花蓮地區婦女對乳癌疾病及篩檢知識之探討

A Study of Women's Knowledge on Breast Cancer and Breast Screening in Hualien Region

本研究的目的是探討花蓮地區婦女對乳癌疾病及篩檢知識的現況。研究採問卷調查方式進行，針對參與花蓮地區某醫院舉辦的健康篩檢活動之婦女進行調查。研究工具內容包含:乳癌疾病知識量表及乳癌篩檢知識量表，量表一致性信度之KR-20值分別為81及84，共收案142人，回收有效問卷133份（91％）。研究結果顯示42.1％的研究對象曾做過乳癌篩檢項目，檢查項目以乳房自我檢查為主；而乳癌疾病知識量表平均答對率僅57％，乳癌篩檢知識量表平均答對率為78％。研究顯示花蓮地區婦女對於乳癌疾病知識普遍不足，而乳癌篩檢知識中，定期檢查對身體影響的認知錯誤及各項篩檢措施定期執行時間不清楚，易導致定期篩檢措施執行率低而影響整體預防工作的進行。因此，在臨床實務上應加強乳癌疾病及篩檢知識的教育宣導，增進婦女對於乳癌疾病的防治觀念，提升婦女接受乳癌篩檢的受檢率及執行率。

The purpose of this research was to understand the cognition for breast cancer, prevention and screening of women in Hualien. The research method was questionnaire survey, and the participants were selected from the women at a health screening held by a Hualien regional hospital. The research tools included: demography and disease correlation data, a scale on knowledge of breast cancer and screening. The scale’s internal consistency reliability measured by KR-20 was 81 and 84. The total survey number was 142 and the effective questionnaire was 133(91%). The research results indicated that less than half of the participants in the study had breast cancer screening (42.1%), and majority of them did only breast self-examination. The average correct rate of Breast Cancer Disease Cognition Evaluation Form was 57%, while the average correct rate of Breast Cancer Screening Cognition Evaluation Form was 78%. The result revealed that the women in Hualien lacked sufficient knowledge regarding breast cancer. Furthermore, in the breast cancer screen cognition, the wrong cognition about the influence of periodic breast examination on personal health and the ignorance of the schedule regarding routine screening reduced the implementation rate of routine screening and adversely impacted the overall prevention effort. Hence, an improvement must be made in the avocation of cognition and screening of breast cancer in clinical practice, enhance the concept of prevention in women, and ultimately increase the implementation and examination rate of breast cancer screening.