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女性对乳腺癌化学预防的信念和使用意愿。

Women's Health Beliefs and Intention to Use Chemoprevention for Breast Cancer.

机构信息

Saint Louis University.

Washington University.

出版信息

Oncol Nurs Forum. 2023 Aug 17;50(5):611-623. doi: 10.1188/23.ONF.611-623.

Abstract

OBJECTIVES

To investigate the associations between women's health beliefs and their intention to use chemoprevention.

SAMPLE & SETTING: Participants were postmenopausal women (N = 400) aged 50-64 years who were recruited for a study on mammographic breast density.

METHODS & VARIABLES: Participants completed a screening mammogram and breast cancer health belief questionnaires. The authors regressed intention to use chemoprevention onto health belief scores (breast cancer fatalism, fear, perceived threat, perceived benefits, barriers, and self-efficacy).

RESULTS

Nearly half of the participants indicated that they would be interested in using chemoprevention if they were found to be at high risk for developing breast cancer. Women who reported higher perceived benefits of chemoprevention, higher perceptions of their ability to use chemoprevention (self-efficacy), and fewer logistic barriers to seeking health care had significantly higher intention to use chemoprevention.

IMPLICATIONS FOR NURSING

Interventions aimed at reducing logistic barriers to health care may increase the uptake of chemoprevention among at-risk women. In addition, women at the time of mammography and women with higher levels of education may be motivated to consider using chemoprevention.

摘要

目的

探讨女性健康信念与化学预防意愿之间的关系。

样本和设置

参与者为绝经后女性(N=400),年龄在 50-64 岁之间,她们是为一项关于乳房 X 光密度的研究而招募的。

方法和变量

参与者完成了乳房 X 光筛查和乳腺癌健康信念问卷。作者将化学预防意愿回归到健康信念评分(乳腺癌宿命论、恐惧、感知威胁、感知益处、障碍和自我效能)上。

结果

近一半的参与者表示,如果发现自己有患乳腺癌的高风险,他们将有兴趣使用化学预防。报告化学预防益处更高、对使用化学预防能力(自我效能)更高、寻求医疗保健的逻辑障碍更少的女性,使用化学预防的意愿显著更高。

对护理的启示

旨在减少医疗保健逻辑障碍的干预措施可能会增加高危女性对化学预防的接受程度。此外,在乳房 X 光检查时的女性和受教育程度较高的女性可能有动力考虑使用化学预防。

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