CAJ | 학술논문

目的评价护理干预对促进妇女乳腺癌早期筛查信念及行为的效果.方法方便选取上海市4个社区,完全随机将其分为干预组和对照组,每组再次方便选取180名研究对象,共选取739名.干预组接受以健康信念模式为指导的为期一年的护理干预.对照组只接受一般防癌宣教.结果干预后妇女感知的易感性、感知的益处增加(B=0.210,P<0.01;B=0.105,P<0.01),感知障碍减少(B＝-0.086,P<0.05);每月1次乳腺自我检查的人数增多,进行乳腺临床检查和乳腺X线摄片的人数增多(OR分别为3.094、2.746).结论以健康信念模式为指导的护理干预帮助妇女树立了健康信念,提高了早期筛查的参与率,对广泛开展乳腺癌的早期筛查工作具有重要意义.
목적 평개호리간예대촉진부녀유선암조기사사신념급행위적효과.방법 방편선취상해시4개사구,완전수궤장기분위간예조화대조조,매조재차방편선취180명연구대상,공선취739명.간예조접수이건강신념모식위지도적위기일년적호리간예.대조조지접수일반방암선교.결과 간예후부녀감지적역감성、감지적익처증가(B=0.210,P<0.01;B=0.105,P<0.01),감지장애감소(B＝-0.086,P<0.05);매월1차유선자아검사적인수증다,진행유선림상검사화유선X선섭편적인수증다(OR분별위3.094、2.746).결론 이건강신념모식위지도적호리간예방조부녀수립료건강신념,제고료조기사사적삼여솔,대엄범개전유선암적조기사사공작구유중요의의.
Objective To evaluate the effects of nursing intervention on the beliefs and behavior of early detection of breast cancer. Methods Four communities in Shanghai were selected by convenient sampling process. Then these four communities were randomly assigned to intervention group and control group. One hundred and eighty women who met the criteria of this study were selected from each group by convenient sampling process.Altogether 739 women were recruited. In intervention group,a one-year nursing intervention guided by health belief model was implemented,such as health education seminars,telephone follow in the third,sixth,and ninth months,and flyers of breast health care in the sixth month. Control group only received conventional education. Results After intervention women became aware of breast cancer (B=0.210,P＜0.01),perceived more benefits from attending early breast cancer detection (B=0.105,P＜0.01),and less difficulties in attending the activities of early detection of breast cancer (B=-0.086,P＜0.05). The number of women who performed breast self-examination once per month increased and more women received clinical breast examination (OR=3.0946) and mammogram after intervention (OR=2.746). Conclusion The nursing intervention,guided by health belief model,is helpful to improve women's beliefs and behaviors of breast cancer detection.