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保护动机理论在预测女性医护人员乳房自我检查行为中的应用。

An Application of the Protection Motivation Theory to Predict Breast Self-Examination Behavior among Female Healthcare Workers.

作者信息

Bashirian Saeed, Barati Majid, Mohammadi Younes, Moaddabshoar Leila, Dogonchi Mitra

机构信息

Department of Public Health, Social Determinants of Health Research Center, Hamadan University of Medical Sciences, Hamadan, Iran.

Department of Epidemiology, Modeling of Noncommuicable Diseases Research Center, Hamadan University of Medical Sciences, Hamadan, Iran.

出版信息

Eur J Breast Health. 2019 Apr 1;15(2):90-97. doi: 10.5152/ejbh.2019.4537. eCollection 2019 Apr.

Abstract

OBJECTIVE

Breast cancer is the most prevalent cancer among women and has the highest mortality rate among the women around the world. Early diagnosis of this cancer increases the survival of the patients. The aim of this study was to determine the predictor factors for breast self-examination (BSE) based on the Protection Motivation Theory (PMT) among female healthcare workers in Hamadan University of Medical Sciences.

MATERIALS AND METHODS

This analytical-descriptive study was conducted on 501 employed women in age range of 20-61 years old in Hamadan University of Medical Sciences in west of Iran during 2018. Participants in the study were random stratified sampling selected. Data collection tools were demographic information and the constructs of PMT. The data were analyzed by descriptive statistics and the logistic regression tests.

RESULTS

The results showed that only 9% of participants performed BSE regularly and monthly. The most important reason for lack of BSE was its triviality. Linear regression analysis showed that the structure of perceived threat appraisal is the predictor of the intention to perform BSE (R=0.027). Moreover, the logistic regression analysis showed that the protection motivation construct was a strong predictor for BSE (R=0.25).

CONCLUSION

The frequency of practice of BSE in female healthcare workers is low. Therefore, it is imperative to periodically emphasize the importance of early breast cancer diagnosis for them and the design of educational programs based on the PMT can increase the regular of BSE behavior.

摘要

目的

乳腺癌是女性中最常见的癌症,在全球女性中死亡率最高。这种癌症的早期诊断可提高患者的生存率。本研究的目的是基于保护动机理论(PMT)确定哈马丹医科大学女性医护人员进行乳房自我检查(BSE)的预测因素。

材料与方法

本分析描述性研究于2018年对伊朗西部哈马丹医科大学年龄在20 - 61岁的501名在职女性进行。研究参与者采用随机分层抽样选取。数据收集工具为人口统计学信息和PMT的构成要素。数据通过描述性统计和逻辑回归检验进行分析。

结果

结果显示,只有9%的参与者定期每月进行BSE。不进行BSE的最重要原因是其微不足道。线性回归分析表明,感知威胁评估结构是进行BSE意图的预测因素(R = 0.027)。此外,逻辑回归分析表明,保护动机构成要素是BSE的有力预测因素(R = 0.25)。

结论

女性医护人员进行BSE的频率较低。因此,必须定期向她们强调早期乳腺癌诊断的重要性,基于PMT设计教育项目可提高BSE行为的规律性。

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