摘要
目的评价护理干预对促进妇女乳腺癌早期筛查信念及行为的效果。方法方便选取上海市4个社区,完全随机将其分为干预组和对照组,每组再次方便选取180名研究对象,共选取739名。干预组接受以健康信念模式为指导的为期一年的护理干预,对照组只接受一般防癌宣教。结果干预后妇女感知的易感性、感知的益处增加(B=0.210,P<0.01;B=0.105,P<0.01),感知障碍减少(B=-0.086,P<0.05);每月1次乳腺自我检查的人数增多,进行乳腺临床检查和乳腺X线摄片的人数增多(OR分别为3.094、2.746)。结论以健康信念模式为指导的护理干预帮助妇女树立了健康信念,提高了早期筛查的参与率,对广泛开展乳腺癌的早期筛查工作具有重要意义。
Objective To evaluate the effects of nursing intervention on the beliefs and behavior of early detection of breast cancer.Methods Four communities in Shanghai were selected by convenient sampling process.Then these four communities were randomly assigned to intervention group and control group.One hundred and eighty women who met the criteria of this study were selected from each group by convenient sampling process.Altogether 739 women were recruited.In intervention group,a one-year nursing intervention guided by health belief model was implemented,such as health education seminars,telephone follow in the third,sixth,and ninth months,and flyers of breast health care in the sixth month.Control group only received conventional education.Results After intervention women became aware of breast cancer（B=0.210,P〈0.01）,perceived more benefits from attending early breast cancer detection（B=0.105,P〈0.01）,and less difficulties in attending the activities of early detection of breast cancer（B=-0.086,P〈0.05）.The number of women who performed breast self-examination once per month increased and more women received clinical breast examination（OR=3.0946） and mammogram after intervention（OR= 2.746）.Conclusion The nursing intervention,guided by health belief model,is helpful to improve women＇s beliefs and behaviors of breast cancer detection.
出处
《中华护理杂志》
CSCD
北大核心
2010年第5期401-404,共4页
Chinese Journal of Nursing
关键词
乳腺肿瘤
普查
健康信念模式
干预性研究
Breast Neoplasms
Mass Screening
Health Belief Model
Intervention Studies
