乳房自我檢查衛生教育對婦女乳房自我檢查知識動機及技巧之影響

The Effects of a Breast-Self-Examination Education in Women's Knowledge, Motivation and Skill about Breast Self Examination

吳南宏(Nan-Hong Wu) ； 盧豐華(Feng-Hwa Lu) ； 張翠珍(Tsui-Chen Chang) ； 張瑩如(Ying-Zu Chang) ； 張智仁(Chih-Jen Chang)

《中華公共衛生雜誌》 14卷5期 (1995/10) Pp. 407-416

https://doi.org/10.6288/CJPH1995-14-05-04

摘要

乳房自我檢查為早期發現乳癌最方便經濟的方法，衛生教育則是達到此目標的有效途逕；為了解乳房自我檢查衛生教育對婦女乳房自我檢查知識、動機及技巧之影響，本研究設計一套乳房自我檢查的教學模式，包括課程講授、檢查步驟示範和模型腫塊體驗，並以問卷及乳房模型來評估教學前後學員之乳房自我檢查動機、技巧自信度、自我檢查知識及摸出乳房模型內腫塊數目，以了解教學的成效並探討其影響因素。對象為報名參加成大醫院家庭醫學部所舉辦的乳房自我檢查衛生教育課程之民眾，共381位。結果發現，教學前有71.4%的學員曾經由不同的管道聽過乳房自我檢查，但只有7.1%的人每個月定期做乳房自我檢查；阻礙學員未能定期每個月做乳房自我檢查的因素以對自己的檢查技巧沒信心最多(61.80%)。教學前後學員無論在乳癌和乳房自我檢查知識、檢查動機、檢查技巧自信度及腫塊摸出能力上都有顯著的進步。影響此教學成效的因素，主要為教育程度。

關鍵字

乳房自我檢查 ； 動機 ； 自信度 ； 知識

並列摘要

Breast self examination(BSE) is the most convenient and economical method for the discovery of breast cancer at its inital stage. Health education is an efficient approach to attain this goal. In order to determine the effects of BSE education on BSE knowledge, motivation, and BSE technique, the educational activities including lecture, demonstration and practice were conducted. The questionaire and breast model were used to assess the subjects BSE motivation, BSE skills confidence, BSE knowledge, and ability to find the tumors inside breast models. A total of 381 women participated in the BSE class which was sponsored by the Family Medicine Department of Cheng Kung University Hospital. The results indicate that 71.4% of the subjects had heard BSE before the BSE class. However, only 7.1% of the subjects reported that they conducted the examination every month. Among the subjects who failed to perform the BSE periodically, 61.8% of them reported low confidence in BSE skills. After the educational activities were implemented, the subjects showed significant change in the knowledge of cancer and BSE, the BSE motivation, confidence in performing BSE, ability to detect breast tumors in the models. The educational level was significantly related to the educational effects.

並列關鍵字

Breast self-examination ； Motivation ； Confidence ； Knowledge