PDF(Pubmed)
Abstract：
Evidence showed self-efficacy was relevant to rural females\' cervical cancer screening behaviour. However, little is known about sources of self-efficacy in cervical cancer screening among rural females. This study aimed to explore sources of self-efficacy in cervical cancer screening among rural females.
A qualitative descriptive study was conducted. Both users and providers of cervical cancer screening services in rural areas of China were recruited through maximum variation sampling.
Individual semi-structured interviews through telephone calls were conducted. Data were analysed via six main stages of the framework method, with the social cognitive theory as a reference.
Four main sources were identified, including personal screening experience, hearing about other women\'s screening experiences, professional health education and consultation, and emotional status. Personal screening experience included enactive mastery of completing the screening behaviour and cognitive mastery of internalisation of the screening. Only the experience of completing cervical cancer screening behaviour was not strong enough to improve self-efficacy. Cognitive mastery showed more critical influence.
These four sources of rural females\' cervical cancer screening self-efficacy matched with the major sources of self-efficacy of the social cognitive theory. Cognition was critical to influencing the screening self-efficacy. Intervention strategies aimed at enhancing rural females\' cervical cancer screening self-efficacy can be developed from these four major sources.
A registered nurse with rich experience in cervical cancer-related research and qualitative study was the interviewer of this study. Rural females and cervical cancer screening services providers (healthcare professionals and village staff) were recruited as interviewees. The interview guides were developed by the research team and evaluated by an expert panel including two nurse leaders of gynaecological cancer, one doctor specialised in cervical cancer, and one medical director in a local rural hospital.
A qualitative descriptive study was conducted. Both users and providers of cervical cancer screening services in rural areas of China were recruited through maximum variation sampling.
Individual semi-structured interviews through telephone calls were conducted. Data were analysed via six main stages of the framework method, with the social cognitive theory as a reference.
Four main sources were identified, including personal screening experience, hearing about other women\'s screening experiences, professional health education and consultation, and emotional status. Personal screening experience included enactive mastery of completing the screening behaviour and cognitive mastery of internalisation of the screening. Only the experience of completing cervical cancer screening behaviour was not strong enough to improve self-efficacy. Cognitive mastery showed more critical influence.
These four sources of rural females\' cervical cancer screening self-efficacy matched with the major sources of self-efficacy of the social cognitive theory. Cognition was critical to influencing the screening self-efficacy. Intervention strategies aimed at enhancing rural females\' cervical cancer screening self-efficacy can be developed from these four major sources.
A registered nurse with rich experience in cervical cancer-related research and qualitative study was the interviewer of this study. Rural females and cervical cancer screening services providers (healthcare professionals and village staff) were recruited as interviewees. The interview guides were developed by the research team and evaluated by an expert panel including two nurse leaders of gynaecological cancer, one doctor specialised in cervical cancer, and one medical director in a local rural hospital.
摘要：
目的：证据显示自我效能与农村女性宫颈癌筛查行为有关。然而,对农村女性宫颈癌筛查中自我效能的来源知之甚少。本研究旨在探讨农村女性宫颈癌筛查中自我效能感的来源。
方法：进行了定性的描述性研究。通过最大变异抽样招募了中国农村地区宫颈癌筛查服务的用户和提供者。
方法：通过电话进行个人半结构化访谈。通过框架方法的六个主要阶段对数据进行了分析，以社会认知理论为参考。
结果：确定了四个主要来源，包括个人筛查经验，听到其他女性的筛查经历，专业健康教育和咨询，和情绪状态。个人筛查经验包括主动掌握完成筛查行为和对筛查内化的认知掌握。只有完成宫颈癌筛查行为的经验不足以提高自我效能。认知掌握显示出更重要的影响。
结论：这四个来源的农村女性宫颈癌筛查自我效能感与社会认知理论的主要来源相匹配。认知是影响筛查自我效能感的关键。可以从这四个主要来源制定旨在提高农村女性宫颈癌筛查自我效能的干预策略。
■一名在宫颈癌相关研究和定性研究中具有丰富经验的注册护士是本研究的采访者。招募了农村女性和宫颈癌筛查服务提供者（医疗保健专业人员和乡村工作人员）作为受访者。采访指南由研究小组制定，并由包括两名妇科癌症护士负责人在内的专家小组进行评估，一位专攻宫颈癌的医生,和当地农村医院的一名医疗主任。
方法：进行了定性的描述性研究。通过最大变异抽样招募了中国农村地区宫颈癌筛查服务的用户和提供者。
方法：通过电话进行个人半结构化访谈。通过框架方法的六个主要阶段对数据进行了分析，以社会认知理论为参考。
结果：确定了四个主要来源，包括个人筛查经验，听到其他女性的筛查经历，专业健康教育和咨询，和情绪状态。个人筛查经验包括主动掌握完成筛查行为和对筛查内化的认知掌握。只有完成宫颈癌筛查行为的经验不足以提高自我效能。认知掌握显示出更重要的影响。
结论：这四个来源的农村女性宫颈癌筛查自我效能感与社会认知理论的主要来源相匹配。认知是影响筛查自我效能感的关键。可以从这四个主要来源制定旨在提高农村女性宫颈癌筛查自我效能的干预策略。
■一名在宫颈癌相关研究和定性研究中具有丰富经验的注册护士是本研究的采访者。招募了农村女性和宫颈癌筛查服务提供者（医疗保健专业人员和乡村工作人员）作为受访者。采访指南由研究小组制定，并由包括两名妇科癌症护士负责人在内的专家小组进行评估，一位专攻宫颈癌的医生,和当地农村医院的一名医疗主任。
