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研究生:黃信傑
研究生(外文):HUANG, HSIN-CHIEH
論文名稱:調查台灣醫療院所女性員工乳癌篩檢行為
論文名稱(外文):Investigation of Breast Cancer Screening Behavior among Female Medical Staff in Taiwan
指導教授:許哲瀚許哲瀚引用關係
指導教授(外文):HSU, CHE-HAN
口試委員:洪弘昌趙建蕾許哲瀚
口試委員(外文):HONG, HONG-CHANGCHAO, CHIEN-LEIHSU, CHE-HAN
口試日期:2023-06-19
學位類別:碩士
校院名稱:中臺科技大學
系所名稱:醫療暨健康產業管理系碩士班
學門:商業及管理學門
學類:醫管學類
論文種類:學術論文
論文出版年:2023
畢業學年度:111
語文別:中文
論文頁數:87
中文關鍵詞:乳癌篩檢Champion健康信念模式醫療院所女性員工
外文關鍵詞:breast cancer screeningChampion’s health belief modelfemale medical staff
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目的:乳癌在全世界及台灣都是癌症發生率第一位。篩檢可降低40%乳癌死亡風險。台灣乳癌篩檢率約40%,還有很大進步空間。醫療院所為宣導並執行篩檢的單位,本研究希望了解其女性員工對乳癌篩檢的行為,以及影響篩檢的相關因素。
方法:採橫斷式結構問卷,包含原作者授權Champion健康信念模式量表,由研究者人際網絡以滾雪球抽樣發送給台灣醫療院所40歲以上女性員工,共854位受訪者。
結果:兩年內有乳癌篩檢412人 (48.2%)。卡方檢定顯示年輕、未婚、未曾生育族群,有較低的篩檢率。邏輯斯迴歸分析結果自覺乳癌罹患性2.83分,顯示受訪者傾向自覺不會得乳癌;自覺篩檢利益4.10分,顯示受訪者同意篩檢利益;自覺篩檢障礙2.48分,顯示受訪者傾向不同意篩檢有障礙。其中「做乳癌篩檢太疼痛了」3.29分為篩檢障礙得分最高的題目。邏輯斯迴歸分析顯示年齡、乳房病史、家族史及自覺篩檢障礙等變項與兩年內篩檢有顯著影響。
結論:醫療院所女性員工乳癌篩檢率較我國整體高。可致力於如何減少篩檢疼痛及尷尬、宣導乳房疾病治療及篩檢過程、提醒篩檢排程,特別是針對年輕、未婚、未曾生育的族群。

Purpose: Breast cancer is the most prevalent cancer globally and in Taiwan. Despite the breast cancer screening rate in Taiwan being approximately 40%, there is significant room for improvement. This study aims to investigate the breast cancer screening behavior among female medical staff in Taiwan and explore the factors influencing their screening practice.
Methods: A cross-sectional questionnaire was conducted using Champion’s Health Belief Model Scale. Snowball sampling was employed to survey female medical staff aged 40 and above in medical institutions across Taiwan. A total of 854 participants were recruited for the study through researcher’s network.
Results: 412(48.2%) underwent breast cancer screening within the past two years. The mean score for perceived susceptibility was 2.83, indicating that participants felt less likely to develop breast cancer. The mean score for perceived benefit was 4.10, indicating that most participants agree with the benefits of screening; The average perceived barrier score was 2.48, indicating that participants did not perceive screening as difficulty. The item "Having breast cancer screening is too painful." received the highest score among perceived barrier. Chi-square test showed that younger, unmarried, and having no children were associated with lower breast cancer screening rate. The logistic regression analysis revealed that variables of age, personal history of breast-related issue, family history, and perceived barrier had significant impacts on screening behavior.
Conclusion: The breast cancer screening rate among female medical staff was higher than general population. Efforts should be made to minimize the pain of screening, and to provide reminders for the screening schedule, particularly targeting younger, unmarried, and childless individuals.

目錄
第一章 緒論 ············································································ 1
第一節 研究背景與動機 ······················································· 1
第二節 研究目的 ································································ 4
第三節 研究問題 ································································ 5
第四節 名詞釋義 ································································ 6
第五節 研究限制 ································································ 7

第二章 文獻探討 ······································································ 8
第一節 乳癌介紹 ································································ 8
第二節 台灣乳癌篩檢現況 ··················································· 12
第三節 健康信念模式 ························································· 14
第四節 Champion健康信念模式量表 ······································ 17
第五節 影響乳癌篩檢的國內外相關研究 ································· 19

第三章 研究方法 ····································································· 22
第一節 研究流程 ······························································· 22
第二節 研究架構 ······························································· 23
第三節 研究假設 ······························································· 24
第四節 研究對象 ······························································· 25
第五節 研究工具 ······························································· 26
第六節 資料收集程序 ························································· 27
第七節 資料分析 ······························································· 30

第四章 結果與討論 ·································································· 32
第一節 醫療院所女性員工之社會人口學變項、乳癌危險因子認知
及乳癌篩檢Champion健康信念模式量表分布情形 ········· ·32
第二節 醫療院所女性員工社會人口學變項與乳癌篩檢Champion
健康信念模式量表分布情形之關係 ······························ 41
第三節 醫療院所女性員工社會人口學變項及乳癌篩檢健康信念
對兩年內是否接受乳癌篩檢之影響 ······························ 51

第五章 結論與建議 ·································································· 57
第一節 結論 ····································································· 57
第二節 建議 ····································································· 60

參考文獻 ··············································································· 62

附錄一 正式問卷 ····································································· 72
附錄二 量表原作者授權信 ························································· 78
附錄三 人體試驗委員會同意書 ··················································· 79
圖目錄
圖3-1 研究流程 ······································································ 22
圖3-2 研究架構 ······································································ 23
圖3-3 研究步驟 ······································································ 29
















表目錄
表4-1 受訪者社會人口學變項分布情形 ········································ 35
表4-2 受訪者乳癌危險因子認知 (可複選) ····································· 36
表4-3 受訪者Champion健康信念模式量表分布情形
自覺乳癌罹患性分量表 ···················································· 37
表4-4 受訪者Champion健康信念模式量表分布情形
自覺乳癌篩檢利益分量表 ················································· 38
表4-5 受訪者Champion健康信念模式量表分布情形
自覺乳癌篩檢障礙分量表 ················································· 40
表4-6 受訪者社會人口學變項與乳癌罹患性之ANOVA與T檢定 ······ 42
表4-7 受訪者社會人口學變項與乳癌篩檢利益之ANOVA與T檢定 ··· 44
表4-8 受訪者社會人口學變項與乳癌篩檢障礙之ANOVA與T檢定 ··· 46
表4-9 受訪者社會人口學變項與兩年內曾接受乳癌篩檢卡方檢定 ······· 53
表4-10 影響兩年內曾接受乳癌篩檢因素之多變項邏輯斯迴歸分析 ····· 56





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