Effects of a Self-Management Support Program on Knowledge, Anxiety, and Self-Care Behaviors in Women with a Low-Grade Squamous Intraepithelial Cervical Lesion: A Quasi-experimental Study.
Low-grade squamous intraepithelial lesions, which represent mild abnormalities in cervical cytology, are being identified with increasing frequency among women. Encouraging effective self-care practices is a key strategy for preventing or slowing the progression of precancerous cervical conditions....
| Publicado en: | Pacific Rim International Journal of Nursing Research Vol. 30; no. 2; pp. 531 - 550 |
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| Autores principales: | , , , , |
| Formato: | clinical trial research tables/charts Journal Article |
| Publicado: |
Thailand Nursing & Midwifery Council
Apr-Jun2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=195381398&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 195381398 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 19068107 B7IM jtl: Pacific Rim International Journal of Nursing Research issn: 19068107 maglogo: N pubinfo: dt: Apr-Jun2026 vid: 30 iid: 2 pid: 26313 pub: Thailand Nursing & Midwifery Council artinfo: ui: 195381398 195381398 195381398 10.60099/prijnr.2026.278582 195381398 ppf: 531 ppct: 19 formats: fmt: @attributes: type: P tig: atl: Effects of a Self-Management Support Program on Knowledge, Anxiety, and Self-Care Behaviors in Women with a Low-Grade Squamous Intraepithelial Cervical Lesion: A Quasi-experimental Study. aug: au: Pornsinsiriruck, Sarwitree Arpanantikul, Manee Sumdaengrit, Bualuang Lertkhachonsuk, Arb-aroon Grube, Wendy D. affil: Instructor, Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand, 10400 sug: subj: Squamous Intraepithelial Lesions Therapy Cervical Intraepithelial Neoplasia Therapy Self-Management Education Support, Psychosocial Health Knowledge Evaluation Anxiety Evaluation Self Care Evaluation Health Behavior Evaluation Human Quasi-Experimental Studies Clinical Trials Nonrandomized Trials Pretest-Posttest Control Group Design Comparative Studies Female Conceptual Framework Purposive Sample Cancer Patients Questionnaires State-Trait Anxiety Inventory Psychological Tests Wilcoxon Signed Rank Test Mann-Whitney U Test Analysis of Covariance Cytology Goal-Setting Decision Making, Shared Empowerment Nurse-Patient Relations Colposcopy Hospitals Thailand Prospective Studies Problem Solving Program Evaluation Self Assessment Communication Stress Management Motivation Patient Education Descriptive Statistics Chi Square Test Unpaired T-Tests Paired T-Tests Cervix Neoplasms Feminism Funding Source Adult Middle Age Summated Rating Scaling Adult: 19-44 years Middle Aged: 45-64 years Female ab: Low-grade squamous intraepithelial lesions, which represent mild abnormalities in cervical cytology, are being identified with increasing frequency among women. Encouraging effective self-care practices is a key strategy for preventing or slowing the progression of precancerous cervical conditions. This quasi-experimental study was part of a larger study aimed at developing and evaluating the impact of a self-management support program. We employed an integrated framework of self-management theory and feminist theory on women's knowledge, anxiety levels, and self-care behaviors following a diagnosis of low-grade cervical cytological abnormalities. A total of 50 eligible women were purposively selected from a university hospital in Bangkok, Thailand. Participants were allocated sequentially, with the comparison group (n = 25) enrolled prior to the experimental group (n = 25). Women in the experimental group received the self-management support program in addition to standard care, whereas those in the comparison group received standard care alone. Data were collected between May 2020 and June 2021 using the Personal Information Questionnaire, the Knowledge of Abnormal Cervical Cytology Questionnaire, the State-Trait Anxiety Inventory, and the Health-Promoting Lifestyle Profile II. Statistical analyses included descriptive statistics, the chi-square test, independent t-test, Wilcoxon signed-rank test, Mann--Whitney U test, and ANCOVA. The findings demonstrated a significant improvement in self-care behaviors among participants in the experimental group only. Post-intervention comparisons showed that women who received the self-management support program achieved significantly higher levels of knowledge and self-care behaviors than those receiving usual care alone. However, no significant difference in state anxiety was observed between the two groups. Overall, the results suggest that the self-management support program was effective in increasing knowledge and promoting positive health behaviors, although it did not significantly reduce anxiety. This program requires further testing in other groups before application to practice by nurses as an educational and empowerment tool to support women with low-grade squamous intraepithelial lesions in managing their health and reducing the risk of cervical cancer progression through practical guidance and accessible resources. pubtype: Academic Journal doctype: clinical trial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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