網路教學對台中縣高中職女教職員乳癌篩檢知識、態度與行為之成效

The effects of a web-based education on the breast cancer screening knowledge, attitudes and practice of female employees of the senior high schools in Taichung county

俞淑精(Shu-Ching Yu)

指導教授 ： 楊志良

亞洲大學/健康學院/健康管理研究所/碩士(2006年)

摘要

本研究目的在了解台中縣高中職女教職員乳癌篩檢的知識、態度及行為現況與影響因素；並進一步探討網路教學的成效和分析影響教學成效之相關因素。本研究採單組事前事後比較設計；以非同步網路教學為教育介入方式；以492位台中縣高中職20歲以上女教職員工為研究對象；以自擬之結構式問卷來收集資料；採用SPSS 10.0軟體進行資料分析。本研究之重要結果如下：
一、研究對象曾經乳房自我檢查方面，從未執行乳房自我檢查者的比率高達23.6%，不規則執行者佔69.5%，有規則執行者僅佔6.9%。從未執行乳房自我檢查原因排名前三位為不知如何做、忘記與沒時間等；研究對象之曾經臨床乳癌篩檢方面，從未執行臨床乳癌篩檢者的比率高達69.3%，不規則執行者佔24.8%，有規則執行者僅佔5.9%。從未執行臨床乳癌篩檢的原因排名前三位為沒時間、不需要與不好意思等。
二、影響乳癌篩檢行為之重要因素為對上次臨床乳癌篩檢之滿意度、衛浴有無半身鏡、教育程度、曾上網搜尋乳癌篩檢資訊、個人乳疾病史、曾接受乳癌篩檢衛生宣導課程、前測乳癌篩檢知識總分與前測乳癌篩檢態度總分等因素。
三、網路教學教育介入對研究對象乳癌篩檢知識、態度與行為意圖之改變均達統計上顯著差異。且對網路教學均抱著肯定態度。
四、影響研究對象乳癌篩檢行為意圖改變之重要因素為學校區域別、年齡、是否停經、曾上網搜尋乳癌篩檢資訊、對上次臨床乳癌篩檢之滿意度、乳癌篩檢知識改變總分與乳癌篩檢態度改變總分等因素。
網路教學對於民眾衛生教育具有相當效益，也是衛生教育的一種具前瞻性、經濟性及專業性的另類教學模式。

關鍵字

網路教學、乳癌篩檢、知識、態度、行為、高中職女教職員

並列摘要

The purpose of this study was to understand, on web-base, the extend of knowledge, attitudes and practice of breast cancer screening of female employees of the senior high schools in Taichung county and to study the factors that influence their knowledge, attitudes and practice status.Furthermore,the effects of web-based education on breast cancer screening and factors that affecting the difference on the web-based education of breast cancer screening were analyzed.
This study used one group with “before-and-after design” and asynchronous web-based education . Total of 492 subjects were aged 20 and above female employees of the senior high schools in Taichung county. A self-designed semi-structure questionnaire was developed for collecting data. The data was analyzed with SPSS 10.0 software. The important findings of the study were concluded as follows:
1. At Breast Self-Examination （BSE）, 23.6% of the subjects had never done breast self-examination before, 69.5% of the subjects did it irregularly, only 6.9% of the subjects did it regularly. Top three reasons of the subjects had never done BSE before are “do not know how to do”, “forget” and “too busy to do it”. On clinical breast cancer screen, 69.3% of the subjects had never done clinical breast cancer screening before, 24.8% of the subjects did it irregularly, only 5.9% of the subjects did it regularly. On top three reasons of the subjects had never done clinical breast cancer screening before were “too busy ”, “not necessary”, and “feel embarrassed”.
2.The important factors of affecting the practice of breast cancer screening were “satisfaction for the last breast cancer screening”, “bathroom facilities with half-body mirror”, “level of education”, “have been searched the information of the breast cancer screening on web side”, “personal history of the breast cancer”, “has been educated on health education of breast cancer screening”, the score of before test for the breast cancer screening knowledge” and “the score of before test for the breast cancer screening attitudes”.
3.After web-based education of breast cancer screening to the subjects, the breast cancer screening knowledge, attitudes and practice intention are improved significantly. Subjects gave positive credit to this web-based education.
4.The important factors affecting the difference on subjects’practice intention of being willing to do breast cancer screening were “school district”, “age”, “menopause” , “have been searched the information of the breast cancer screening on web side”, “satisfaction for the last breast cancer screening”, “the difference of the score of the breast cancer screening knowledge” and “the difference of the score of the breast cancer screening attitudes”.
Web-based education on breast cancer screening does have positive effective on common people. It is another kind of health education method which is also perspective, economical, and professional.

並列關鍵字

web-based education、breast cancer screening、knowledge、attitudes、practice、 female employees of the senior high schools

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