Increasing mammography screening through inpatient education

Increasing mammography screening through inpatient education
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DOI:
10.1207/s15430154jce2004_14
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发表时间:
2005-12-01
影响因子:
1.6
通讯作者:
Weinberg, AD
Weinberg, AD
中科院分区:
医学4区
文献类型:
--
作者:
Boling, W;Laufman, L;Weinberg, AD

文献摘要

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背景女性不定期接受乳房X光检查的原因尚未明确界定。在这项研究中,我们提出了一种基于健康信念模型的教育干预措施,以解决女性不参加乳房X线检查的3个最常见的原因:成本,恐惧和缺乏知识。该项目的目的是研究解决这些因素的教育干预是否可以增加在过去12个月内没有接受推荐的乳房X光检查的适龄妇女的乳房X光检查。方法.教育干预包括提供一本量身定制的小册子,解决(1)费用,(2)恐惧,或(3)缺乏信息的障碍。参与者是因非癌症诊断而入院的住院患者。出院后约3个月随访,以确定出院前或出院后的后续乳腺X线摄影使用情况。结果在最初接受采访的272名妇女中,有147名(54%)接受了后续调查。虽然没有与解决哪种乳房X线摄影障碍相关的差异,但42例(28.6%)报告称他们在干预后获得了乳房X线摄影。结论.这些数据表明,一个相当简单的,低成本的患者教育干预的小册子分发可以产生显着增加患者的认识和随之而来的乳腺X线摄影的利用。
Background. The reasons why women do not undergo regular screening mammograms have not been clearly defined. In this Study, we addressed an educational intervention based on Health Belief Model constructs for 3 of the most common reasons why women do not participate in mammography screening: cost, fear, and lack of knowledge. The Purpose of the project was to study whether an educational intervention addressing these factors Could increase mammography screening among age-appropriate women who had not had a recommended mammogram within the previous 12 months. Methods. The educational intervention consisted of providing a tailored brochure addressing either the barrier of (1) cost, (2) fear, or (3) lack of information. Participants were hospital inpatients admitted for noncancer diagnoses. They were followed up approximately 3 months after hospital discharge to ascertain Subsequent mammography utilization either before or after leaving the hospital. Results. Of the 272 women originally interviewed, 147 (54%) were reached for follow-up. Although there were no differences related to which mammography barrier, was addressed, 42 (28.6%) reported that they had obtained a mammogram after the intervention. Conclusions. These data Suggest that a fairly simple, tow-cost patient education intervention of brochure distribution can produce substantially increased patient awareness and consequent mammography utilization.