CAJ | 학술논문

目的了解年龄和文化程度对乳腺癌早期发现的影响,为探索社区乳腺癌的干预模式提供参考.方法以上海市真如、长征和石泉三个社区的30～70岁、单侧、术后≤3年的女性乳腺癌患者共222例为研究对象,由经过专业培训的医生,使用统一问卷进行入户调查.结果 222例患者中初中、高中或中专文化程度者各占37.8%、41.4%;平均年龄(53.3±8.0)岁,其中41～60岁者占77.5%.患者的文化程度和年龄对乳腺癌的早期诊断均无相关关系(P＞0.05).患者年龄与首次发现肿块的方式呈负相关(P＜0.05),而文化程度与首次发现肿块的方式无相关关系(P＞0.05).结论患者年龄、文化程度对乳腺癌的早期发现影响较小,要提高乳腺癌的早期检出率,应加强对乳腺疾病的自查和普查工作,特别是对高危人群要加强社区干预.
목적 료해년령화문화정도대유선암조기발현적영향,위탐색사구유선암적간예모식제공삼고.방법 이상해시진여、장정화석천삼개사구적30～70세、단측、술후≤3년적녀성유선암환자공222례위연구대상,유경과전업배훈적의생,사용통일문권진행입호조사.결과 222례환자중초중、고중혹중전문화정도자각점37.8%、41.4%;평균년령(53.3±8.0)세,기중41～60세자점77.5%.환자적문화정도화년령대유선암적조기진단균무상관관계(P＞0.05).환자년령여수차발현종괴적방식정부상관(P＜0.05),이문화정도여수차발현종괴적방식무상관관계(P＞0.05).결론 환자년령、문화정도대유선암적조기발현영향교소,요제고유선암적조기검출솔,응가강대유선질병적자사화보사공작,특별시대고위인군요가강사구간예.
Objective To probe the knowledge of influence of age and educational levels on early discovery of breast cancers (BC),to provide a reference for exploration of community interventional modes.Methods A home survey was conducted by specially trained physicians,using uniform questionnaires,in 222 female patients with unilateral BC (30～70 years old,3 years after operation) from 3 communities such as Zhenru,Changzheng and Shiquan.Results The 222 patients had educational levels of middle school(37.8%),senior middle school or secondary specialized school(41.4%),averaging the age of 53.3±8.0 years,among whom patients at the age of 41～60 years accounted for 77.5%.Educational levels and age were not correlated with early diagnosis of BC (P＞0.05).Age was related to the way of first mass discovery (P＜0.05),but educational levels were not (P＞0.05) .Conclusion Age and educational levels have fewer effects on early discovery of BC.To increase early detection of BC,self-examination and mass screening,especially community intervention of high-risk groups,should be strengthened.