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기혼 여성의 유방조영술 검진 행위에 대한 영향요인

 Factors Related to the Stage of Mammography Screening in Married Korean Women

성인간호학회지 2004년 16권 1호 p.72 ~ 81
KMID : 0367020040160010072
허혜경 ( Hur Hea-Kung ) - 연세대학교 원주의과대학 간호학과

박소미 ( Pakr So-Mi ) - 연세대학교 원주의과대학 간호학과
김기연 ( Kim Gi-Yon ) - 연세대학교 원주의과대학 간호학과

Abstract

Purpose: The purpose of this study was to examine factors related to different stages of mammography screening based on the transtheoretical model (TTM) and health belief model (HBM).

Method: 143 women were recruited from community centers in W city. The mean age was 44.08 (SD=7.78) and 74 (51.7%) had experienced education on preventative behavior related to breast cancer. The Decisional Balance Scale (Pros and Cons of mammography) and Stages of Adoption of Mammography Scale by Rakowski et al. (1992) and the revised Health Belief Model Scale (Perceived Seriousness Perceived Susceptibility and Health Motivation) by Champion (1993) were used.

Result: According to the stage of adoption of mammography 17.4% of the women were in pre-contemplation 45.5% in contemplation 24.5% in action and 12.6% in maintenance. The mean differences for pros and the decisional balances between the stages of mammography adoption were significant (F=8.84 p=.000; F=7.20 p=.000). Education related to prevention of breast cancer was the most important variable. Prevention education history of breast disease and pros of mammography explained the stages of mammography adoption (R2=26%).

Conclusion: Findings support TTM as a useful tool for improving mammography adherence. Behavioral interventions that target decisional balance and health belief can effectively promote adherence to mammography.
KeyWords
유방조영술, 건강신념, 의사결정, 균형
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학술진흥재단(KCI) KoreaMed