探討南部某醫學中心門診婦女民眾接受「乳癌篩檢」的影響因素

Influencing factors affecting 45- to 69-year-old female outpatients in breast cancer screening

本研究目的在探討南部某醫學中心門診婦女接受乳房攝影檢查的預測因素，採結構式問卷，以門診45 至69 歲婦女為收案對象。以立意取樣，共收集1021份有效問卷。結果顯示，影響門診婦女是否兩年內曾接受乳房篩檢是受到心理障礙(β=-.06；OR= .94)及交通的方便性(β=.03；OR=1.02)所影響。在心理障礙方面，婦女主要的原因是不了解檢查過程及害羞而不做篩檢，建議醫療單位可拍攝乳房攝影的宣導短片，讓民眾了解檢查過程，增加對乳房攝影檢查過程的了解，以減輕心理的不安；在交通的方便性方面，建議在推廣乳房篩檢時，應盡可能配合民眾的需求，如設立夜間門診並彈性安排檢查時段，以增加民眾檢查時間的彈性。藉由本研究的發現，可提供相關醫療單位訂定提昇婦女乳癌篩檢率措施時之參考依據，及早發現乳癌及早治療。

The purpose of this study was to investigate the predictive factors that affect the South Area Medical Center outpatient women undergoing breast cancer screening. Using a structured questionnaire, 1021 outpatient women aged 45-69 were recruited. Results indicated that the predicting factors of outpatient women receiving breast screening were psychological barriers (β=-0.6, OR=.94) and convenience of transportation (β=0.3; OR = 1.02). In the psychological barriers, the main reason was that women did not understand the inspection process and felt shame. This might be improved by making a screening instructional video about the process of mammography. It could help women understand the inspection process thereby reducing psychological anxiety. Regarding convenience of transportation, it is recommended that the establishment of evening outpatient clinics and flexible arrangements inspection period be considered. Based on the results of this study, it could serve as a reference for other medical centers to increase women's breast cancer screening rates, as well as early detection and early treatment of breast cancer.