臺灣博碩士論文加值系統

本研究旨在分析影響台灣婦女未來做乳房篩檢意願調查之主要變項因子：社會人口學特質、個人健康背景、乳癌篩檢認知。藉由北部某新制特優教學醫院與中部某區域醫院的乳房X光攝影巡迴車至各社區做乳房X光攝影篩檢時，共蒐集502份有效問卷，以SPSS 12統計軟體進行統計分析，在樣本整體分析採百分比分析描述整體資料分佈狀況，再利用變異數分析(Analysis of variance，ANOVA)、t檢定(t-test)及卡方檢定(Chi-square test)分析各人口特質變項、被召回做進一步檢查、假陽性結果，是否影響未來做乳房篩檢的意願。結果顯示，較願意繼續做進一步檢查者之特性有三：(1)社會人口學特質中，年齡越輕、教育程度越高、家庭年收入越高者；(2)個人健康背景中，有個人癌症病史、有家族癌症病史、未曾參與和僅參與過一次乳癌篩檢者；(3)乳癌篩檢的認知中，能正確識別檢出機率、能正確識別召回率、能正確識別乳癌風險與平均檢出風險者。若出現假陽性結果，77.3%的婦女表示仍會繼續作例行性的乳房X光篩檢。

This study aims at investigating the factors influencing consensus opinion on the recall for breast screening in Taiwan. The factors were categorized by individual health background, socioeconomic status, and knowledge about breast screening. There were 502 questionnaires collected from women examined on the screening car. Data were then analyzed by SPSS 12, analysis of variance (ANOVA), t-test or chi-square test. Strong participation were associated with younger age, higher educational level, higher incomes, previous history of cancer, previous family history of cancer, never or once on screened, screening recognitions of positive rate, recall rate, and breast cancer risk. If the false-positive result occurred, 77.3% of the subjects expressed the willing to participate the screening in the future.

摘要 I
Abstract II
致謝 III
目錄 IV
表目錄 V
第一章 緒論 1
1.1 前言 1
1.2 研究背景 2
1.3 文獻回顧 2
1.4 研究目的 5
第二章 理論基礎 6
2.1 乳癌的介紹 6
2.2 乳房X光攝影 6
2.3 乳房影像判讀分類 6
第三章 材料與方法 9
3.1 問卷設計 9
3.2 工具效度及信度 9
3.3 問卷蒐集過程 11
3.4 統計方法 12
第四章 結果及討論 13
4.1 量表內容效度評定 13
4.2 內在信度 16
4.3 基本資料分析 17
4.4 人口統計變項與被召回接受額外檢查的相關態度分析 23
4.5 個人健康背景與被召回接受額外檢查的相關態度分析 25
4.6 乳癌篩檢的認知與被召回接受額外檢查的相關態度分析 26
4.7 乳癌篩檢的認知與教育程度的分析 28
4.8 乳癌篩檢的認知與被召回接受額外檢查之卡方分析 29
4.9 研究限制 37
第五章 結論 38
參考文獻及附錄 39
附錄一 41
附錄二 42
附錄三 43

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