Counseling Program for Patients with Abnormal Cervical Cancer Screening Results Lopburi Cancer Hospital

Abstract

              This research was a quasi-experimental design. The objectives were to study the level of anxiety of patients with abnormal cervical cancer screening results and to analyze and compare the mean anxiety scores of patients in the experimental and control groups after receiving the counseling program. The sample consisted of patients with abnormal cervical cancer screening results who underwent cervical colposcopy at the gynecology clinic, Lopburi Cancer Hospital, between April 2024 and July 2024. The sample group was selected by simple random sampling, totaling 24 patients, divided into the control group of 12 patients and the experimental group of 12 patients The control group was the group that received the standard counseling program and the experimental group was the group that received the standard counseling program along with receiving video media. The research instruments were a general information questionnaire, an anxiety and depression assessment form (Thai HADS), and the program media, which was a video about cervical colposcopy. The data were analyzed using descriptive statistics, including numbers, percentages, means, and standard deviations. The analysis compared the mean anxiety scores of patients in the experimental and control groups using the independent sample t-test. The results of the study found that the mean anxiety scores in the control group and the experimental group before receiving the counseling program were not different. Both groups had mean anxiety scores at the normal anxiety level. The results of comparing the mean anxiety scores in the control group and the experimental group after receiving the counseling program showed a statistically significant difference (P=0.01).When comparing the anxiety between the control group and the experimental group after using the counseling program, the results of the study found that the anxiety in both groups was statistically significantly different (P<0.001).  Therefore, Patients with abnormal cervical cancer screening results should receive standardized counseling with video media to reduce anxiety about the abnormality and the diagnosis they will receive. The video media led to the development of counseling guidelines for patients with abnormal cervical cancer screening results and to improve the quality of services for greater efficiency.