Brant J M, Fallsdown D, Iverson M L
Saint Vincent Hospital and Health Center, Billings, MT, USA.
Oncol Nurs Forum. 1999 May;26(4):731-9.
PURPOSE/OBJECTIVES: To discuss the development and implementation of a culturally sensitive breast cancer outreach program focusing on early detection, screening, and education for Plains Indian women living in Montana and northern Wyoming.
Professional journals, government reports, culturally sensitive materials, and field experience.
Perceptions about cancer, the prevalence of poverty and alcoholism, the traditional role of the Native American woman, and rural living influence breast health and breast cancer education for Plains Indian women. An outreach program was developed specifically for this population and included individualized education, distribution of culturally sensitive materials, culturally sensitive professional education, and train-the-trainer seminars.
After years of working with Native American women, the percentages of mammograms and clinical breast examinations increased by more than 100%.
Nurses can bridge the cultural gap and work effectively with Native American women by building trust and being sensitive to cultural customs and related healthcare behaviors. Furthermore, this program provides a model that nurses can use to develop culturally sensitive breast health programs.
目的/目标：探讨一项针对居住在蒙大拿州和怀俄明州北部的平原印第安女性的、具有文化敏感性的乳腺癌外展项目的开展与实施情况，该项目侧重于早期发现、筛查及教育。
专业期刊、政府报告、具有文化敏感性的资料以及实地经验。
对癌症的认知、贫困与酗酒的普遍程度、美国原住民女性的传统角色以及乡村生活状况，均会影响平原印第安女性的乳房健康及乳腺癌教育。专门为这一人群制定了一项外展项目，内容包括个性化教育、分发具有文化敏感性的资料、开展具有文化敏感性的专业教育以及培训培训师研讨会。
在与美国原住民女性合作多年后，乳房X光检查和临床乳房检查的比例增长超过了100%。
护士可以通过建立信任并对文化习俗及相关医疗行为保持敏感，来弥合文化差距并有效地与美国原住民女性合作。此外，该项目提供了一个模式，护士可借此制定具有文化敏感性的乳房健康项目。
