某醫學中心婦女罹患乳癌之病例對照研究

Certain Medical Center affect Breast Cancer Woman Case Study

目的：探討影響婦女（星45 歲）罹患乳癌之人口及生理因素、生活型態、用 藥史等。 方法：本研究採病例對照，比例的設計為1:3，用結構式問卷收集資料，立 意取樣，病例組樣本來自南部某醫學中心，年齡在45 歲以下之婦女、 病理切片診斷為乳癌，住院中或曾住院的患者，有效問卷36 份，對照 組為各行政部門45 歲以下之女性員工，不曾罹患癌症願意受訪者，有 效問卷110 名，樣本數共146 名。 結果：教育程度（ 小學／大學）、母乳哺餵（無／有）、自覺壓力（很大／普 通）為是否罹患乳癌之相關因素，其中最主要的因素是自覺壓力，而 45 歲以下婦女自覺壓力很大者，罹患乳癌的機率顯著高於自覺壓力普 通者。 結論：研究建議年輕婦女應時常省思自己的壓力來源，尋找合適的壓力管 道，好解緊張的壓力情緒。

Purpose: Study the affects of population, physiological effects, life style, and the history of medicine to women under 45 years old who have breast cancer. Method: We divided the study into two groups, one case group and the other control group; and the ratio of design was 1:3. We collected the data by using the structural questionnaire. The samples of case group come from the medical center on southern Taiwan. They are women under 45 years old, pathological biopsy diagnosed breast cancer, and inpatient or had been hospitalized. The control group is the female employees from all supporting department, who is not the breast cancer patient and willing to answer the questionnaire. The total number of the samples are 146; the case group is 36 and the control is 110. Result: The contributions of the effects to breast cancer are the degree of the education (elementary school or college), breast feed (do or do not), self pressure (large or less), and self pressure is the major one. The breast cancer to woman under 45 years old who feels great pressure is more significantly to those who feel less pressure. Conclusion: Our study suggests that the young woman should aware of the pressure is coming from, and find out the suitable channel to release the pressure.