簡易檢索 / 詳目顯示

研究生: 粟馨瑩
Su, Hsin-Yin
論文名稱: 運用健康信念模式探討社區婦女參與乳房攝影篩檢行為意圖之研究-以臺北市某社區為例
Research on Mammography Screening Intention among Women in a Taipei Community: An Application of Health Belief Model
指導教授: 張鳳琴
Chang, Fong-Ching
張晏蓉
Chang, Yen-Jung
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: 2017
畢業學年度: 105
語文別: 中文
論文頁數: 78
中文關鍵詞: 婦女乳房攝影篩檢行為意圖健康信念模式
英文關鍵詞: Women, mammography screening, behavior intention, Health Belief Model
DOI URL: https://doi.org/10.6345/NTNU202203186
論文種類: 學術論文
相關次數: 點閱:216下載:47
分享至:
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報
  • 本研究旨在以健康信念模式探討社區婦女參與乳房攝影篩檢行為意圖及相關因素。研究對象為台北某社區年滿40∼69歲社區婦女,計287人完成結構性自填問卷調查,重要結果如下:
    一、 社區婦女傾向表示有可能在未來兩年內採取乳房攝影篩檢。
    二、 社區婦女有乳房相關疾病史和曾做過乳房攝影檢查者比未有乳房相關疾病和未曾做過乳房攝影檢查者,有較高乳房攝影篩檢查意圖。
    三、 社區婦女自覺乳癌罹患性、篩檢利益性、行動線索和自我效能與乳房攝影檢查行為意圖呈顯著正相關,而自覺篩檢障礙性越高與乳房攝影檢查行為呈顯著負相關。
    四、 複迴歸分析結果顯示婦女乳攝篩檢經驗、自覺罹患性、篩檢障礙性及自我效能可顯著預測兩年內乳房攝影篩檢行為意圖。

    The purpose of this study was to explore factors associated with community women’s intention to receive mammography screening using the Health Belief Model. Participants were women aged 40 to 69 years from a Taipei community, while 287 women completed the self-administered structured questionnaire. The main findings were as follows.
    1. Community women tended to report that they have intention to take mammography screening in the next two years.
    2. Community women who had previous breast diseases and had taken mammography screening experiences were more likely to have higher intention to receive mammography screening.
    3. Community women’s perceived susceptibility, perceived benefits, cues to action, and self-efficacy were positively associated with intention for mammography screening, while perceived barriers was negatively associated with intention for mammography screening.
    4. Multiple regression analysis results showed that women’s mammography screening experiences, perceived susceptibility, perceived benefits, and cues to action could predict intention for mammography screening in two years.

    目次 第一章 緒論 1 第一節 研究背景及動機 1 第二節 研究目的 3 第三節 研究問題 4 第四節 研究假設 5 第五節 名詞界定 6 第六節 研究限制 8 第二章 文獻探討 9 第一節 乳癌介紹 9 第二節 乳房篩檢現況 14 第三節 健康信念模式 17 第四節 影響乳癌篩檢相關的研究 19 第三章 研究方法 24 第一節 研究架構 24 第二節 研究對象 25 第三節 研究工具 26 第四節 研究步驟 29 第五節 資料分析 31 第四章 結果與討論 32 第一節 社區婦女之背景因素、對社區婦女健康信念、自我效能和行動線索與乳房攝影篩檢行為意圖之描述 32 第二節 社區婦女之社會人口學變項對社區婦女健康信念、自我效能之關係 ………………………………………………………………….46 第三節 社區婦女採取乳房攝影篩檢行為意圖之影響因素 56 第四節 討論 63 第五章 結論與建議 65 第一節 結論 65 第二節 建議 65 參考文獻 …………………………………………………………68 附錄一 正式問卷……………………………………………….…… 73 附錄二 研究工具效度審查專家學者名單……………………………..78

    參考文獻
    中文部分
    丁詩宜. (2015). 「透過癌症篩檢-找到改變」. 彰化護理, 22(3), 8-8.
    王鵬惠, 顏明賢, & 吳香達. (2015). 乳房攝影及乳癌篩檢. [Mammography and breast cancer screening]. 婦癌醫學期刊(42), 37-40.

    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. 衛生教育學系在職進修碩士班. 國立臺灣師範大學. 台北市.

    何子銘. (2008). 以健康信念模式探討風險知覺影響婦女執行乳房攝影篩檢之行為研究. (碩士), 銘傳大學, 台北市.

    吳宜芳, & 陳怡君. (2015). 乳房的美麗與哀愁:從安潔莉娜裘莉談BRCA基因突變. [The Beauty and the Sorrow of Breast: Angelina Jolie and BRCA Mutation]. 臺灣醫學, 19(6), 631-635. doi: 10.6320/fjm.2015.19(6).11

    吳麗珍, & 李浩銑. (2010). 評析婦女乳房X光攝影與乳房自我檢查. [Commentary on Screening Mammography and Breast Self-Examination]. 嘉基護理, 10(1), 1-7.

    宋丕錕. (2006). 癌症的預防與篩檢. 聲洋防癌之聲(112), 8-11.

    李作英, & 葉美玲. (2011). 乳癌發生之人口學因子與風險研究. [A Study of the Demographic Factor on the Risk of Breast Cancer]. 領導護理, 12(3), 26-37.

    李濟蔚. (2013). 運用計畫行為理論探討婦女對乳癌篩檢之行為意圖.
    李耀泰, 陳福民, & 郭宗正. (2013). 乳癌篩檢的新知. 中華民國內膜異位症婦女協會會刊, 20(7&8), 6-9. doi: 10.6498/ea.2013.20(7/8).2

    杜懿祺, 盧佳君, 賴律翰, 林招膨, & 黃慶順. (2015). 我國婦女乳房X光癌症篩檢陽性發生率之多變數分析. [Mammography Screening for Women Positive Incidence of Multivariate Analysis in Taiwan]. 台灣應用輻射與同位素雜誌, 11(4), 1201-1207.

    林斈府, 莊岳泉, 吳逸(馬堇), 黃文彥, & 趙祖怡. (2009). 乳癌治療的新趨勢. [New Trands in the Treatment of Breast Cancer]. 腫瘤護理雜誌, 9(S), 19-35.

    林欣怡. (2012). 應用健康信念模式探討婦女參與乳房攝影篩檢行為之因素-以南部某醫院為例. (碩士), 嘉南藥理科技大學, 台南市.

    翁乃瑩. (2011). 都會婦女乳房攝影檢查行為意圖及相關因素研究. 臺灣師範大學. Available from Airiti AiritiLibrary database.

    翁巧蓉. (2011). 台灣地區中老年婦女行乳房攝影檢查及其相關因素. 亞洲大學. Available from Airiti AiritiLibrary database.

    國家衛生研究院. (2004). 乳癌診斷與治療共識. 台北市: 國家衛生研究院癌症研究所.

    張金堅. (2013). 乳房攝影篩檢是否能有效提昇乳癌存活? 當代醫學(477), 528-533.

    張金堅, 郭文宏, & 王明暘. (2008). 台灣乳癌之流行病學. [The Epidemiology of Breast Cancer in Taiwan]. 中華民國癌症醫學會雜誌, 24(2), 85-93. doi: 10.6588/jcos.2008.24.2.1

    郭享旭. (2010). 「乳癌篩檢」的爭議. 當代醫學(444), 787-790.
    陳火木, 張意恆, 陳巧芸, 呂志得, 洪碩徽, 李乃信, & 林家興. (2006). 乳房攝影篩檢發现乳癌之特徵. [Characteristics of Screening Mammography-Detected Breast Cancer]. 北市醫學雜誌, 3(1), 27-31. doi: 10.6200/tcmj.2006.3.1.04

    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. Available from Airiti AiritiLibrary database.

    曾錦惠, 吳岱穎, 郭冠良, 陳建志, 洪碩徽, & 李乃信. (2014). 乳房檢查:乳房超音波的角色. [Breast Examination: The Role of Ultrasound]. 輔仁醫學期刊, 12(3), 141-150. doi: 10.3966/181020932014091203001

    黃碧松, & 賴鎮源. (2014). 乳癌臨床診治思維. 傳統醫學雜誌, 25(1), 63-91.

    廖敏娟. (2003). 婦女接受乳房攝影之相關因素調查. (碩士), 高雄醫學大學, 高雄市.

    劉介宇, 劉滄梧, 劉季鑫, 蕭金福, & 陳立宗. (2009). 2001年至2003年台灣五大盛行癌症(肺癌,肝癌,大腸直腸癌,胃癌,女性乳癌)全民健保給付之探究. [2001~2003 National Health Insurance (NHI) Reimbursement for Five Prevalent Cancers in Taiwan (Lung Cancer, Liver Cancer, Colorectal Cancer, Gastric Cancer and Women's Breast Cancer)]. 中華民國癌症醫學會雜誌, 25(3), 195-205. doi: 10.6588/jcos.2009.25.3.5

    蔡宜樺, 楊銘欽, & 季瑋珠(1998)。乳癌確診後之初期罹病成本與相關因子之探討-以台大醫院病患為例。中華公共衛生雜誌, 17(3),頁 242-252。 doi: 10.6288/cjph1998-17-03-12

    衛生福利部國民健康署. (2015). 國民健康署年報. 台北市: 衛生福利部國民健康署.

    鄭春秋. (2015). 乳癌篩檢介紹. [Introduction to Breast Cancer Screening]. 腫瘤護理雜誌, 15, 5-13. doi: 10.3966/168395442015121503002

    賴金英, 賴金梅, 陳秋媛, & 辜美安. (2012). 台灣中老年女性未接受乳房攝影篩檢之因子. [Factors Associated with Non-Utilization of Mammographic Screening Services in Middle-Aged and Elderly Women in Taiwan]. 護理雜誌, 59(2), 61-71. doi: 10.6224/jn.59.2.60

    謝德熾, & 陳立奇. (2010). 乳癌治療之演進. [The Evolution of Breast Cancer Treatment]. 北市醫學雜誌, 7(3), 313-322. doi: 10.6200/tcmj.2010.7.3.14

    顧艷秋, & 林鎂喻. (2013). 探討南部某醫學中心門診婦女民眾接受「乳癌篩檢」的影響因素. [Influencing Factors Affecting 45- To 69-Year-Old Female Outpatients in Breast Cancer Screening]. 高雄護理雜誌, 30(3), 36-47.

    英文部分
    Bandura, A. (1977). Self-efficacy: toward a unifying theory of behavioral change. Psychological review, 84(2), 191.

    Bleyer, A., & Welch, H. G. (2012). Effect of three decades of screening mammography on breast-cancer incidence. N Engl J Med, 367(21), 1998-2005. doi: 10.1056/NEJMoa1206809

    Edge, S. B., & Compton, C. C. (2010). The American Joint Committee on Cancer: the 7th Edition of the AJCC Cancer Staging Manual and the Future of TNM. Ann Surg Oncol, 17(6), 1471-1474. doi: 10.1245/s10434-010-0985-4

    Erbil, N., & Bölükbaş, N. (2012). Beliefs, attitudes, and behavior of turkish women about breast cancer and breast self-examination according to a turkish version of the champion health belief model scale. Asian Pacific Journal of Cancer Prevention, 13(11), 5823-5828. doi: 10.7314/APJCP.2012.13.11.5823

    Fouladi, N., Pourfarzi, F., Mazaheri, E., Asl, H. A., Rezaie, M., Amani, F., & Nejad, M. R. (2013). Beliefs and behaviors of breast cancer screening in women referring to health care centers in northwest Iran according to the champion health belief model scale. Asian Pacific Journal of Cancer Prevention, 14(11), 6857-6862. doi: 10.7314/APJCP.2013.14.11.6857

    Hochbaum, G., Rosenstock, I., & Kegels, S. (1952). Health belief model. United States Public Health Service.

    Hou, M.-F., Chen, F.-M., & Ou-Yang, F. (2008). Changing Trend in Breast Cancer Surgery.

    Lee, H. Y., Stange, M. J., & Ahluwalia, J. S. (2015). Breast Cancer Screening Behaviors Among Korean American Immigrant Women: Findings From the Health Belief Model. Journal of Transcultural Nursing, 26(5), 450-457. doi: 10.1177/1043659614526457

    Liede, A., & Narod, S. A. (2002). Hereditary breast and ovarian cancer in Asia: genetic epidemiology of BRCA1 and BRCA2. Hum Mutat, 20(6), 413-424. doi: 10.1002/humu.10154

    Marmot, M. G., Altman, D. G., Cameron, D. A., Dewar, J. A., Thompson, S. G., & Wilcox, M. (2013). The benefits and harms of breast cancer screening: An independent review. Br J Cancer, 108(11), 2205-2240. doi: 10.1038/bjc.2013.177

    Moss, S. (2011). Screening women aged 40–49 years. Preventive Medicine, 53(3), 105-107. doi: http://dx.doi.org/10.1016/j.ypmed.2011.06.006

    Rosenstock, I. M., Strecher, V. J., & Becker, M. H. (1988). Social learning theory and the health belief model. Health Education & Behavior, 15(2), 175-183.

    Stage, I., Stage, I., Stage, I., Stage, I., Stage, I., Stage, I., . . . Stage, I. (2009). Breast cancer staging. American joint committee on cancer.

    Tsunematsu, M., Kawasaki, H., Masuoka, Y., & Kakehashi, M. (2013). Factors affecting breast cancer screening behavior in japan - assessment using the health belief model and conjoint analysis. Asian Pacific Journal of Cancer Prevention, 14(10), 6041-6048. doi: 10.7314/APJCP.2013.14.10.6041

    Wang, W.-L., Hsu, S.-D., Wang, J.-H., Huang, L.-C., & Hsu, W.-L. (2014). Survey of breast cancer mammography screening behaviors in Eastern Taiwan based on a health belief model. The Kaohsiung Journal of Medical Sciences, 30(8), 422-427. doi: http://dx.doi.org/10.1016/j.kjms.2014.04.007

    WHO. (2015). Breast cancer statistics. Retrieved 04/05, 2015, from http://www.wcrf.org/int/cancer-facts-figures/data-specific-cancers/breast-cancer-statistics

    Wu, T. Y., & Ronis, D. (2009). Correlates of recent and regular mammography screening among Asian‐American women. Journal of Advanced Nursing, 65(11), 2434-2446.

    下載圖示
    QR CODE