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應用健康信念模式探討影響前列腺癌高危險群男性執行前列腺癌篩檢行爲之因素

Determining Factors of Prostatic Cancer Screening Behaviors among High Risk Men Using Health Belief Model

摘要


本研究以修正後的健康信念模式中的六個基本概念來分析影響前列腺癌高危險群男性執行前列腺癌篩檢行為的因素。以方便取樣,選取前列腺癌病患病友之一等血親為對象,藉當面請樣本自填或郵寄問卷來收集資料。此份自撓的46題問卷,經專家效度與內在一致性檢定(CVI=1.0; α=0.65; K-R 20=0.78)。共收集121份有效問卷進行描述性統計,並以Chi-square't檢定,曼惠特尼U檢定,ANOVA檢定各變項問的關係。結果發現,研究對象參與二種前列腺癌篩檢比率低且知識不足,單身者嚴重性認知高於有偶者;高中以上教育程度者前列腺癌知識高於國中以下。男性朋友曾罹患前列腺癌者罹患性認知高於未曾得癌者。定期執行DRE者認為篩檢行為是有利的。

並列摘要


Based on tile six basic concepts of modified Health Belief Model, this study tried to identify factors associated with the screening behaviors for men under the risk of prostate cancer. A self-designed and structured questionnaire was created in order to collect responses of the convenient samples who were the first degree of relatives to the patients diagnosed as prostate cancer. The expert content validity and internal consistency indicated that this instrument was valid and reliable (CVI=1.0; a=0.65; K-R 20=0.78). A total of 121 questionnaires were analyzed. Data were analyzed by Chisquare, t-test, Maim-Whitney U test and ANOVA test. The results found that the participation of screening tests was quite low and the knowledge related to screening tests was poor in these samples. In addition, the single subjects reported higher severity of prostate cancer than the married ones. Those who were educated higher than senior high school reported more knowledge related to prostate cancer than the lower educated ones. Those whose male friends have been diagnosed as prostate cancer reported higher perceived susceptibility than those who have no such friends. Subjects who received regular DRE screening test reported that this test was beneficial for their health.

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