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題名:以健康信念模式探討女性醫事人員乳癌篩檢行為及影響因素
書刊名:榮總護理
作者:蔣婷婷戴千淑林碧珠
作者(外文):Chiang, Ting-tingTai, Chien-shuLin, Pi-chu
出版日期:2011
卷期:28:2
頁次:頁130-138
主題關鍵詞:乳癌篩檢乳房自我檢查健康信念模式Breast cancer screeningBreast self-examinationHealth belief model
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(2) 博士論文(1) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:2
  • 共同引用共同引用:10
  • 點閱點閱:10
本研究旨以健康信念模式探討某醫學中心女性醫事人員執行乳癌篩檢行為及影響因素。採結構式問卷以北部某醫學中心之女性醫事人員為研究對象,收案期間2007年10月1日至31日,以立意取樣,共獲得384份有效問卷(完整問卷回收率51.6%)。研究對象平均年齡37±8.9歲,32%(121位)會定期進行乳房自我檢查,12%會定期接受乳房攝影檢查,僅10%會定期進行臨床醫師檢查。乳癌罹患性認知、乳房自我檢查自我效能、宗教、停經年齡、有乳房疾病史能預測女性醫事人員執行乳房自我檢查(R^2=.142);自覺乳房篩檢之行動利益、工作年資及乳房疾病史,則可預測接受乳房攝影檢查之行為(R^2=.225)。健康促進單位宜加強提升女性醫事人員乳房自我檢查自我效能,及行動利益之策略運用,以提升女性醫事人員乳癌篩檢之執行率。
The purpose of this study was to explore female medical personnel behaviors toward breast cancer screening and its influencing factors based on health belief model. Structured questionnaire was used with purposive sampling, and subjects were recruited from a Taipei medical center in October 2007. The total sample size was 384 (complete rate of 51.6%). The results were as follows: Average age of subjects was 37±8.9 years old. 121 (32%) subjects performed breast self-examination (BSE) regularly, 12%hadmammography and 10% received physician clinical examination as recommended. Awareness of breast cancer susceptibility, self-efficacy of BSE, religion, age of menopause, and history of breast disease were factors to predict BSE performance by subjects (R^2=.142); Subjects perceived benefits in breast cancer screening while working years and history of breast disease could predict the decision to choose mammography (R^2=.225). According to research findings, we recommend that in order to improve breast cancer screening rate, health promotion agency should enhance BSE self-efficacy and understand the benefits involved in breast cancer screenings.
期刊論文
1.羅雪、陳品玲、陳靜敏、李從業、謝家明(20011200)。乳癌高危險群婦女執行乳房自我檢查之健康信念與行為。護理雜誌,48(6),59-68。new window  延伸查詢new window
2.趙蘋、駱麗華(19931200)。執業護理人員對乳房自我檢查的認知與行為。護理新象,3(12)=32,557-574。  延伸查詢new window
3.Agars, J.、McMurray, A.(1993)。An evaluation of comparative strategies for teaching breast self-examination。Journal of Advanced Nursing,18(10),1595-1603。  new window
4.呂昌明(19940500)。以健康信念模式分析公共衛生護理人員執行乳房自我檢查之意圖。衛生教育論文集刊,7,142-153。  延伸查詢new window
5.李從業(19970800)。以健康信念模式分析臺北市中、小學女性老師乳房自我檢查行為。護理研究,5(4),366-376。new window  延伸查詢new window
6.Brinton, L. A.、Sherman, M. E.、Carreon, J. D.、Anderson, W. F.(2008)。Recent trends in breast cancer among younger women in the United States。Journal of the National Cancer Institute,100(22),1643-1648。  new window
7.黃獻樑、程劭儀(20060800)。乳癌的篩檢。基層醫學,21(8),225-228。  延伸查詢new window
8.楊瑞珍、陳美燕、黃璉華(20041000)。乳房自我檢查之教導策略--文獻綜論。醫護科技學刊,6(4),314-329。new window  延伸查詢new window
9.樓美玲、黃玉(20030500)。三十歲以上婦女執行乳房自我檢查及其相關因素之研究。弘光學報,41,1-9。new window  延伸查詢new window
10.鍾聿林(1994)。四十歲以上婦女對乳癌的知識態度行為之調查研究。國立台北護專學報,11,1-31。  延伸查詢new window
11.Alkhasawneh, I. M.(2007)。Knowledge and practice of breast cancer screening among Jordanian nurses。Oncology Nursing Forum,34(6),1211-1217。  new window
12.Friedman, L. C.、Weinberg, A. D.、Wordruff, A.、Cooper, H. P.、Lane, M.、Webb, J. A.(1995)。Breast cancer screening behavior and intentions among asymptomatic women 50 years of age and older。American Journal of Preventive,11(4),218-223。  new window
13.Miller, A. M.、Champion, V. L.(1993)。Mammoghraphy in woman ≧50 years of age, predisposing and enabling characteristics。Cancer Nursing,16(4),260-269。  new window
14.Kosters, J. P.、Gotzsche, P. C.(2008)。Regular self-examination or clinical examination for early detection of breast cancer。International Journal of Epidemiology,37(6),1217-1219。  new window
15.Kearney, A. J.、Murray, M.(2009)。Breast cancer screening recommendations: Is mammography the only answer?。Journal of Midwifery & Women's Health,54(5),393-400。  new window
16.Hampton, T.(2008)。Oncologists advise breast awareness over routine breast self-examination。Journal of the American Medical Association,300(15),1748-1749。  new window
17.Guth, U.、Huang, D. J.、Huber, M.、Schotzau, A.、Wruk, D.、Holzgreve, W.(2008)。Tumor size and detection in breast cancer: Self-examination and clinical breast examination are at their limit。Cancer Detection and Prevention,32(3),224-228。  new window
18.Weinberg, A. D.、Cooper, H. P.、Lane, M.、Kripalani, S.(1997)。Screening behaviors and long-term compliance with mammography guidelines in a breast cancer screening program。American Journal of Preventive Medicine,13(1),29-35。  new window
19.Thornton, H.、Pillarisetti, R. R.(2008)。'Breast awareness' and 'breast self-examination' are not the same. What do these terms mean? Why are they confused? What can we do?。European Journal of Cancer,44(15),2118-2121。  new window
20.Parsa, P.、Kandiah, M.、Mohd Nasir, M. T.、Hejar, A. R.、Nor Afiah, M. Z.(2008)。Reliability and validity of Champion's Health Belief Model Scale for breast cancer screening among Malaysian women。Singapore Medical Journal,49(11),897-903。  new window
21.陳曉悌、李怡娟、李汝禮(20030700)。健康信念模式之理論源起與應用。臺灣醫學,7(4),632-639。  延伸查詢new window
22.Nelson, H. D.、Tyne, K.、Naik, A.、Bougatsos, C.、Chan, B. K.、Humphrey, L. U. S.(2009)。Screening for breast cancer: An update for the U.S. preventive services task force。Annals of internal medicine,151(10),727-737。  new window
23.Yarbrough, S. S.、Braden, C. J.(2001)。Utility of Health Belief Model as a Guide for Explaining or Predicting Breast Cancer Screening Behavior。Journal of Advanced Nursing,33(5),667-688。  new window
研究報告
1.行政院衛生署(2010)。97年度死因統計。  延伸查詢new window
其他
1.American cancer society(20090929)。Detailed quide-breast cancer: Can breast cancer be found early?,http://www.cancer.org/docroot/CRI/con-tent/CRI_2_4_3X_Can_breast_cancer_be_found_early_5.asp?Sitearea=。  new window
 
 
 
 
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