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유방암 위험평가 단계에 따른 통합적 유방건강관리 프로그램의 효과

Effects of an Integrated Breast Health Programaccording to Stages of Breast Cancer Risk Appraisal

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초록

Objectives: The current study evaluated the effects of an integrated breast health program according to levels of breast cancer risk appraisal on knowledge on breast cancer, early detection behaviors, and diet patterns and attitudes in Korean healthy women. Method: A nonequivalent control group pre-posttest design was used. A total of 413 women aged 40-59, registering at the Life Long Health Center in two cities, were classified into intervention groups of 179 women and control groups of 234 women. The integrated breast health program included education, counseling on breast cancer, early detection behaviors, and appropriate diet with multimedia and individual practice session using breast models, reflecting characteristics of each level according to levels of risk appraisal. The knowledge on breast cancer, early detection behaviors, and diet were investigated using questionnaires at baseline and three months after intervention. Results: In both normal and borderline-risk group, intervention groups reported significantly higher scores of knowledge on breast cancer and higher stages of BSE behaviors than control groups. Conclusions: The results showed positive effects on knowledge and early detection behaviors of breast cancer in normal and borderline-risk groups. Further studies should investigate longitudinal effects of the intervention program on dietary change.

Abstract

Objectives: The current study evaluated the effects of an integrated breast health program according to levels of breast cancer risk appraisal on knowledge on breast cancer, early detection behaviors, and diet patterns and attitudes in Korean healthy women. Method: A nonequivalent control group pre-posttest design was used. A total of 413 women aged 40-59, registering at the Life Long Health Center in two cities, were classified into intervention groups of 179 women and control groups of 234 women. The integrated breast health program included education, counseling on breast cancer, early detection behaviors, and appropriate diet with multimedia and individual practice session using breast models, reflecting characteristics of each level according to levels of risk appraisal. The knowledge on breast cancer, early detection behaviors, and diet were investigated using questionnaires at baseline and three months after intervention. Results: In both normal and borderline-risk group, intervention groups reported significantly higher scores of knowledge on breast cancer and higher stages of BSE behaviors than control groups. Conclusions: The results showed positive effects on knowledge and early detection behaviors of breast cancer in normal and borderline-risk groups. Further studies should investigate longitudinal effects of the intervention program on dietary change.

참고문헌 (32)

  1. "한국 암 통계"[URL]
  2. 김선호, "한국여성 유방암의 개인별 발생위험도 예측", 대한외과학회지, 74(6), pp.405~411 (2008), 대한외과학회
  3. 김영복, "일부 중년여성의 유방암 수검행동 변화단계와 인지-행동적 요인간의 관련성 분석", 보건교육·건강증진학회지, 23(2), pp.77~89 (2006), 한국보건교육·건강증진학회
  4. 김옥수, "여성의 유방암에 대한 두려움, 유방촬영술 유익성과 유방촬영이행에 관한 연구", 간호과학, 18(1), pp.1~8 (2006), 이화여자대학교
  5. 박소미, "한국 여성의 Pap 도말검사 지속적 참여행위에 관한 설명모델", 박사, pp.1999
  6. 박소미, "규칙적 유방자가검진 이행 증진 프로그램 개발을 위한 조사연구", 여성건강간호학회지, 13(2), pp.88~97 (2007), 여성건강간호학회
  7. 한국인 유방암의 인구학적 및 식이발병요인에 관한 환자대조군 연구, , 보건복지부, 1~7 (1999)
  8. 양영희, "중년 여성의 유방암 위험 정도와 유방자가검진 지식 및 수행 여부와의 관계", 석사, pp.2004
  9. 이채형, "유방암 선별검사의 최신 지견", Korean Journal of Obstetrics and Gynecology, 51(9), pp.933~942 (2008), 대한산부인과학회
  10. 장명철, "컴퓨터 프로그램을 이용한 한국여성 유방암의 상대적 위험도 예측", 7(4), pp.294~298 (2004)
  11. 장희정, "한국 중년여성들의 유방자가검진에 관한 지식 태도 및 실천정도", 지역사회간호학회지, 13(4), pp.719~731 (2002)
  12. 정인숙, "유방암 조기검진수검 및 반복수검 실태와 관련요인", Journal of Korean Academy of Nursing, 34(5), pp.791~800 (2004), 한국간호과학회
  13. 최경옥, "유방자가검진 교육 프로그램 유형에 따른 교육의 효과", 박사, pp.1996
  14. 허혜경, "기혼 여성의 유방조영술 검진 행위에 대한 영향요인", 성인간호학회지, 16(1), pp.72~81 (2004), 성인간호학회
  15. Ceber E, "Breast cancer risk assessment and risk perception on nurses and midwives in Bornova Health District in Turkey", Cancer Nurs, 29(3), pp.244~249 (2006)
  16. Claus EB, "Autosomal dominant inheritance of early-onset breast cancer : Implications for risk prediction", Cancer, 73, pp.643~651 (1994)
  17. Fowler BA, "Collaborative breast health intervention for African American women of lower socioeconomic status", Oncol Nurs Forum, 통권 : 32, pp.1207~1216 (2005)
  18. Gail MH, "Projecting individualized probabilities of developing breast cancer for white females who are being examined annually", J Natl Cancer Inst, 81, pp.1879~1886 (1989)
  19. Gasalberti D, "Early detection of breast cancer by self-examination: The influence of perceived barriers and health conception", Oncol Nurs Forum, 29(9), pp.1341~1347 (2002)
  20. Hollingsworth AB, "Current comprehensive assessment and management of women at increased risk for breast cancer", Am J Surg, 187, pp.349~362 (2004)
  21. Katapodi MC, "Predictors of perceived breast cancer risk and the relation between perceived risk and breast cancer screening : A meta-analytic review", Prev Med, 38, pp.388~402 (2004)
  22. Chung Yul Lee, "Evaluation of a Community-Based Program for Breast Self-Examination Offered by the Community Health Nurse Practitioners in Korea", Journal of Korean Academy of Nursing, 33(8), pp.1119~1126 (2003), 한국간호과학회
  23. Lu ZJ, "Variables associated with breast self-examination among Chinese women", Cancer Nurs, 18, pp.29~34 (1995)
  24. Luszczynska A, "Planning and self-efficacy in the adoption and maintenance of breast self-examination : A longitudinal study on self-regulatory cognitions", Psychol Health, 18, pp.93~108 (2008)
  25. Pasick R, "Lessons learned from communitybased cancer screening intervention research", Cancer, 101(5), pp.1146~1164 (2004)
  26. Paskett E, "Randomized trial of an intervention to improve mammography utilization among a triracial rural population of women", J Natl Cancer Inst, 98(17), pp.1226~1237 (2006)
  27. Prochaska JO, "Stages and processes of self-change of smoking : Toward an integrative model of change", J Consult Clin Psychol, 51, pp.390~395 (1983)
  28. Quillin JM, "Duration of an intervention's impact on perceived breast cancer risk", Health Educ Behav, 35(6), pp.855~865 (2008)
  29. Rothstein WG, "Dietary fat, coronary heart disease, and cancer: a historical review", Prev Med, 43, pp.356~360 (2006)
  30. Rutledge DN, "Breast cancer detection: knowledge, attitudes, and behaviors of women from Pennsylvania", Oncol Nurs Forum, 28(6), pp.1032~1040 (2001)
  31. Sherwood P, "A cognitive behavioral intervention for symptom management in patients with advanced cancer", Oncol Nurs Forum, 32(6), pp.1190~1198 (2005)
  32. Skinner CS, "Knowledge, perceptions, and mammography stage of adoption among older urban women", Am J Prev Med, 14(1), pp.54~63 (1998)

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