乳腺癌筛查联合宣传教育对基层乳腺癌患病率的影响
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摘要
目的探究分析乳腺癌筛查联合宣传教育方式对基层适龄妇女乳腺癌知信行行为评分和乳腺癌患病率的影响。方法对2017年6月-2018年5月期间选取的社区30～65岁1850例研究对象进行宣传教育和乳腺癌筛查,其中初次筛查并接受宣传教育的研究对象为对照组,曾接受筛查并接受宣传教育的研究对象为实验组,对比两组研究对象知信行得分情况,以及乳腺癌发生情况。结果与对照组相比,实施乳腺癌筛查联合宣传教育后的实验组578例社区适龄妇女乳腺癌预防知识知晓情况、预防态度和措施及乳腺癌预防行为与检查情况3方面的评分明显偏高,且其乳腺癌患病率明显较低,差异均有统计学意义(P <0. 05)。结论乳腺癌筛查联合宣传教育方式可以增加社区妇女对乳腺癌相关知识的掌握情况,加强乳腺自检行为,以及预防行为的实施,从而降低基层乳腺癌发生情况。
Objective To explore and analyze the effect of breast cancer screening combined with publicity and education on the score of breast cancer knowledge,attitudes and behaviors and the prevalence of breast cancer among grass-roots women of appropriate age. Methods 1850 cases of community women aged 30 to 65 years old were selected from June 2017 to May 2018 to receive propaganda education and breast cancer screening. The first screening and receiving publicity and education subjects were selected as the control group. The subjects who had been screened and received publicity and education were selected as the experimental group( 578 cases). The scores of knowledge,attitudes and behaviors and incidences of breast cancer were compared between the two groups.Results Compared with the control group,the scores of knowledge,attitudes and measures,behaviors of breast cancer prevention preventive were significantly higher,and the incidence of breast cancer was significantly lower( χ2= 4. 516,P = 0. 020). Conclusion Breast cancer screening combined with propaganda and education can increase the breast cancer related knowledge in community women. Strengthening the implementation of breast self-examination behavior and preventive behavior can reduce the occurrence of breast cancer at the grass-roots level.
Objective To explore and analyze the effect of breast cancer screening combined with publicity and education on the score of breast cancer knowledge,attitudes and behaviors and the prevalence of breast cancer among grass-roots women of appropriate age. Methods 1850 cases of community women aged 30 to 65 years old were selected from June 2017 to May 2018 to receive propaganda education and breast cancer screening. The first screening and receiving publicity and education subjects were selected as the control group. The subjects who had been screened and received publicity and education were selected as the experimental group( 578 cases). The scores of knowledge,attitudes and behaviors and incidences of breast cancer were compared between the two groups.Results Compared with the control group,the scores of knowledge,attitudes and measures,behaviors of breast cancer prevention preventive were significantly higher,and the incidence of breast cancer was significantly lower( χ2= 4. 516,P = 0. 020). Conclusion Breast cancer screening combined with propaganda and education can increase the breast cancer related knowledge in community women. Strengthening the implementation of breast self-examination behavior and preventive behavior can reduce the occurrence of breast cancer at the grass-roots level.
引文
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[2]毕晓峰,王仲照,宣立学.基层乳腺癌筛查应注意的几个问题[J].中华全科医师杂志,2017,16(12).
[3]丁贤彬,吕晓燕,毛德强. 2006-2014年重庆市女性乳腺癌发病特点及趋势分析[J].中国健康教育,2016,32(9):779-782.
[4]段骄楠,陈首英,郝莹,等.在校女大学生乳腺癌认知现状及其影响因素分析[J].中国妇幼保健,2017,32(8):1753-1756.
[5]沈红霞.健康教育在宫颈癌、乳腺癌筛查中的应用及价值评析[J].中国社区医师,2018(5):167-167.
[6]向川江,陈丽明,韦征霞,等.乳腺癌患者家属健康教育的研究进展[J].中国社区医师,2016,6(13):23-23.
[7] Forouzanfar MH,Foreman KJ,Delossantos AM,et al.Breast and cervical cancer in 187 countries between1980 and 2010:a systematic analysis[J]. Lancet,2011,378(9801):1461.
[8]吴旦平,张红丹,符炜,等.乳腺癌筛查在我国农村妇女早期乳腺癌诊断中的作用及知信行现状分析[J].中国医药导报,2015(17):35-37.
[9]章永琳.入户式宣传教育对社区妇女乳腺癌筛查行为及顺应性的影响[J].医学信息(中旬刊),2016,5(5):1063-1064.
[10]丁贤彬,吕晓燕,毛德强,等. 2015年重庆市城乡女性乳腺癌发病及死亡现状分析[J].现代肿瘤医学,2017,25(18):2993-2996.
[11]王贺峰,柳顺杰,赵亚婷,等.唐山市5987例社区女性乳腺癌筛查结果分析[J].中国妇幼保健,2015,30(25):4358-4360.
[12]毛斌.社区女性居民乳腺癌防治知识现况及健康教育效果的初步评价[D].复旦大学,2015.