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  • 學位論文

婦女子宮頸癌篩檢行為意向與相關因素之探討--護理人員與製造業女性員工之比較

Behavioral intention for cervical cancer screening and related factors in women -- A comparison between nurses and female employees of manufacturing industries

指導教授 : 王秀紅
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摘要


本研究的目的在探討與比較護理人員、製造業女性員工兩族群子宮頸癌篩檢行為意向及其相關因子。研究方法採用橫斷式相關性研究設計,以結構式問卷,方便取樣方法於高雄縣市地區一所醫學中心、一所區域教學醫院與九家製造業工廠,收集護理人員220位,與製造業工廠女性員工220位的資料,有效樣本共406位。 研究結果顯示子宮頸癌篩檢行為意向,護理人員為70.2%、製造業女性員工為72.6%,兩族群沒有差異。以t檢定分析結果:素質因素中之子宮頸癌危險因子知識、人類乳突狀病毒知識、子宮頸抹片檢查知識,及使能因素中之健康服務狀況,護理人員得分比製造業女性員工得分高,且達統計上差異。素質因素中之罹患子宮頸癌知覺、子宮頸抹片檢查態度,加強因素中之促進子宮頸癌篩檢線索,製造業女性員工得分比護理人員得分高,且達統計上差異。使能因素中之利用個人能力獲得檢查資訊,與依變項之子宮頸癌篩檢行為意向,護理人員得分與製造業女性員工得分沒有顯著差異。 在兩個族群其依變項子宮頸癌篩檢行為意向與素質因素中之子宮頸抹片知識、子宮頸抹片態度;使能因素中之健康服務狀況、利用個人能力獲得檢查資訊;加強因素中之促進子宮頸癌篩檢線索有低度相關。共變數分析(ANCOVA)結果,以健康服務狀況為共變數因子時,則護理人員受檢意願低於製造業女性員工,且有顯著差異。 在兩個族群其婚姻狀況、性經驗、性伴侶數、懷孕經驗、有無使用保險套,都會影響其受檢意願且有顯著差異。護理人員是否吸菸、在家中有無暴露二手菸,也會影響護理人員子宮頸癌篩檢行為意向,且有顯著不同。經以雙因子變異數分析(two-way ANOVA)護理人員與製造業女性員工在教育程度作用下;在有吸菸的情況下;在工作場所沒有暴露二手菸的情況下,護理人員子宮頸癌篩檢行為意向低於製造業女性員工,達統計上顯著差異。子宮頸抹片態度是護理人員與製造業女性員工之子宮頸癌篩檢行為意向的重要預測因子。 本研究發現護理人員雖然具有醫療專業的背景,卻在預防保健的態度與行為方面不如其他非醫療行業的婦女。因此建議護理人員必須以身作則,落實預防婦癌之檢查行為,才能成為眾人的榜樣、衛生教育的指導者、健康促進之領航者,引領婦女為自身健康負起責任,最終成為婦女健康的擁護者。

並列摘要


This study is to discuss and compare relationships to several variables between two sampling populations, clinical nursing staff and female employees in the manufacturing industry. This research adopts questionnaires designed with a cross-sectional and correlative structure. There are 220 questionnaires from one medical center and one regional teaching hospital collected, and another 220 from nine manufacturing factories in Kaohsiung area. Among these, 406 are valid samples. The major findings include: 70.2% of nursing staff and 72.6% of female manufacturing employees investigated do have the behavioral intention to take cervical cancer screening; there is no difference between these two groups. The results of t-tests indicates that, nursing staff scores significantly higher over female manufacturing employees in some predisposing factors, such as knowledge of cervical cancer risk factors, knowledge of HPV and knowledge of Pap smear, as well as in one enabling factor, health service condition, but significantly lower in other predisposing factors, like cervical cancer perception and attitudes towards Pap smear, as well as in one reinforcing factor, clues to promote cervical cancer screening. There is no significant difference between two groups in one enabling factor, personal ability for testing information, and in the dependent variable, behavioral intention of cervical cancer screening. There is only low correlation between the dependent variable, behavioral intention of cervical cancer screening, with some predisposing factors, like knowledge of Pap smear and attitudes towards Pap smear, with some enabling factors, like health service condition and personal ability for testing information, as well as with one reinforcing factor, clues to promote cervical cancer prevention tests. ANCOVA analysis indicates that, taking health service condition as the covariance variable results in a statistically significant difference: nursing staff appears to have lower behavioral intention of cervical cancer screening than female employees in the manufacturing industry. Also a statistically significant difference exists in behavioral intention of cervical cancer screening with basic terms like marriage statuses, sexual experience, sexual mate numbers, pregnancy experience and condom using. Two-way ANOVA analysis indicates that, in certain circumstances such as more education, smoking and no exposure to secondhand smoke in workplace, nursing staff still has a significantly lower behavioral intention of cervical cancer screening than the other group. The factor, attitudes towards Pap smear, is the major predictor about behavioral intention of cervical cancer screening in these two sampling populations. Although nurses possess the medical advantage professionally, but their attitudes and behavior towards prevention and health care are worse than the other group. We suggest that nurses should set good examples to practice cervical cancer screening, so as to be the benchmark for all women, directors of health education, navigators of health promotion, and advocates of woman health.

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被引用紀錄


王鈺惇(2012)。影響婦女進行子宮頸抹片篩檢之相關因素探討〔碩士論文,中山醫學大學〕。華藝線上圖書館。https://doi.org/10.6834%2fCSMU.2012.00152
張方玫(2005)。台灣地區軍訓護理教師子宮頸抹片檢查與其相關因素研究〔碩士論文,國立臺灣師範大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0021-2004200716080442
邱柔蒲(2007)。高職學生吸菸行為及其相關因素之研究-以新竹市某高中進修學校為例〔碩士論文,國立臺灣師範大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0021-2910200810562167
牛玉珍(2012)。健康促進學校家庭夥伴關係之建立及其影響因素研究—以國民小學為例〔博士論文,國立臺灣師範大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0021-1610201315295037

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