Baskin-Smith J, Miaskowski C, Dibble S L, Weekes D, Nielsen B B
Department of Physiological Nursing, University of California, San Francisco 94143-0610.
Cancer Nurs. 1995 Feb;18(1):47-52.
The 1993 projections for breast cancer indicate a morbidity of 183,000 women with a mortality rate of 18%. Mammography is one of three approaches available for the early detection of breast cancer. However, underutilization has been reported and attributed to pain associated with the procedure, the expense to the consumer, and lack of referral by physicians. Other reasons for the low utilization rates include fears on the part of the woman of a positive diagnosis, radiation, and a possible mastectomy. This study provides an analysis of the responses of a convenience sample of 272 women, aged 30-90 years, to two open-ended questions about the mammography experience. The words and phrases women used to describe the mammography experience and the sensations experienced in their breasts during mammography were subjected to content analysis. The results of this study suggest that the word descriptors women use to describe their experience during mammography are highly individualistic and may not be totally captured by numeric or descriptive rating scales of pain intensity.
1993年对乳腺癌的预测表明，有183,000名女性发病，死亡率为18%。乳房X线摄影术是早期发现乳腺癌的三种可用方法之一。然而，据报道存在利用不足的情况，原因包括该检查过程带来的疼痛、消费者费用以及医生未进行转诊。利用率低的其他原因包括女性对阳性诊断、辐射以及可能进行乳房切除术的恐惧。本研究分析了272名年龄在30至90岁之间的女性便利样本对两个关于乳房X线摄影体验的开放式问题的回答。对女性用来描述乳房X线摄影体验的词语和短语以及她们在乳房X线摄影过程中乳房所经历的感觉进行了内容分析。这项研究的结果表明，女性用来描述她们乳房X线摄影体验的词语高度个性化，疼痛强度的数字或描述性评分量表可能无法完全捕捉到这些体验。
