Bruyninckx E, Mortelmans D, Van Goethem M, Van Hove E
Department of Political and Social Sciences, University of Antwerp (UIA), Wilrijk, Belgium.
Soc Sci Med. 1999 Oct;49(7):933-41. doi: 10.1016/s0277-9536(99)00181-1.
Mammography is an important tool in the secondary prevention of breast cancer. However, earlier research has pointed out that an unpleasant experience during a previous mammography can deter women from returning for mammography screening. It is known that mammography can be a painful examination for some women. The research presented in this article focuses on the experience of pain during and after mammography (247 patients). Firstly, the study sets out to determine the extent to which women actually experience pain as a result of mammographic examination. Secondly, it focuses on identifying the factors that determine the risk of a painful experience during the screening procedure. A pain model was developed that takes into account a broad range of potential pain factors, including other than woman-related factors and factors associated with the actual examination. Special attention was paid to the examination context, the mammographic procedure and the screening staff. The research results show that the majority of women experience pain during mammography. With a logistic regression a number of women-related factors, staff-related and procedural factors were found significant in assessing the pain risk during mammography.
乳房X线摄影是乳腺癌二级预防中的一项重要工具。然而，早期研究指出，之前乳房X线摄影检查时的不愉快经历可能会使女性不再回来进行乳房X线摄影筛查。众所周知，乳房X线摄影对一些女性来说可能是一项痛苦的检查。本文所呈现的研究聚焦于乳房X线摄影期间及之后的疼痛体验（247名患者）。首先，该研究旨在确定女性因乳房X线摄影检查实际经历疼痛的程度。其次，它着重于识别在筛查过程中决定疼痛体验风险的因素。开发了一个疼痛模型，该模型考虑了广泛的潜在疼痛因素，包括与女性无关的因素以及与实际检查相关的因素。特别关注了检查环境、乳房X线摄影程序和筛查工作人员。研究结果表明，大多数女性在乳房X线摄影期间会经历疼痛。通过逻辑回归发现，一些与女性相关的因素、与工作人员相关的因素和程序因素在评估乳房X线摄影期间的疼痛风险时具有显著性。
