利用網頁提供有乳癌家族史婦女風險衛教

Web-Based Risk Education for Women with a Family History of Breast Cancer

一等親有乳癌家族史婦女罹癌風險較高，且常有心理情緒困擾。雖然網路資源豐富，但婦女擔憂資訊不明確而增加自身焦慮。本研究使用類實驗單組前後測設計，介入具實證基礎的衛教手冊，輔以網站資訊提供乳癌風險認知，探討介入後此群婦女罹癌擔憂和焦慮憂鬱程度降低之成效。研究共收案52人，平均約38歲，82.7%受試者其一等親女性親屬罹患乳癌，63.5%的受試者自覺罹患乳癌風險較一般人高。透過風險認知衛教介入，受試者後測之罹癌擔憂與焦慮分數下降，且達顯著差異（p<0.05），然憂鬱分數下降，但未達顯著差異。藉由此次發展之衛教手冊與網站，提供婦女罹癌相關訊息，能降低婦女擔憂和焦慮程度；未來可延長追蹤時間，進一步釐清婦女在了解自身風險與乳癌相關照顧資訊後，對罹癌擔憂、焦慮的長期成效與對憂鬱的影響。

Women with a first-degree family history of breast cancer are at a higher risk of developing the disease and often experience psychological distress. Although online resources are abundant, women may feel anxious due to concerns about unclear information. This study employed a quasi-experimental single-group pretest-posttest design, introducing an evidence-based educational handbook supplemented by website information to provide breast cancer risk awareness. The study aimed to examine the intervention’s effectiveness in reducing cancer-related worry, anxiety, and depression among this group of women. A total of 52 participants with an average age of 38 year were enrolled in the study. Of these, 82.7% had a first-degree female relative who had breast cancer, and 63.5% of participants perceived their own breast cancer risk as higher than average. Following the intervention, post-test scores showed a significant reduction in cancer-related worry and anxiety (p<0.05). Although depression scores decreased, the change was not statistically significant. The educational handbook and website resources developed in this study provided breast cancer-related information that helped to alleviate women’s worry and anxiety. Future studies could extend the follow-up period to clarify further the long-term effects of breast cancer risk awareness and care information on reducing cancer-related worry, anxiety, and depression.