환경보강 유방자가검진 프로그램의 효과
The Effects of Breast Self-examination Program Enriched Environmentally among Healthy Women
2
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Purpose: The purpose of this study was to determine the effects of an environmental enrichment program on barrier, benefit, confidence, and compliance of breast self-examination in women at 3 months after instruction. Methods: Nonequivalent control group pretest-posttest design was conducted among 62 healthy women. Data were collected through the self-reported questionnaires from December 2008 to March 2009. Women were assigned to one of two treatment groups: (a) no-support of environmental enrichment with the instruction control group; (b) the support of environmental enrichment with the instruction experimental group. All women received the same instruction on breast self-examination once a week for two weeks. Data were analyzed with paired t-test, McNemar test and ANCOVAs of controlling for age run using SPSS/WIN 17.0. Results: The experimental group was significantly lower than control group on perceived barrier (F=5.91, p=.02) and higher than control group on compliance of breast self-examination (F=4.57, p=.04) after environmental enrichment program. However the environmental enrichment program did not make significant differences on benefit (F=0.01, p=.91) and confidence (F=0.77, p=.38). Conclusion: Findings suggest that the environmental enrichment should be needed to support women's breast self-examination and expanded for compliance of breast self-examination to promote the secondary prevention of women breast cancer.
Abstract
Purpose: The purpose of this study was to determine the effects of an environmental enrichment program on barrier, benefit, confidence, and compliance of breast self-examination in women at 3 months after instruction. Methods: Nonequivalent control group pretest-posttest design was conducted among 62 healthy women. Data were collected through the self-reported questionnaires from December 2008 to March 2009. Women were assigned to one of two treatment groups: (a) no-support of environmental enrichment with the instruction control group; (b) the support of environmental enrichment with the instruction experimental group. All women received the same instruction on breast self-examination once a week for two weeks. Data were analyzed with paired t-test, McNemar test and ANCOVAs of controlling for age run using SPSS/WIN 17.0. Results: The experimental group was significantly lower than control group on perceived barrier (F=5.91, p=.02) and higher than control group on compliance of breast self-examination (F=4.57, p=.04) after environmental enrichment program. However the environmental enrichment program did not make significant differences on benefit (F=0.01, p=.91) and confidence (F=0.77, p=.38). Conclusion: Findings suggest that the environmental enrichment should be needed to support women's breast self-examination and expanded for compliance of breast self-examination to promote the secondary prevention of women breast cancer.
참고문헌 (31)
- Bener, A, "The determinants of breast cancer screening behavior: A focus group study of women in the United Arab Emirates", Oncology Nursing Forum, 29(9), pp.E91~E98 (2002)
- Champion, V. L, "Predicting mammography and breast self-examination in African American women", Cancer Nursing, 20(5), pp.315~322 (1997)
- 최명애, "중년여성의운동행위, 운동환경및사회적지지에관한연구", Journal of Korean Academy of Nursing, 38(1), pp.101~110 (2008), 한국간호과학회
- Choi, K. O, "Effectiveness of teaching in accordance with the teaching program types for the breast self-examination", 박사, pp.1996
- Clark, V. A, "Breast self-examination training:A brief review", Cancer Nursing, 22(4), pp.320~326 (1999)
- Cohen, M, "Breast cancer early detection, health beliefs, and cancer worries in randomly selected women with and without a family history of breast cancer", P sychooncology, 15(10), pp.873~883 (2006)
- Dundar, P. E, "The knowledge and attitudes of breast self-examination and mammography in a group of women in a rural area in western Turkey", BioMed Central Cancer, 24, pp.6~43 (2006)
- Elmore, J. G., "Screening for breast cancer", Journal of the American Medical Association, 293(10), pp.1245~1256 (2005)
- 허혜경, "기혼 여성의 유방조영술 검진 행위에 대한 영향요인", 성인간호학회지, 16(1), pp.72~81 (2004), 성인간호학회
- Janda, M, "Impact of videotaped information on frequency and confidence of breast self-examination", Breast Cancer Research Treatment, 73(1), pp.37~43 (2002)
- Jirojwong, S, "Health beliefs, perceived self-efficacy, and breast self-examination among Thai migrants in Brisbane", Journal of Advanced Nursing, 41(3), pp.241~249 (2003)
- "Common knowledge for breast cancer"[URL]
- Lee, E. H, "Translation and validation of Champion's health belief model scale with Korean women", Cancer Nursing, 25(5), pp.391~395 (2002)
- Lee, E. O, "Nursing․medical research & statistical analysis" (1998), Soomoonsa
- Lee, Y. W, "Predicting factors of breast self-examination among middle-aged women", Journal of Korean Adult Academy of Nursing, 13(4), pp.551~559 (2001)
- Lierman, L. M, "Effects of education and support on breast self-examination in older women", Nursing Research, 43(3), pp.158~163 (1994)
- Ludwick, R, "Breast self exams by teenagers:Outcome of a teaching program", Cancer Nursing, 24(4), pp.315~319 (2001)
- Malotte, C. K, "Assessing breast self-examination compliance in the natural environment", Journal of Beha vioral Medicine, 9(4), pp.363~371 (1986)
- "The analysis of patient with cancer on National Health Insurance (2007)"[URL]
- Nahcivan, N. O, "Health beliefs related to breast self-examination in a sample of Turkish women", Oncology Nursing Forum, 34(2), pp.425~432 (2007)
- Nekhlyudov, L, "Is it time to stop teaching breast self-examination?", Canadian Medical Association Journal, 164(13), pp.1851~1854 (2001)
- 박소미, "규칙적 유방자가검진 이행 증진 프로그램 개발을 위한 조사연구", 여성건강간호학회지, 13(2), pp.88~97 (2007), 여성건강간호학회
- Pender, N. J., "Health promotion in health practice" (1997), Hyunmoonsa
- Rosenstock, I. M, "Social learning theory and the health belief model", Health Education Quartely, 15(2), pp.175~183 (1988)
- Salazar, M. K, "Evaluation of breast self examination beliefs using a decision model", Western Journal Nursing Research, 15, pp.403~21 (1993)
- 서연옥, "유방자가검진 교육 후 태도와 지식, 실천의 변화", 성인간호학회지, 15(1), pp.5~13 (2003), 성인간호학회
- Stamler, L. L, "Working women identify influences and obstacles to breast health practices", Oncology Nursing Forum, 27(5), pp.835~842 (2000)
- Tennessen, C, "Views to nature: Effects on attention", Journal of Environmental Psychology, 15, pp.77~85 (1995)
- Thomas, B, "Breast health educational interventions: Changes in beliefs and practice of working women", Journal of the American Association of the Occupational Health Nurses, 50(10), pp.460~467 (2002)
- van Praag, H, "Neural consequences of environmental enrichment", Nature Reviews Neuroscience, 1(3), pp.191~198 (2000)
- 양영희, "중년여성의 유방자가검진 교육이 유방자가검진 지식, 자기효능감 및 수행에 미치는 효과", 기본간호학회지, 14(2), pp.189~197 (2007), 기본간호학회
