중장년기 여성의 연령군별 유방자가검진 실천에 대한 영향변수 비교
The Comparison of Factors related to Performance of Breast Self-examination by Age Group in the Middle and Mature Aged Woman
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Purpose: This study aims to identify differences in breast self-examination (BSE) performance and influencing factors between woman-groups under and over 45 years old. Methods: The subjects were 152 women aged from 35 to 65, who were recruited through convenient sampling in a metropolitan city. They were divided into two groups: under and over 45 years old. The data were collected using self-reporting questionnaires and analyzed by x2 test, t-test, Pearson's correlation coefficient, and stepwise multiple regression. Results: Experience of BSE education (x2=4.68, p=.030), BSE performance (x2=20.12, p<.001), confidence (t=-2.97, p=.003), and self-efficacy (t=-2.44, p=.016) were significantly higher in the group over 45 years (the older group) than the one under 45 years (the younger group). Self-efficacy (β=.346, p=.004) and susceptibility (β=.238, p=.002) were 17.6% of the variance in the younger group's BSE performance. On the other hand, significantly influencing factors on the older group's BSE performance were self-efficacy (β=.500, p<.001) and BSE education (β=.217, p<.001), which accounted for 25% of the variance in the BSE performance. Conclusion: We conclude that differentiated strategies of considering age should be established in nursing intervention to detect breast cancer early.
Abstract
Purpose: This study aims to identify differences in breast self-examination (BSE) performance and influencing factors between woman-groups under and over 45 years old. Methods: The subjects were 152 women aged from 35 to 65, who were recruited through convenient sampling in a metropolitan city. They were divided into two groups: under and over 45 years old. The data were collected using self-reporting questionnaires and analyzed by x2 test, t-test, Pearson's correlation coefficient, and stepwise multiple regression. Results: Experience of BSE education (x2=4.68, p=.030), BSE performance (x2=20.12, p<.001), confidence (t=-2.97, p=.003), and self-efficacy (t=-2.44, p=.016) were significantly higher in the group over 45 years (the older group) than the one under 45 years (the younger group). Self-efficacy (β=.346, p=.004) and susceptibility (β=.238, p=.002) were 17.6% of the variance in the younger group's BSE performance. On the other hand, significantly influencing factors on the older group's BSE performance were self-efficacy (β=.500, p<.001) and BSE education (β=.217, p<.001), which accounted for 25% of the variance in the BSE performance. Conclusion: We conclude that differentiated strategies of considering age should be established in nursing intervention to detect breast cancer early.
참고문헌 (32)
- 안혜정, "유방자가검진의 행위모델과 교육의 효과에 대한 분석", 성인간호학회지, 14(1), pp.73~82 (2002), 성인간호학회
- Champion, V. L, "The relationship of selected variables to breast cancer detection in women 35 and older", Oncology Nursing Forum, 18(4), pp.733~739 (1991)
- Champion, V. L, "Instrument refinement for breast cancer screening behavior", Nursing Research, 42(3), pp.139~143 (1993)
- Choi, K. O, "Effectiveness of teaching in accordance with the teaching program types for the breast self-examination", 박사, pp.1996
- 정복례, "유방암의 위험요인", 종양간호학회지, 8(2), pp.120~127 (2008), 대한종양간호학회
- Cimprich, B, "Age at diagnosis and quality of life in breast cancer survivors", Cancer Practice, 10(2), pp.85~93 (2002)
- Funke, L, "Prospective analysis of the long-term effect of teaching breast self-examination and breast awarness", European Journal of Cancer Care, 17, pp.371~376 (2008)
- Gammon, M. D, "Recreational physical activity and breast cancer risk amomg women under age 45 years", American Journal of Epidemiology, 147(3), pp.273~280 (1998)
- Giles, J. T, "Results of a community pharmacy-based breast cancer risk assessment and education program", Pharmacotheraphy, 21(2), pp.243~253 (2001)
- 한미연, "직장여성의 유방암 검진행위 분석", 여성건강간호학회지, 12(4), pp.363~370 (2006), 여성건강간호학회
- 김은경, "일부지역 간호사의 유방 자가검진 이행 예측요소", Journal of Korean Academy of Nursing, 33(8), pp.1047~1056 (2003), 한국간호과학회
- Kim, M. H, "An exploration of adult women health-behavior", Journal of Korean Community Nursing, 16(2), pp.239~253 (2002)
- "Related Information" (2009)[URL]
- 이동숙, "연령대별 유방암 위험지각과 이에 영향을 미치는 요인 비교", 성인간호학회지, 16(2), pp.327~336 (2004), 성인간호학회
- Lee, M. H, "The impact supportive education on the effectiveness of breast self examination among college women and correlate to self-efficacy", Journal of Korean Academic of Adult Nursing, 13(3), pp.397~408 (2001)
- 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, P. S, "Prediction model for decisional balance selfefficacy for exercise and stage of change of exercise in the Korean elderly", Journal of Korean Academy of Psychiatric and Mental Health Nursing, 8(2), pp.280~290 (1999)
- Lee, Y. H, "Predicting factors of breast selfexamination among middle aged women", Journal of Korean Academic of Adult Nursing, 13(4), pp.551~559 (2001)
- Lepecka-Klusek, C, "Breast self-examination among polish women of procreative age and the attached significance", Cancer Nursing, 30(1), pp.64~68 (2007)
- Marcus, B. H, "Self-efficacy and stage of exercise behaviors change", Research Quarterly for Exercise and Sport, 63(1), pp.60~66 (1992)
- McCready, T, "Breast selfexamination and breast awareness: A literature review", Journal of Clinical Nursing, 14(5), pp.570~578 (2005)
- Montazeri, A, "Breast cancer of Iran: Need for greater women awarness of warning signs and effective screening methods", Asia Pacific Family Medicine, 7(1), pp.6~ (2008)
- Munro, B. H, "Statistical methods for health care research" (2001), Lippincott William & Wilkins
- "Breast cancer statistics"[URL]
- "Annual report on the diseases statistics"[URL]
- Park, S. M, "Effects of a cognition oriented breast self-examination intervention for Korean women and their spouses", Public Health Nursing, 26(3), pp.259~268 (2009)
- Rawl, S. M, "The impact of age and race on mammography practices", Health Care for Women International, 21(7), pp.583~597 (2000)
- Romanek, K. M, "Age differences in treatment decision making for breast cancer in a sample of healthy women: The effects of body image and risk framing", Oncology Nursing Forum, 32(4), pp.799~806 (2005)
- 서연옥, "유방자가검진 교육 후 태도와 지식, 실천의 변화", 성인간호학회지, 15(1), pp.5~13 (2003), 성인간호학회
- Shin, H. C, "Effectiveness of breast selfexamination education among Korean women", Journal of the Korean Academy of Family Medicine, 19(6), pp.467~480 (1998)
- 서연옥, "유방자가검진 교육 후 태도와 지식, 실천의 변화", 성인간호학회지, 15(1), pp.5~13 (2003), 성인간호학회
- Wolfgang, J, "Age-specific incidence of breast cancer-Are younger women at higher risk?", Breast Care, 1, pp.26~27 (2006)
