臺灣博碩士論文加值系統

Background: Breast cancer is one of the most common cancers that cause death in women. Information of knowledge, attitude and practice of women breast cancer prevention is necessary for developing model for preventing breast cancer in the community. The study was aimed to determine the proportion of the knowledge, attitude and practice of breast self-examination in examined at Hung Vuong Hospital and to identify the relationship between knowledge, attitude and practice of breast self-examination in these Vietnamese women.
Methods: A descriptive cross sectional study was carried out in women attending a breast examination Hung Vuong, Vietnam from October, 2014 to December, 2014 In 384 women were interviewed following a structured questionnaire. Based on this questionnaire, we assessed knowledge, attitude and practice of breast cancer and breast selt-examination. Frequencies and percentages were used in the answering of the research questions; Chi-squared test was used to identify relationship between factors.
Results: The mean age of women in this study was 37.73±10.84 years. The proportion of women who met the requirements of knowledge was 65.1 %, the women had a positive attitude toward breast self-examination was 83.6 %. However, only 30.7 % of them performed regularly breast self-examination. The skill of breast self-examination was very low, 1.3 % of these women performed correctly the steps of breast self-examination following World Health Organization guidelines.
Conclusion: Healthcare workers should introduce more carefully to practice breast self-examination in women to Hung Vuong hospital. In the community, we need develop training course of practice of breast self-examination according guideline of World Health Organization regularly in public women.

Background: Breast cancer is one of the most common cancers that cause death in women. Information of knowledge, attitude and practice of women breast cancer prevention is necessary for developing model for preventing breast cancer in the community. The study was aimed to determine the proportion of the knowledge, attitude and practice of breast self-examination in examined at Hung Vuong Hospital and to identify the relationship between knowledge, attitude and practice of breast self-examination in these Vietnamese women.
Methods: A descriptive cross sectional study was carried out in women attending a breast examination Hung Vuong, Vietnam from October, 2014 to December, 2014 In 384 women were interviewed following a structured questionnaire. Based on this questionnaire, we assessed knowledge, attitude and practice of breast cancer and breast selt-examination. Frequencies and percentages were used in the answering of the research questions; Chi-squared test was used to identify relationship between factors.
Results: The mean age of women in this study was 37.73±10.84 years. The proportion of women who met the requirements of knowledge was 65.1 %, the women had a positive attitude toward breast self-examination was 83.6 %. However, only 30.7 % of them performed regularly breast self-examination. The skill of breast self-examination was very low, 1.3 % of these women performed correctly the steps of breast self-examination following World Health Organization guidelines.
Conclusion: Healthcare workers should introduce more carefully to practice breast self-examination in women to Hung Vuong hospital. In the community, we need develop training course of practice of breast self-examination according guideline of World Health Organization regularly in public women.

Abstract................................................i
Acknowledgement........................................ii
Content...............................................iii
List of tables.........................................vi
List of figures......................................viii
List of Abbreviations..................................ix

Chapter 1. Introduction............................1
1.1. Introduction....................................1
1.2. Research objective..............................2
1.3. Research questions..............................2
Chapter 2. Literature review.......................3
2.1 Sharp rise in breast cancer worldwide...........3
2.1. Breast cancer situation in Viet Nam.............3
2.2. Risk factors, symptoms of Breast cancer.........4
2.2.1. Determinant risk factors........................4
2.2.2. Risk modulators (Lifestyle-Related Breast Cancer Risk factors)..........................................11
2.2.3. Stages and survival of Breast cancer...........13
2.2.4. Prevention.....................................14
2.2.5. Health belief model............................18
2.3. Methods of literature search...................19
2.3.1. Literature on Breast cancer Knowledge , Attitude and Practice...........................................19
2.3.2. Summary – review of literatures...............23
Chapter 3. Research Methodology...................27
3.1. Introduction and Overview......................27
3.2. Methodology and Design of research.............27
3.2.1. Research Design................................27
3.2.2. Place of study.................................27
3.3. Population of research.........................27
3.3.1. Target Population..............................27
3.3.2. Accessible Population..........................27
3.3.3. Study Population...............................28
3.3.4. Eligibility Criteria...........................28
3.4. Estimation sample Size.........................28
3.5. Research procedure.............................28
3.5.1. Data collection................................28
3.6. Bias control...................................29
3.7. Measurements...................................29
3.7.1. Dependent variable: Knowledge, attitude and practice of Breast self- examination...................29
3.7.2. Independent variables..........................30
3.8. Data Analysis..................................30
3.8.1. Knowledge assessment scale.....................31
3.8.2. Scale assessment for attitude..................31
3.8.3. Practice for BSE...............................34
3.9. Study Framwork.................................35
3.10. Ethical considerations.........................36
Chapter 4. Result.................................37
4.1. Characteristics of the study respondents.......37
4.1.1. Socio-economic characteristics.................37
4.2. Knowledge of breast cancer and perform BSE.....38
4.3. Level of attitude towards BSE( table 4.3)......39
4.3.1. Perceived susceptibility (table 4.4, 4.5)......39
4.3.2. Perceived severity (table 4.6, 4.7)............40
4.3.3. Perceived benefits (table 4.8,4.9).............41
4.3.4. Perceived barrier (table 4.10, 4.11)...........42
4.3.5. Improve Self-efficacy..........................43
4.4. Practice of breast self-examination............44
4.4.1. Age start BSE..................................44
4.4.2. The frequency of performing BSE ( table 4.16)..44
4.5. Relationships between sociodemographic variables and knowledge, attitude of breast cancer...............45
4.5.1. Relationships between sociodemographic variables and knowledge of breast cancer (table 4.19)...........45
4.5.2. The relationship between demographic characteristics and attitude of participants in the study about BSE (Table 4.20).................................47
4.5.3. The relationship between general knowledge and attitude of participants in the study about BSE (table 4.21)..................................................48
4.5.4..................................................49
4.5.5. The relationship between general knowledge and practice of participants in the study about BSE (table4.22)............................................49
4.5.6. The relationship between general attitude and practice of participants in the study about BSE (table 4.23)..................................................50
Chapter 5. Discussion.............................51
5.1. Relationships between sociodemographic variables and knowledge of breast cancer of women in the study...51
5.2. Relationship between demographic characteristics and attitude of participants in the study about BSE....51
5.3. Relationship between knowledge and attitude of participants in the study about BSE....................52
5.4. Relationship between knowledge about breast cancer and practice of BSE.............................53
5.5. Relationship between attitude about breast cancer and practice of BSE....................................54

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