题名

兩種教育方案介入對工作場所婦女接受子宮頸抹片檢查之知識、健康信念及行爲的影響

并列篇名

Effects of Two Teaching Programs on Workplace Women's Cervical Cancer Screening Knowledge, Health Beliefs and Behavior

DOI

10.7081/NR.200002.0111

作者

黃秀梨(Hsiu-Li Huang);張媚(Mei Chang Yeh)

关键词

工作場所婦女 ; 教育方案 ; 子宮頸抹片檢查 ; workplace women ; teaching programs ; cervical cancer screening

期刊名称

護理研究

卷期/出版年月

8卷1期(2000 / 02 / 01)

页次

111 - 123

内容语文

繁體中文

中文摘要

子宮頸抹片檢查已被證實是早其偵測子宮頸癌的有效方法,但是台灣地區婦女的抹片檢查率仍然不高。本研究的目的乃在比較兩種教育方案介入後對工作場所婦女接受子宮頸抹片檢查之知識、健康信念及行爲的影響。本研究採類實驗法,以方便取樣選北市某電子公司之已婚婦女爲研究對象,有效樣本爲250人。將研究對象分成四組,即前測實驗組、前測控制組、無前測實驗組、無前測控制組。實驗組給予團體衛教及衛教手冊,控制組予以郵寄衛教手冊。研究結果顯示教育介入後,實驗組與控制組之知識、抹片行爲均有顯著差異,而實驗組又較控制組顯著,健康信念無顯著差異。由此可推論,加強對子宮頸抹片檢查知識的認知,對促進婦女接受抹片檢查將有所助益。

英文摘要

Cervical cancer continues to be a significant problem in Taiwan. Cytological screening and follow-up can reduce the mortality rate of cervical cancer by detection and removal of precursor lesions. The purpose of this research is to examine the effect of two teaching programs in the workplace on married women’s knowledge, health beliefs and behavior regarding cervical cancer screening. The research employed a four group quasi-experimental design. Two of the four groups were assigned to a group teaching program. The other two, the control groups, received a pamphlet teaching program. Total sample was 250 subjects in this research. The results indicated that (1) these two teaching programs led to a significant increase in knowledge of cervical cancer screening and screening rate but not in belief toward cervical cancer and screening. (2) The subjects of the group teaching program had better improvement in knowledge and cervical cancer screening than those of the pamphlet teaching program during post-intervention. This research suggests that enhancing understanding of cervical cancer screening through teaching programs is a relatively effective approach to increcsing women’s partiaipation in cervical cancer screening.

主题分类 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學
参考文献
  1. Blesch, K. S.,Prohaska, T. R.(1991).Cervical cancer screening in older women: Issues and interventions.Cancer Nursing,14(3),141-147.
  2. Boyes, D. A.,Nichols, T. M.,Miller, A. M.,Worth, A. J.(1977).recent results from the British Columbia screening program for cervical cancer.American Journal Obstetric Gynecology,128(7),692-693.
  3. Carney, P.,Dietrich, A. J.,Freeman, D. H.(1992).Improving feature preventive care through educational efforts at a, women`s community screening.Journal of Community Health,17(3),167-174.
  4. Celentano, D. D.,Shediac, M. C.,Crosby, C. C.,Mamon, J. A.,Sanders. B.,Matanoski, G. M.(1989).Adequacy of cervical caner screening among inner-city women: Results from defined population.Health Education Research,4(4),451-460.
  5. Chou, P.,Chen, V.(1989).Mass screening for cervical cancer in Taiwain from.
  6. Chou, P.,Chen, V..Mass screening for cervical cancer in Taiwain from.Cancer,64(8),962-968.
  7. Dewar, M. A.,Hall, K.,Perchalski, J.(1992).Cervical cancer screening: Past success and future challenge.Primary Care,19(3),589-606.
  8. Dietrich, A. J.,Carney-Gersten, P.,Holmes, D. W.,Clauson, B.,Zayso, K.(1989).Community screening for cervical cancer in New Hanpshire.Journal of Family Practice,29(3),319-323.
  9. Eardley, A.,Elkind, A.,Thompson, R.(1990).Inviting women for cervical screening: What messages do leaflets convey.Health Education Journal,49(3),123-128.
  10. Griffith, R. S.,Williams, P. A.(1992).Barriers and incentives of physicians and patients to cancer screening.Primary Care,19(3),535-556.
  11. Hobbs, P.(1986).The behavioral aspects of breast and cervical screening.Radiography,52(606),287-290.
  12. Howe, H. L.,Bzduch, H.(1987).Recency of Pap smear screening: A multivariate model..Public Health Report,102(3),295-301.
  13. Kasl, S. V.,Cobb, S.(1966).Health behavior, illness behavior, and sick role behavior.Archives of Environmental Health,246-266.
  14. Kegels, S . S.,Kirscht, J. P.,Haefner, D. P.,Rosenstock, I. M.(1965).Survey of beliefs about cancer detection and taking papanicolaou tests.Public Health Reports,80(9),815-823.
  15. Kegels, S. S.(1969).A field experimental attempt to change beliefs and behavior of women in an urban ghetto.Journal of Health and Social Behavior,10(2),115-125.
  16. Laara, E.,Day, N. E.,Hakama, M.(1987).Trends in mortality from cervical cancer in the Nordic countries: American with organized screening programs.Lancet,1(8544),1247-1249.
  17. Larson, E. B.,Bergam, J.,Rosenstock, I. M(1982).Do postcard reminders improve influenza vaccination compliance.Medical Care,20(6),639-648.
  18. Mamon, J. A.,Shediac, M. C.,Crosby, C. B.,Celentano, D. D.,Sanders , B.,Matanoski, G. M.(1991).Development and implementation of an intervention to increase cervical cancer screening in inner-city women.Quarterly of Community Health Education,12(1),21-34.
  19. Mamon, J. A.,Shediac, M. C.,Crosby, C. B.,Celentano, D. D.,Sanders, B.,Matanoski, G. M.(1990).Inner-city women at risk for cervical cancer: Behavioral and utilizational factors related to inadequate screening.Preventive Medicine,19(4),363-376.
  20. Mandelblatt, J.,Traxler, M.,Lakin, P.,Kanesky, P.,Kao, P.(1993).Targeting breast and cervical cancer screening to elderly poor black women: Who will participate.Preventive Medicine,22(1),20-33.
  21. Mill, A. B.(1992).Cervical cancer screening programs: Managerial guidelines.Geneva:World Health Organization.
  22. Shelley, J. M.,Irwing, L. M.,Simpson, J. M.,Macaskill, P.(1991).Evaluation of a mass-media-led campaign to increase Pap smear screening.Health Education Research,6(6),267-277.
  23. Suarez, L.,Nichols, D. C.,Brady, C. A.(1993).Use of role models to increase Pap smear and mammogram screening in mexican-American and black women.American Journal of Preventive Medicine,9(5),290-296.
  24. Sung, J. F. G.,Coates, R. J.,Williams, J. M.,Life, J, M.,Greenberg, R. S.,McGrady, G. A.,Avery, B. Y.,Blumenthal, D. S.(1992).Cancer screening intervention black women in inner atlanta-design of a study.Public Health Report,107(4),380-388.
  25. Windsor, R. A.,Kronenfeld, J. J.,Cain, M. G.,Cutter, G. R.,Goodson, L. A.,Edwards, E.(1981).Increasing utilization of a rural cervical cancer detection program.American Journal of Public Health,71(6),641-643.
  26. 台灣地區農村婦女對子宮頸防癌抹片檢查認知與接受之分析研究(1983)。中華醫誌,31,302-311。
  27. 呂昌明(1985)。衛生教育論文集刊
  28. 周碧瑟、賴明芸(1993)。各國子宮頸癌篩檢計畫之探討。公共衛生,19(4),384-395。
  29. 胡月娟(1987)。台中市成年市民癌症篩檢的施行與相關因素之探討。公共衛生,14(4),446-465。
  30. 晏涵文(1990)。健康教育-健康教學與研究。台北:心理出版社。
  31. 葉季森、周碧瑟(1987)。以健康信念模式分析桃園縣婦女的抹片檢查行為。健康教育雜誌,8,58-77。
  32. 劉秀鳳、周碧瑟、江宏(1987)。鹿谷鄉社區性子宮頸癌篩檢的分析與評估。中華醫誌,41,43-46。
被引用次数
  1. 劉淑敏、康啓杰、林惠賢、王琳華(2003)。屏東地區婦女接受子宮頸抹片檢查之相關因素。臺灣公共衛生雜誌,22(2),127-133。
  2. (2002)。婦女接受子宮頸抹片檢查行為意向模式之研究。中華心理衛生學刊,15(3),31-66。