作者机构：
[Bi-Xia Zhao] Affiliated Nanhua Hospital, University of South China , Hengyang , Hunan 421001 , China;[Gui-Dan Tang; Gu-Qing Zeng; Yun-Li Li; Rong Wang; Yan-Ping Wan] Institute of Nursing, School of Nursing, University of South China , Hengyang , Hunan 421001 , China
通讯机构：
[Wan, Y.-P.] I;Institute of Nursing, China
关键词：
awareness;China;human papillomavirus;theory of planned behavior;vaccine;women
摘要：
<jats:title>Abstract</jats:title>
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<jats:title id="d496989e33390_w2aab3b7c10b1b6b1aab1c18b1aAa">Objectives</jats:title>
<jats:p>To systematically review the knowledge attitudes and the influential factors on human papillomavirus (HPV) vaccination among Chinese women.</jats:p>
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<jats:title id="d496989e33398_w2aab3b7c10b1b6b1aab1c18b2aAa">Methods</jats:title>
<jats:p>Published studies on knowledge and attitudes of HPV vaccination for preventing cervical cancer among Chinese female population were retrieved using the major Chinese and English databases. Meanwhile, handwork retrieval was also conducted and the references including in the literature were retrieved. The quality of the literature was rigorously evaluated and extracted independently by two researchers and the data were analyzed and described by review manager 5.3 (RevMan5.3) software.</jats:p>
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<jats:title id="d496989e33406_w2aab3b7c10b1b6b1aab1c18b3aAa">Results</jats:title>
<jats:p>In all, 19 articles including 8 articles in Chinese and 11 in English were chosen. A total of 30,176 participants were included and the sample size ranged from 64 to 6,024. The overall awareness of HPV and HPV vaccine among Chinese women was at a low level. Chinese women generally showed poor knowledge about HPV and HPV vaccine. Acceptance of HPV vaccination among Chinese women was at a high level. Vaccination intentions were influenced by the theory of planned behavior (TPB) and measured by attitudes subjective norms and perceived behavioral control.</jats:p>
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<jats:title id="d496989e33414_w2aab3b7c10b1b6b1aab1c18b4aAa">Conclusions</jats:title>
<jats:p>The health authorities may evaluate and develop TPB-based interventions to increase HPV vaccination intentions of Chinese women. HPV vaccination programs should focus on carrying out multi-level and targeted health education and developing effective public health strategies after balancing the cost and benefit of HPV vaccine program. Medical staff should play the positive role in promoting the use of HPV vaccines in China. Integration of policy and community perspectives and multi-level interventions are essential to maximize the public health benefits of HPV vaccination.</jats:p>
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摘要：
AIM: A randomised controlled trial (RCT) was implemented to verify the feasibility and acceptability of cognitive education in the format of mind maps for increasing perceived control and decreasing the symptom distress of lung cancer patients who were receiving chemotherapy. METHODS: A total of 136 lung cancer patients who were receiving chemotherapy were randomised using stratified blocks (1:1 ratio, from March 2016 to April 2017). The intervention group was given cognitive education in the format of mind maps. The control group was provided conventional education. The primary outcomes were perceived control, including cancer experience and cancer efficacy; the secondary outcomes included symptom distress (arising from fatigue, distress, sleep disturbance, poor appetite, drowsiness, shortness of breath, etc.). The Mann-Whitney U test, chi-squared test, two-sample t test and repeated measurement analysis of variance were used. RESULTS: Ninety-four patients completed the final study. The results of the repeated measurement analysis of variance indicated that at the 8th or 12th week following cognitive education intervention in the format of mind maps, the cancer experience, cancer efficacy (except personal efficacy) and symptom distress (arising from fatigue, distress, sleep disturbance, and sadness and its total scores) of the patients in the intervention group were considerably improved compared with those of the control group (p < 0.05). The longer the intervention was, the higher the level of the patients' perceived control was and the lower the degree of patient symptom distress was (p < 0.05). CONCLUSIONS: Our findings suggest that cognitive education in the format of mind maps could improve perceived control and decrease the symptom distress of lung cancer patients who were receiving chemotherapy and that it was feasible and acceptable. Cognitive education in the format of mind maps was found to be an effective teaching tool for lung cancer patients who were receiving chemotherapy.
