口腔癌位於癌症死因第六位,故教導高危險群去認識口腔癌篩檢是有必要的,而多媒體為目前最簡單又生動的教學方式。故本研究目的為:1.瞭解嚼檳榔族群對嚼檳榔行為的態度,2.評價在多媒體教育介入後,嚼檳榔族群對口腔癌篩檢認知之成效與戒除嚼檳榔行為之意願,以及3.分析影響嚼檳榔態度、口腔癌篩檢認知與戒除嚼檳榔之意願的因素。本研究採類實驗法設計,以54名嚼檳榔族群為對象,利用結構式問卷為研究工具,在教學前後以問卷做調查,以瞭解嚼檳榔族群對口腔癌篩檢之教學成效及戒嚼檳榔行為意願。所得資料經統計分析後,結果顯示為:1.嚼檳榔族群對嚼檳榔行為介於無意見至同意之間,2.在教學前後,口腔癌篩檢認知達統計上之差異,3.在教學後,研究對象對戒除嚼檳榔行為意願較低,4.女性較男性同意嚼檳榔行為,5.服務業或不曾戒除嚼檳榔者對戒除嚼檳榔意願較低。本研究證實多媒體教學有助於嚼檳榔族群對口腔癌的篩檢之認知,但對戒除檳榔行為則無影響。本研究有助於日後推動民眾對口腔癌篩檢認知之衛生教育活動,進而強化疾病預防的工作。
Oral cancer is ranked as the sixth of cancer causes. It is necessary to teach people with high risk knowing the screen of oral cancer. However, the multimedia is the simplest and vividest teaching method at present. Therefore, the purposes of this study were: 1. to understand the attitude of the betel-nut-chewing (BNC) behavior among the BNC group, 2. to evaluate the effects of knowledge on the oral cancer screen and the will of ceasing the BNC behavior after the multimedia education was applied to the group, and 3. to analyze the factors which affect the attitude of the BNC, the knowledge of the oral cancer screen, and the will of ceasing the BNC. This was a quasi-experimental design which recruited 54 BNC persons as subjects. With pre- and post-teaching programs, we understood the knowledge of oral cancer screen and the will of ceasing the behavior among the BNC group by a structural questionnaire. The data were analyzed by statistics and the results showed that 1. the BNC group inclined no idea to agreement with the BNC behavior, 2. the knowledge of oral cancer screen had statistical difference between pre- and post-teaching programs, 3. the subjects had a lower will for ceasing the BNC behavior after the teaching program, 4. women agreed with the BNC behavior most than men, and 5. the person with service occupation or never ceasing the BNC behavior had a lower will for ceasing it. This research verified that the multimedia education has contributions on the knowledge of the oral cancer screen but has no influence on ceasing the BNC behavior for the BNC group. It is useful for promoting people’s health education activities on the knowledge of the oral cancer screen and furthermore strengthening the work of preventing from diseases in the future.