Leslie Nan S, Deiriggi Pamela, Gross Suzanne, DuRant Elizabeth, Smith Cynthia, Veshnesky Jennifer G
School of Nursing, West Virginia University, Morgantown, WV, USA.
Oncol Nurs Forum. 2003 Jul-Aug;30(4):659-67. doi: 10.1188/03.ONF.659-667.
PURPOSE/OBJECTIVES: To determine how and what women learn about breast cancer and screening practices and which factors influence women's breast cancer screening practices.
Descriptive analysis of questionnaire data collected at the time of enrollment in a clinical trial.
Breast care center of a mid-Atlantic academic health sciences center.
185 women in a predominantly Appalachian, entirely rural state.
Participants completed the Modified Toronto Breast Self-Examination Inventory and questions related to personal mammography practices at the time of enrollment before randomization in a longitudinal clinical intervention study.
Women's demographics, knowledge of breast cancer screening practices, adherence to breast cancer screening guidelines, and motivation, knowledge, and practice proficiency surrounding breast cancer screening.
These educated women had knowledge deficits about breast cancer, breast cancer risk factors, and screening guidelines, particularly the timing and practice behaviors of breast self-examination. Women who had received healthcare and cancer-screening instruction by healthcare providers, including advanced practice nurses, had greater knowledge of breast cancer and detection practices.
Women still have knowledge deficits about breast cancer, breast cancer detection, and personal risk factors. In addition, some educated women in this study failed to practice breast cancer screening according to current guidelines.
Practitioners must continue to remind and update women about breast disease, and women's cancer-screening practices must be reinforced. All levels of providers should improve their rates of performing clinical breast examinations with physical examinations. Nurses, who greatly influence women's health care, must remain current in their knowledge of breast disease, screening, and treatment.
目的/目标：确定女性如何以及从何处了解乳腺癌及筛查方法，以及哪些因素会影响女性的乳腺癌筛查行为。
对临床试验入组时收集的问卷数据进行描述性分析。
大西洋中部地区一所学术健康科学中心的乳腺护理中心。
来自一个以阿巴拉契亚人为主、完全为农村地区的州的185名女性。
在一项纵向临床干预研究随机分组前，参与者在入组时完成了改良版多伦多乳房自我检查量表以及与个人乳房X光检查行为相关的问题。
女性的人口统计学特征、对乳腺癌筛查行为的了解、对乳腺癌筛查指南的遵循情况，以及围绕乳腺癌筛查的动机、知识和实践熟练度。
这些受过教育的女性在乳腺癌、乳腺癌风险因素和筛查指南方面存在知识欠缺，尤其是乳房自我检查的时间和实践行为。接受过包括高级执业护士在内的医疗服务提供者的医疗保健和癌症筛查指导的女性，对乳腺癌及检测方法有更多了解。
女性在乳腺癌、乳腺癌检测及个人风险因素方面仍存在知识欠缺。此外，本研究中一些受过教育的女性未按照现行指南进行乳腺癌筛查。
从业者必须持续提醒并更新女性关于乳腺疾病的知识，强化女性的癌症筛查行为。各级医疗服务提供者应提高体格检查时进行临床乳房检查的比例。对女性医疗保健有重大影响的护士，必须不断更新其关于乳腺疾病、筛查和治疗的知识。
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