乳房自我檢查衛生教育對婦女乳房自我檢查知識動機及技巧之影響_

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題名：	乳房自我檢查衛生教育對婦女乳房自我檢查知識動機及技巧之影響
書刊名：	中華公共衛生雜誌
作者：	吳南宏／盧豐華／張翠珍／張瑩如／張智仁
出版日期：	1995
卷期：	14:5
頁次：	頁407-416
主題關鍵詞：	乳房自我檢查；動機；自信度；知識；Breast self-examination；Motivation；Confidence；Knowledge
原始連結：	連回原系統網址
相關次數：	被引用次數:期刊(2) 博士論文(1) 專書(0) 專書論文(0) 排除自我引用:2 共同引用:0 點閱:28

　　　　　乳房自我檢查為早期發現乳癌最方便經濟的方法，衛生教育則達到此目標的有效途徑；為了解乳房自我檢查衛生教育對婦女乳房自我檢查知識、動機及技巧之影響，本研究設計一套乳房自我檢查的教育模式，包括課程講授、檢查步驟示範和模型腫塊體驗，並以問卷及乳房模型來評估教學前後學員之乳房自我檢查動機、技巧自信度、自我檢查知識及摸出乳房模型內腫塊數目，以了解教學的成效並探討其影響因素。對象為報名參加成大醫院家庭醫學部所舉辦的乳房自我檢查衛生教育課程之民眾，共 381 位。結果發現，教學前有 71.4 ％的學員曾經由不同的管道聽過乳房自我檢查，但只有 7.1 ％的人每個月定期做乳房自我檢查；阻礙學員未能定期每個月做乳房自我檢查的因素以對自己的檢查技巧沒信心最多 (61.8 ％ )。教育前後學員無論在乳癌和乳房自我檢查知識、檢查動機、檢查技巧自信度及腫塊摸出能力上都有顯著的進步。影響此教學成效的因素，主要為教育程度。

以文找文

　　　　　Breast self examination (BSE) is the most convenient and economical method for the discovery of breast cancer at its inital stage. Health education is an efficient approach to attain this goal. In order to determine the effects of BSE education on BSE knowledge, motivation, and BSE technique, the educational activities including lecture, demonstration and practice were conducted. The questionaire and breast model were used to assess the subjects BSE motivation, BSE sills confidence, BSE knowledge, and ability to find the tumors inside breast models. A total of 381 women participated in the BSE class which was sponsored by the Family Medicine Department of Cheng Kung University Hospital. The results indicate that 71.4 ％ of the subjects had heard BSE before the BSE class. However, only 7.1% of the subjects reported that they conducted the examination every month. among the subjects who failed to perform the BSE periodically, 61.8% of them reported low confidence in BSE skills. After the educational activities were implemented, the subjects showed significant change in the knowledge of cancer and BSE, the BSE motivation, confidence in performing BSE, ability to detect breast tumors in the models. The educational level was significantly related to the educational effects.

以文找文

期刊論文
1.	Coleman, E. A.、Pennypacker, H.(1991)。Measuring breast self-examination proficiency。Cancer Nursing，14(4)，211-217。
2.	McWhorter, W. P.、Eyre, H. J.(1990)。Impact of mammographic screening on breast cancer diagnosis。Journal of National Cancer Institute，83，260-265。
3.	Stillman, M. J.(1977)。Women's health beliefs about breast cancer and breast self-examination。Nursing Research，26(2)，121-127。
4.	Champion, V. L.(1992)。The role of breast self-examination in breast cancer screening。Cancer，69，1985-1991。
5.	Chie, W. C.、Cheng, K. W.、Fu, C. H.、Yen, L. L.(1993)。A study on women's practice of breast self-examination in Taiwan。Preventive Medicine，22，316-324。
6.	Huguley, C. M.、Brown, R. L.、Greenberg, R. S.、Clark, W. S.(1988)。Breast self examination and survival from breast cancer。Cancer，62(7)，1389-1396。
7.	Foster, R. S.、Costanza, M. C.(1984)。Breast self-examination practices and breast cancer survival。Cancer，53(4)，999-1005。
8.	O'Malley, M. S.、Fletcher, S. W.(1987)。Screening for breast cancer with breast self-examination。JAMA，257，2197-2203。
9.	Champion, V. L.(1985)。Use of the health belief model in determining frequency of breast self-examination。Research in Nursing & Health，8(4)，373-379。
10.	Worden, J. K.、Solomon, L. J.、Flynn, B. S.、Constanza, M. C.、Foster, R. S.、Dorwald, A. L.、Weaver, S. D.(1990)。A community-wide program in breast self-examination training and maintenance。Preventive Medicine，19，254-269。
11.	Shepperd, S. L.、Solomon, L. J.、Atkins, E.、Foster, R. S.、Frankowski, B.(1990)。Determinants of breast self-examination among women of lower income and lower education。Joumal of Behavior Medicine，13(4)，359-371。
12.	Rutledge, D. N.(1987)。Factors related to women's practice of breast self-examination。Nursing Research，36(2)，117-121。
13.	Shapro, S.、Venet, W.、Straxp, P.(1982)。Ten-to fourteen years effect of screening on breast cancer mortality。J Natl Cancer Inst.，69(2)，349-355。
14.	UK Trial of Early Detection of Breast Cancer Group(1988)。First results on mortality reduction in the UK trial of early detection of breast cancer。Lancet，20(2)，411-416。
15.	Leonick, G. I.(1977)。Detection of breast Cancer in young woman。JAMA，237，967-971。
16.	Koroltchouk, U.、Stanley, K.、Stjirnward, J.(1990)。The control of breast cancer: A World Health Organization perspective。Cancer，65(12)，2803-2810。
17.	Huguley, C. M.、Brown, R. L.(1981)。The value of breast selfexamination。Cancer，47，989-995。
18.	Feldman, J. G.、Carter, A. C.(1981)。Breast self-examination relationship to stage of breast cancer at diagnosis。Cancer，47(11)，2740-2745。
19.	Foster, R. S.、Lang, S. P.、Costanza, M. C.(1978)。Breast selfexamination practices and breast cancer stage。N Engl J Med，299(6)，265-270。
20.	Mant, D.、Vessey, M. P.、Neil, A.、McPherson, K.、Jones, L.(1987)。Breast self examiantion and breast cancer stage at diagnosis。Br. J. Cancer.，55，207-211。
21.	Hill, D.、White, V.、Jolley, D.、Mapperson, K.(1988)。Self examination of the breast: Is it benefit? Meta-analysis of studies investigation breast self examination and extent of disease in patients with breast。Br Med J.，297，271-275。
22.	Hislop, T. G.、Coldman, A. J.、Skippen, D. H.(1984)。Breast self-examination:importance of technique in early diagnosis。CAN MED ASSOC J.，131，1349-1352。
23.	Bennett, S. E.、Lawrence, R. S.、Fleischmann, K. H.、Gifford, C. S.、Slack, W.(1983)。Profile of women practing breast self-examination。JAMA，249，488-491。
24.	Maddox, M. A.(1991)。The practice of breast self-examination among older women。Oncol Nurs Forum，18，1367-1371。
25.	Celentano, D. D.、Holtzman, D.(1983)。Breast self-examination competency: an analysis of self-reported practice and associated characteristics。Am J Public Health，73，1321-1323。
26.	Fletcher, S. W.、Morgan, T. M.(1989)。Is breast self-exmanination predicted by knowlege, attitudes,beliefs or sociodemographic characteristics。Am .J. Prev.，5(4)，207-215。
27.	Trotta, P.(1980)。Breast self-examination: factors influencing compliance。Oncol Nurs Forum，7(3)，13- 17。
28.	Dorsay, R. H.、Cuneo, W. D.、Somkin, C. P.、Tekawa, I. S.(1988)。Breast self-examination:lmproving competence and frequency in a classroom setting。Am J Public Health，78，520-522。
29.	Mamon, J. A.、Zupha, J. G.(1985)。Improving frequency and proficiency of breast self-examination: Effective-ness of an education program。Am J Public Health，75，618-624。
30.	McCance, K. L.、Mooney, K. H.、Smith, K. R.、Field, R.(1990)。Validity and reliability of a breast cancer knowledge test。Am J Prev Med，6(2)，93-98。
31.	Ferris, L. E.、Shamian, J.、Tudiver, F.(1991)。The Toronto Breast Self-Exmaination (TBSEI): Its development and reliability and validity data。J Clin Epidemiol，44(12)，1309-1317。
32.	Coleman, E. A.(1991)。Practice and effectiveness of breast self examination: a selective review of the literature (1977-1989)。J Cancer Educ，6(2)，83-92。
33.	Kosch, S. G.、Spring, A.(1983)。Breast self-examination of women with and without benign breast disease。Fam Pract Res J，2(3)，171-180。
34.	Howe, H. L.(1981)。Social factors associated with breast selfexamination among high risk women。Am J Public Health，71，251-255。
35.	The Yorkshire Breast Cancer Group(1983)。Symptoms and signs of operable breast Cancer。Br J Surg，70，350-353。

研究報告
1.	行政院衛生署(1990)。台灣地區癌症死亡率及發生率統計圖表。台北。延伸查詢

圖書
1.	行政院衛生署(1993)。衛生白皮書。臺北：行政院衛生署。延伸查詢
2.	Kennedy, B. T.(1989)。Breast Cancer。New York：Alan R. Liss, lnc.。
3.	American Cancer Society(1988)。Summary of current guidelines for the cancer-related check up: recommendations。New York：American cancer society。
4.	American Cancer Society, Breast Self-Examination Subcommittee。Breast self-examination, a health practice for everyone。New York：American Cancer Society。
5.	National Survey on Breast Cancer(1980)。A measure of progress in public understanding。Washington.DC：Government Printing Office。

其他
1.	行政院衛生署(1993)。台灣地區死因統計結果摘要，台北。延伸查詢
2.	榮民總醫院(1988)。乳房疾病，台北。延伸查詢

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