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INTERVENTIONS FOR BREAST SELF-EXAMINATION IN OLDER WOMEN

对老年女性乳房自检的干预措施

基本信息

批准号：
3391720
负责人：
Victoria Lee Champion
金额：
$ 9.57万
依托单位：
INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS
依托单位国家：
美国
项目类别：
财政年份：
1988
资助国家：
美国
起止时间：
1988-03-15 至 1994-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/3391720
关键词：
behavioral medicine belief breast neoplasm /cancer diagnosis early diagnosis experience female health behavior human middle age (35-64) motivation nurses nursing nursing intervention nursing research questionnaires self care self concept social support network

项目摘要

Breast cancer is the leading cancer type in women. Women who are at greatest risk for developing breast cancer and who are least likely to complete monthly breast self-examination are those ages 35 and over. Research has shown that monthly breast self-examination allows discovery of breast cancer at a more clinically favorable stage. The proposed research will utilize variables found to be significantly related to the older women's performance of breast self-examination in the development of nursing interventions to improve this important health behavior. Research will be guided by theories related to health behaviors and by results from past research. Variables will include attitudes towards breast cancer and breast self-examination, interventions developed to increase the behavior of breast self examination, knowledge about breast cancer and breast examination, personal experience with breast cancer among family and friends, confidence in detecting breast lumps, social influences, demographic variables, and intention, frequency, and proficiency of breast self-examination. Major objectives of this study include: (1) Description of attitudinal beliefs, social influences, demographic variables, knowledge about breast cancer and breast self-examination, personal experiences, intention, frequency, and proficiency of breast self-examination in a population of women 35 and over; (2) Identification of the relationship of attitudinal variables, social support, self efficacy, demographic variables and personal experience to intention, frequency, and proficiency of breast self-examination; (3) Measurement of the effect of interventions based upon attitudinal variables and teaching strategies in predicting intention, frequency, and proficiency for breast self-examination. A 2 X 2 factorial design will be utilized with participants randomly assigned to one of four groups. Group one will include no intervention, groups two, three and four will include interventions based on past research. Subjects will be a probability sample of 600 women aged 35 and over selected via random digit dialing. Multivariate and univariate analyses will be employed to test hypotheses under the objectives which will indicate the contribution of all variables to frequency, intention and proficiency of breast self-examination. Conclusions of this study will be used for the development of nursing interventions to increase breast self-examination in women 35 and over.

乳腺癌是女性的主要癌症类型。的妇女患乳腺癌的风险最大，最不可能完成每月乳房自我检查的是 35岁以上的人。研究表明，每月的乳房自我检查可以发现乳腺癌在一个更临床有利期。该研究将利用发现变量与老年妇女的乳房自我检查在发展中的表现护理干预，以改善这一重要的健康行为。研究将以健康行为相关理论为指导以及过去研究的结果。变量将包括态度对乳腺癌和乳房自我检查，干预措施是为了增加乳房自我检查的行为，有关乳癌及乳房检查的知识，个人在家人和朋友中有乳腺癌的经历，检测乳房肿块的信心，社会影响，人口统计学变量、意图、频率和熟练程度乳房自我检查本研究的主要目的包括：（1）描述态度信念，社会影响，人口统计学变量、有关乳腺癌和乳腺癌自我检查，个人经历，意图，频率，女性人群中乳房自我检查的熟练程度（2）确定态度与行为的关系; 变量、社会支持、自我效能、人口统计学变量和个人经验的意图，频率和熟练程度乳房自我检查;（3）测量基于态度变量和教学的干预措施预测意图，频率和熟练程度的策略乳房自我检查将对受试者采用2 × 2析因设计随机分配到四组中的一组。第一组将包括没有干预，第二、三和四组将包括基于过去研究的干预措施。受试者将是 600名35岁及以上女性的概率样本，随机数字拨号将进行多变量和单变量分析，用于测试假设的目标，表明所有变量对频率、意图、乳房自检熟练程度。本结论研究将用于制定护理干预措施，增加35岁及以上妇女的乳房自我检查。