing a health knowledge support program in gynecology clinics can effectively reduce illness uncertainty and enhance stress coping among women undergoing colposcopy, thereby improving the holistic quality of nursing care.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
เนื้อหาและข้อมูลในบทความที่ลงตีพิมพ์ในวชิรสารการพยาบาลถือเป็นข้อคิดเห็นและความรับผิดชอบของผู้เขียนบทความโดยตรง ซึ่งกองบรรณาธิการไม่จำเป็นต้องเห็นด้วย หรือร่วมรับผิดชอบใด ๆ ทั้งสิ้น
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในวชิรสารการพยาบาล ถือเป็นลิขสิทธิ์ของวชิรสารการพยาบาล หากบุคคลใดหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใด ๆ จะต้องได้รับอนุญาตเป็นลายลักอักษรจากวชิรสารการพยาบาลก่อนเท่านั้น
References
World Health Organization. Cancer Today: Globocan 2022 – All Cancer [Internet]. Geneva: WHO; 2024 [cited 2025 Jun 27]. Available from: https://gco.iarc.who.int/ media/globocan/factsheets/cancers/39-all-cancers-fact-sheet.pdf
World Health Organization. Cervical cancer [Internet]. Geneva: WHO; 2024 [cited 2025 Jun 27]. Available from:https:// www.who.int/news-room/fact-sheets/ detail/cervical-cancer
National Cancer Institute, Ministry of Public Health. Hospital-Based Cancer Registry 2022 [Internet]. Bangkok: National Cancer Institute; 2023 [cited 2024 Jul 6]. Available from: https://www. nci.go.th/th/cancer_record/download/Hosbased-2022-1.pdf
Srisomboon J, Supakornphongkul W. Gynecologic oncology. Bangkok: Royal Thai College of Obstetricians and Gynaecologists; 2011. Thai.
Varon ML, Geng Y, Fellman BM, Troisi C, Fernandez ME, Li R, et al. Interventions to increase follow-up of abnormal cervical cancer screening results: a systematic literature review and meta-analysis. PLoS One. 2024;19(2):e0291931. doi:10.1371/ journal.pone.0291931
Phuakpoolpol S, Suwannarurk K, Jaisin K, Punyashthira A, Pattaraarchachai J, Bhamarapravatana K. Anxiety and depression in Thai women with abnormal cervical cytology who attended the colposcopic unit in Thammasat University Hospital. Asian Pac J Cancer Prev. 2018; 19(10):2985–9. doi:10.22034/apjcp. 2018. 19.10.2985
Pornsinsiriruck S, Arpanantikul M, Sumdaengrit B, Lertkhachonsuk A-a, Grube WD. Perceptions and needs of women with low-grade squamous intraepithelial lesion on cervical cytology: A qualitative descriptive study. Pac Rim Int J Nurs Res. 2022;26(4):642–57.
Mishel MH. Uncertainty in illness. Image J Nurs Sch. 1988;20(4):225–32. doi:10.1111/ j.1547-5069.1988.tb00082.x
Jengprasert K, Khongrod S. Effects of video-based education on knowledge and satisfaction among women with abnormal cervical cancer screening undergoing colposcopy. J Health Educ. 2021;44(1): 176–85. Available from: https://repository.li. mahidol.ac.th/handle/123456789/72157
Filding S, Rothnie K, Gray NM, Little J, Cruickshank ME, Neal K, et al. Psychosocial morbidity in women with abnormal cervical cytology managed by cytological surveillance or initial colposcopy: Longitudinal analysis from the TOMBOLA randomised trial. Psychooncology. 2017;26(4):476–83. doi:10.1002/pon.4163
Kohler RE, Hemler J, Wagner RB, Sullivan B, Macenat M, Tagai EK, et al. Confusion and anxiety between abnormal cervical cancer screening results and colposcopy: “The land of the unknown”. Patient Educ Couns. 2023;114:107810. doi:10.1016/ j.pec.2023.107810
Trongtieng W, Thanadwanich Y, Khunsongkiet W. Factors influencing illness uncertainty among cancer patients receiving chemotherapy. Burapha Nurs J. 2020;28(4):26–37. Available from: https://he02.tci-thaijo.org/index.php/ Nubuu/article/view/248248/168654
Thanyakulsatja S, Samdaengrit B, Chanda T. Stress and coping in women with abnormal cervical cancer screening results awaiting colposcopy and biopsy results. Boromarajonani College of Nursing Nonthaburi J Health Sci Res. 2024;18(1) :48–59.
Guan T, Qan'ir Y, Song L. Systematic review of illness uncertainty management interventions for cancer patients and their family caregivers. Support Care Cancer. 2021;29(8):4623–40. doi:10.1007/s00520-020-05931-x
Chotipativejkul W. Effects of counseling on anxiety among women with abnormal cervical cancer screening results. Phrae Hosp J. 2021;28(1):81–91.
Pojanart A, Wonghongkul T, Sukonthasab A. Effects of a support and education nursing system on uncertainty in illness among newly diagnosed breast cancer patients. Thai Nurs Council J. 2013;40(3):75–84.
Jerachotechueantaveechai T, Charoenkwan K, Wongpakaran N. Prevalence and predicting factors for anxiety in Thai women with abnormal cervical cytology undergoing colposcopy. Asian Pac J Cancer Prev. 2015;16(4):1427–30. doi:10.7314/apjcp.2015.16.4.1427
Mishel MH. Reconceptualization of the uncertainty in illness theory. Image J Nurs Sch. 1990;22(4):256–62. doi:10.1111/j.1547-5069.1990.tb00225.x
Mishel M, Braden C. Finding meaning: Antecedents of uncertainty in illness. Nurs Res. 1988;37(2):98–103,127. doi:10.1097/00 006199-198803000-00009
Srisatitnarakorn B. Nursing research methodology. 5th ed. Bangkok: U&I Intermedia; 2010. Thai.
Chantakarn C. Stress and coping among women with abnormal cervical cancer screening results [Master’s thesis]. Bangkok: Ramathibodi Hospital, Mahidol University; 2009.
Deeraksa S, Samdaengrit B, Hanprasitkam K. Stress and coping among women with abnormal cervical cells prior to loop electrosurgical excision procedure (LEEP). Royal Thai Army Med J Nurs. 2021;22(3):247–56.
