研究生: |
翁乃瑩 Nai-Ying Weng |
---|---|
論文名稱: |
都會婦女乳房攝影檢查行為意圖及相關因素研究 A study on behavioral intention of mammography and related factors among urban women |
指導教授: |
賴香如
Lai, Hsiang-Ru |
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: | 2011 |
畢業學年度: | 99 |
語文別: | 中文 |
論文頁數: | 108 |
中文關鍵詞: | 乳房攝影檢查行為意圖 、自我效能 、社會支持 、都會婦女 |
英文關鍵詞: | Behavioral intention of mammography, self-efficacy, social support, urban women |
論文種類: | 學術論文 |
相關次數: | 點閱:200 下載:34 |
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本研究旨在調查年齡介於45-69歲間之都會婦女接受乳房攝影檢查行為意圖的現況,並探討其與個人背景變項、乳癌防治知識、社會心理變項及行動線索的相關性。以臺北市中正區東門里、文北里、龍興里三個里的婦女為母群體,採方便取樣方式和自編結構式問卷為工具蒐集所需資料,最後得有效樣本240人,再採t檢定、單因子變異數分析、皮爾森積差相關與多元線性迴歸分析進行統計。研究主要結果如下:
一、研究對象在未來兩年接受乳房攝影檢查行為意圖介於「有些可能」和「非常可能」之間。
二、有乳癌疾病史、曾做過乳房自我檢查、乳房觸診、乳房超音波或乳房攝影者,乳房攝影檢查行為意圖較強。
三、研究對象的乳癌防治知識中上(11.3分/滿分17分),且與乳房攝影檢查行為意圖呈正相關。
四、研究對象的行動利益頗高而行動障礙偏低、自我效能在中上程度,社會支持偏正向。當行動障礙越少、自我效能越高、社會支持越高,接受乳房攝影檢查行為意圖越強。
五、研究對象乳房攝影檢查的行動線索達四項以上,但以外在線索為多,且與行為意圖呈正相關,顯示行動線索越多,乳房攝影檢查行為意圖越強。
六、個人背景變項、乳房防治知識、社會心理變項和行動線索等四類變項,可解釋研究對象乳房攝影檢查行為意圖總變異量的40.1%,其中顯著的預測變項是年齡、疾病史、自我效能及社會支持。
本研究建議提升都會婦女的自我效能和社會支持,並針對從未接受乳房檢查和無乳房病史者進行衛生教育宣導,以增強其乳房攝影檢查行為意圖。
The purpose of this study was to survey the behavioral intention of mammography and its related factors among aged 45-69 urban women. By using convenience sampling, 240 women were selected from three Vil. of Zhongzheng District in Taipei. Data was analyzed by t test, one-way analysis of variance, Pearson product-moment correlation, and multiple regression analysis. The results of this study were summarized as follows.
1. The behavioral intention of taking mammography in two years among the subjects was between somewhat possible and very possible.
2. The behavioral intention of those who had breast diseases, did breast self-examination, received breast palpation, breast ultrasound, or mammography was higher than their counterparts.
3. The knowledge of breast cancer prevention among the subjects was above average. It was positively associated with the behavioral intention of mammography.
4. The subjects’ perceived benefits and social support were high, the self-efficacy was above average, but the perceived barriers were low. The higher the self-efficacy and social support, the higher the behavioral intention of mammography. But, the lower the perceived barriers, the higher the behavioral intention of mammography.
5. The cues of action among the subjects were more than four. Moreover, it was positively associated with the behavioral intentions of mammography.
6. Totally, 40.1% of the variance of behavioral intention of mammography was explained by social demographic variables, knowledge of breast cancer, psychosocial variables, and cues of action. Self-efficacy, social support, age, and history of breast diseases were the significant predictors.
We suggest that self-efficacy and social support of urban women should be enhanced, and health promotion programs for those who never take mammography and have no breast diseases are needed.
ㄧ、中文部份
于家珩 (2003)。影響女性乳癌篩檢因素之分析-以某區域教學醫院門診病人為例。中國醫藥學院醫務管理研究所論文,未出版,台中市。
王宥人 (2001)。地區剝奪與女性乳癌及子宮頸癌之相關性研究。國立臺灣大學衛生政策研究所碩士論文 ,未出版,台北市。
王秀紅、吳淑如、劉雅瑛(2003)。社會支持與安適的相關性之統合分析。高雄醫學雜誌,19(7), 345-351。
江育惠 (2007)。影響婦女參與乳房攝影檢查意圖相關因素之研究-以台北縣三芝鄉婦女為例。國立臺灣師範大學衛生教育研究所碩士論文,未出版,台北市。
行政院衛生署國民健康局 (2006)。防範乳癌三部曲。民國96年1月1日,取自:http://media.bhp.doh.gov.tw/Hot_News/h_NewsDetailN.aspx?TopIcNo=1977
行政院衛生署國民健康局(2009)。婦癌防治-與乳癌的親密對話~台 灣乳癌防治概況。民國99年03月01日。取自:
http://www.bhp.doh.gov.tw/BHPnet/Portal/Them_Show.aspx?Subject=200712250033&Class=2&No=200907210001
吳明隆、涂金堂(2008)。SPSS與統計應用分析。台北:五南。
李從業 (1997)。以健康信念模式分析台北市中、小學女性老師乳房自我檢查行為。護理研究,5(4),366-375。
李燕鳴(2000)。乳癌篩檢。基層醫學,15(9),194-196。
林怡岑(2009)。應用健康信念模式探討子宮頸癌疫苗接種行為意向之研究–以臺灣師範大學女學生為例。國立台灣師範大學衛生教育研究所碩士論文,未出版,台北市。
林聖章(2007)。基隆市民眾接受癌症篩檢之影響因素。中山醫學大學公共衛生學系碩士論文,未出版,台中市。
林錦龍(2007)。心理社會因素與就診經驗對婦女乳癌定期篩檢之影響。台北醫學大學醫務管理學系碩士論文,未出版,台北市。
周宜慧 (2008)。以健康信念模式探討女大學生執行乳房自我檢查認知與行為—以中部某大學大一為例。亞洲大學健康暨醫務管理學系碩士論文,未出版,台中市。
卓靜宜 (2005)。衛生教育介入對婦女癌症篩檢行為及意向之影響。
國立台北護理學院護理研究所碩士論文,未出版,台北市。
柯文欣 (2009)。台灣地區區域展差距之再撿視。國立成功大學都市計畫研究所碩士論文,未出版,台南市。
洪博文、陳懿文(2004)。乳癌篩檢。台灣醫界,47(1)25-29。
胡立諄、賴進貴 (2006)。臺灣女性癌症的空間分析。台灣地理資訊學刊,4,39-55 。
侯明鋒 (2009)。乳癌防治與新知。陶聲洋防癌之聲春季號。
徐素華 (2010)。中年高膽固醇血症婦女自我照顧行為之相關因素探討-以臺北市文山區為例。國立台灣師範大學衛生教育研究所碩士論文,未出版,台北市。
張金堅(2008)。台灣乳癌之流行病學。中華癌醫會誌 24(2), 85-93。
連美婷(2005)。MammaCare與傳統乳房自我檢查衛生教育效果比較研究-以臺北地區技術學院女生為例。國立台灣師範大學衛生教育研究所碩士論文,未出版,台北市。
國家衛生研究院(2004)。乳癌診斷與治療共識。台北:國家衛生研究院癌症研究所。
陳美燕、楊瑞珍、毛潤芝(2003)。從研究資料分析我國女性乳癌篩檢之政策。慈濟護理雜誌,2 (1),20-26。
陳素月、許淑蓮、王東衡、黃明賢(2009)。成人氣喘病患自我效能及自我照顧行為之探討。護理暨健康照護研究,5(1),31-41。
陳秋珍 (2009)。應用健康信念模式探討南投地區婦女利用乳房攝影篩檢相關因素。亞洲大學健康產業管理學系碩士論文,未出版,台中市。
陳美筵、潘智仁、蔡志宏(2000)。彰化縣社區婦女參與乳房超音波檢查的概況與影響因素之探討。秀傳醫學雜誌,2(2):65-73。
陳民虹(2005)。乳癌的流行病學特徵及危險因子。澄清醫護管理雜誌,1(1):30-38。
黃芳銘(2003)。結構方程模式理論與應用。台北市:五南。
廖敏娟 (2003)。婦女接受乳房攝影之相關因素調查。高雄醫學大學公共衛生研究所碩士論文,未出版,高雄市。
蔡慈儀(1995)。健康信念模式與乳癌篩檢行為。長庚護理,6(1),15-20。
蔡蕙如(2003)。大學女性教職員社會網絡與執行乳癌篩檢之關係研究。國立臺灣師範大學衛生教育研究所碩士論文,未出版,台北市。
蕭雅娟(2000)。衛生教育方案介入對婦女執行乳房自我檢查之影響。國立台灣師範大學衛生教育研究所碩士論文,未出版,台北市。
羅雪、陳品玲、陳靜敏、李從業、謝家明(2001)。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),59-67。
二 英文部份
Alexandraki,I., Mooradian, A. D. (2010). Barriers related to mammography use for breast cancer screening among minority women. Journal of the National Medical Association,102 (3), 206-218.
Althuis, M.D., Dozier, J.M., Anderson W.F., Devesa,S.S.
&Brinton,L.A.(2005). Global trends in breast cancer incidence and mortality 1973-1997. International Journal of Epidemiolgy 34(2), 405-412 .
American Cancer Society. (2009, September 29). How many women get breast cancer? Cancer reference information from http://www.cancer.org/docroot/CRI/content/CRI_2_2_1X_How_many_people_get_breast_cancer_5.asp?sitearea=
American Joint Committee on Cancer.(2010, May 5).What is cancer stage? From http://www.cancerstaging.org/mission/whatis.html
Barker, R. L.(2003) The Social work dictionary(2nd ed.), National Association of Social Workers, Washington.
Bailey,K. (2000) The nurse’s role in promoting breast awareness.Journal of Nursing Standard,14,34-36.
Bandura, A., & Adams, N. E. (1977). Analysis of self efficacy theory of behavior change. Cognitive Theory and Research, 1, 287-308.
Bandura, A. (1997a).Self-efficacy: Toward a unifying theory of behavioral change,Psychology Review, 84, 191-215.
Bandura, A.(1986). Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice-Hall.
BC Cancer Agency.(2010) Screening Mammography Program (SMP) of BC from http://www.bccancer.bc.ca/PPI/Screening/Breast/default.htm
Chagpar, A.B., McMasters, K. M. (2007).Trends in mammography and clinical breast examination: A population-based study . Journal of Surgical Research ,140(2), 214–219.
Cancer Research UK(2010, April 26 ). Breast cancer-UK incidence statistics .from http://info.cancerresearchuk.org/cancerstats/types/breast/incidence/index.htm
Canbulata N., Uzunb,O.,(2008) .Health beliefs and breast cancer screening behaviors among female health workers in Turkey. European Journal of Oncology Nursing ,12, 148–156.
Farmer, D., Reddick, B., D’Agostino, R.,Jr., &. Jackson, S.A.(2007)
Psychosocial correlates of mammography.Screening in older
African American women. Oncology nursing forum,34(1),118-123.
Ham, K.O.,(2006). Factors Affecting Mammography Behavior and Intention Among Korean Women. Oncology nursing forum,33(1),113-119.
House, J. S. (1981). Work Stress and Social Support. Reading, MA: Addison/Wesley.
Hair,J.F.(2006) Pearson Prenticle Hall.(6th) Multivariate data analysis:194-197.
Murabito, J. M., Evans, J. C., Larson, M.G.,. Kreger, B. E., Splansky, G. L., Freund, K. M., Moskowitz, M. A., &Wilson P. W. F.( 2001) American Journal of Epidemiology, 154(10),916-923.
National Cancer nstitute.(2011)
http://www.cancer.gov/cancertopics/types/breast
National Cancer Screening service (2010).from http://www.breastcheck.ie/
National Screening Unit. (2009). About breast screening (mammograms)
from http://www.nsu.govt.nz/current-nsu-programmes/851.asp
NHS Cancer Screening Progamme.(2010) .from http://www.cancerscreening.nhs.uk/breastscreen/index.html
Reddy, M., Given-Wilson, R. (2006) .Screening for breast cancer. Women’s health medicine, 3(1), 22-27.
Royak- Schaler, R., Klabunde, C.N., Greene, W.F., Lannin, D.R., DeVellis, B., Wilson, K.R., Cheuvront, B.(2002) Communicating breast cancer risk: patient perceptions of provider discussions. Medscape Womens Health, 7(2), 2-5.
Randall, D., Morrell, S., Taylor, R., &Hung,W. T. (2009). Annual or biennial mammography screening for women at a higher risk with a family history of breast cancer: prognostic indicators of screen-detected cancers in New South Wales, Australia.Cancer Causes Control, 20(5), 559–566.
Rawl, S. M., Champion,V.L., Menon,U., Foster,J.L.(2000). The impact of age and race on mammography practices .Health care for women international , 21(7),583-597.
The International Agency for Research on Cancer (IARC)(2010). Breast Cancer Incidence and Mortality Worldwide in 2008 Summary.from
http://globocan.iarc.fr/factsheets/cancers/breast.asp
U.S. Preventive Services Task Force (2009) Screening for Breast Cancer:
U.S. Preventive Services Task Force Recommendation Statement.
Annals of Internal Medicine,151(10),716-726.
Wei, G., & Borum, M. L. (2000). Breast self-examination in women in two primary care setting: An evaluation of the impact of insurance status. Journal of Women Health & Gender- based Medicine, 9(3), 311-314.