Ogletree Roberta J, Hammig Bart, Drolet Judy C, Birch David A
Dept. of Health Education and Recreation, Southern Illinois University, Carbondale, IL 62901, USA.
J Sch Health. 2004 Nov;74(9):365-9. doi: 10.1111/j.1746-1561.2004.tb06630.x.
Breast cancer ranks as the second-leading cause of death for women. Until recently the American Cancer Society advocated teaching breast self-examination (BSE) procedures. The Susan G. Komen Breast Cancer Foundation, active in the fight against breast cancer, continues to support educational efforts to teach breast self-examination skills to adolescent girls. Funded by the Komen Foundation, a BSE education program was developed and delivered by health educators at the Hult Health Education Center. The 50-minute program consisted of a PowerPoint slide presentation of breast cancer and BSE facts, and a video demonstration of proper BSE technique. Using a quasi-experimental design, the program was evaluated for changes in knowledge and intention to perform BSE. Ninth-grade girls at four public high schools (n = 255) in Peoria, Ill., were given a pretest to determine their knowledge about breast cancer and breast self-examination. A delayed posttest was administered between five to six weeks later (n = 211). Using the Kruskal-Wallis nonparametric test, girls who participated in the BSE education program (treatment group) recorded a significantly higher overall mean knowledge score than girls who did not participate (comparison group). Those who participated in the program retained that knowledge over a five- to six-week period. Analyses of variance revealed that more girls in the treatment group reported performing BSE in the past month as well as a higher intention to perform BSE in the future.
乳腺癌是女性第二大致死原因。直到最近，美国癌症协会还提倡教授乳房自我检查（BSE）程序。积极抗击乳腺癌的苏珊·G·科门乳腺癌基金会继续支持开展教育活动，向青春期女孩传授乳房自我检查技能。由科门基金会资助，霍尔特健康教育中心的健康教育工作者开发并实施了一项乳房自我检查教育项目。这个50分钟的项目包括一个关于乳腺癌和乳房自我检查事实的PowerPoint幻灯片演示，以及一段正确乳房自我检查技术的视频演示。采用准实验设计，对该项目在知识和进行乳房自我检查的意愿方面的变化进行了评估。伊利诺伊州皮奥里亚市四所公立高中的九年级女生（n = 255）接受了一项前测，以确定她们对乳腺癌和乳房自我检查的了解程度。在五到六周后进行了一次延迟后测（n = 211）。使用克鲁斯卡尔 - 沃利斯非参数检验，参与乳房自我检查教育项目的女生（治疗组）的总体平均知识得分显著高于未参与的女生（对照组）。参与该项目的女生在五到六周的时间里记住了这些知识。方差分析显示，治疗组中更多女生报告在过去一个月进行过乳房自我检查，并且未来进行乳房自我检查的意愿也更高。
