研究生: |
蕭雅娟 Ya-Chuan Hsiao |
---|---|
論文名稱: |
衛生教育方案介入對婦女執行乳房自我檢查之影響 |
指導教授: |
呂昌明
Lu, Chang-Ming |
學位類別: |
碩士 Master |
系所名稱: |
健康促進與衛生教育學系 Department of Health Promotion and Health Education |
論文出版年: | 2000 |
畢業學年度: | 88 |
語文別: | 中文 |
論文頁數: | 131 |
中文關鍵詞: | 乳房自我檢查 、介入方案 、團體衛生教育 、行為技術 |
英文關鍵詞: | BSE, intervention, health education, behavior technique |
論文種類: | 學術論文 |
相關次數: | 點閱:215 下載:21 |
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本研究採用準實驗設計,探討衛生教育介入方案對婦女執行乳房自我檢查之影響。以立意取樣選取台北縣新莊市四所國中夜補校,分為實驗組(I)、實驗組(II)及對照組,前後測配對後共得有效樣本123名,介入四個月後的後後測追蹤時,有效樣本為110名。
所得資料以描述性統計、卡方檢定、T檢定、共變數分析及邏輯式回歸分析等方法進行分析。重要結果如下︰
一、 在介入前,研究對象有50.4%執行過BSE,但規律執行比率只有6.5%,其「乳癌及乳房自我檢查知識得分」、「自我效能」稍低,「BSE檢查技巧」達成率僅有20%。
二、「團體衛生教育」能增加研究對象之知識、自我效能、BSE技巧、執行BSE比率及意圖;「婦女保健手冊」能增加研究對象之自我效能、BSE比率。
三、「團體衛生教育」組的知識、BSE技術、執行BSE意圖明顯優於「婦女保健手冊」組。
四、「明信片提醒組﹕實驗組(I)」在規律執行BSE比率及意圖上,明顯優於實驗組(II)及對照組。
根據本研究結果,建議未來推廣乳房自我檢查時,應配合團體教學並實際操作乳房模型練習,以獲得較好的教學效果;教學活動結束後,可利用明信片提醒婦女,持續規律執行乳房自我檢查。
The quasi-experimental method was used in this study to explore the effects of health education intervention program to breast self examination (BSE) among women above 20 year-old. Four night schools in Chin-chuang, Taipei county were selected on purpose, and assigned to experimental group(I), experimental group(II) and control group. There were 123 subjects who completed pre-test and post-test questionnaire. 110 subjects finished the follow-up 4 months after intervention.
The obtained data were analyzed by chi-square, t-test, ANCOVA and logistic regression with SPSS 9.0 for windows. The major results were as follow:
1. On baseline, 50.4% of the subjects had ever performed BSE, only 6.5% did it regularly (once a month). Knowledge and self-efficacy were quite low. Only 20% reach the BSE skill criteria.
2. "BSE education class" can improve knowledge, self-efficacy, BSE skill, BSE rate and intention of the experimental group subjects. "Booklet" can improve self-efficacy and BSE rate of the control group subjects.
3. In post-test, the subjects of experimental group had significantly better improvement in knowledge, BSE skill, BSE intention than control group.
4. "Postcard reminder: experimental group(I)" had significantly better improvement in regularly performing BSE rate and intention than experimental group(II) and control group .
According to the findings of the study, some recommendation for BSE education program was brought up: BSE education class accompanied with skill practice has great effect. After class, postcard should be sent to remind women performing BSE regularly.
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