Dorsay R H, Cuneo W D, Somkin C P, Tekawa I S
Department of Radiology, Kaiser Permanente Medical Center, South San Francisco, CA 94080.
Am J Public Health. 1988 May;78(5):520-2. doi: 10.2105/ajph.78.5.520.
We conducted a prospective study of 459 women to determine if a one-session class in breast self-examination (BSE) can improve competence and frequency. Women who attended the class were randomly assigned to one of two groups. We assessed three areas of competence of BSE in one group immediately before the class, in the other group immediately after the class, and in both groups at follow-up one year later. Of the 459 women who attended the class, 286 returned for the one-year follow-up. All three areas of competence measured showed significant improvement in the group tested immediately after the class compared with the group tested just before the class. Competence scores at the one-year follow-up remained twice as high as those before the class although there was a decrease in competence from just after the class. Younger women proved more competent in performing BSE than did older women. At one year, participants further reported performing BSE nearly twice as often as before the class. We conclude that competent BSE can be learned and frequency of BSE can be increased from a one-session class.
我们对459名女性进行了一项前瞻性研究，以确定一节乳房自我检查（BSE）课程是否能提高技能水平和检查频率。参加该课程的女性被随机分为两组。我们在课程开始前立即对一组女性的BSE技能的三个方面进行评估，在课程结束后立即对另一组进行评估，并在一年后的随访中对两组进行评估。在参加课程的459名女性中，有286人返回接受一年的随访。与课程开始前接受测试的组相比，课程结束后立即接受测试的组在所有三个技能方面均有显著提高。尽管从课程刚结束后技能有所下降，但一年随访时的技能得分仍比课程开始前高出一倍。事实证明，年轻女性在进行BSE方面比年长女性更熟练。在一年时，参与者进一步报告称，进行BSE的频率几乎是课程开始前的两倍。我们得出结论，通过一节课程可以学会熟练的BSE技能，并提高BSE的频率。
