• 한국콘텐츠학회논문지
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• 제13권6호
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• pp.350-360
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• 2013

본 연구는 일 지역 여대생의 유방자가검진에 대한 지식, 태도 및 실천 정도를 파악하고 제 변수간의 상관관계를 확인하기 위하여 시도되었다. 연구대상자는 U시에 소재한 1개 대학교에 재학 중인 여대생 330명으로 설문 조사하였으며, 연구결과 지식 점수는 6.60점/17점으로 낮았고, 태도 점수는 42.34점/64점으로 중간보다 높게 나타났으며 실천 점수는 13.23점/24점으로 중간정도로 나타났다. 대상자의 제 특성에 따른 유방자가검진에 대한 지식 정도는 연령(t=11.013 p<.001), 학년(t=12.725, p<.001), 유방자가검진에 대해 들어본 경험이 있는 경우(t=6.661, p<.001), 권유자가 있는 경우(t=3.426, p=.001), 교육을 받은 경험이 있는 경우(t=5.825, p<.001), 유방자가검진을 시행하는 경우(t=2.789, p=.005)에서 통계적으로 유의한 차이가 있었다. 대상자의 제 특성에 따른 유방자가검진에 대한 실천 정도는 유방자가검진에 대해 들어본 경험이 있는 경우(t=5.250, p<.001), 교육을 받은 경험이 있는 경우(t=4.493, p<.001), 앞으로 자가검진 계획이 있는 경우(F=3.910, p=.013)에서 통계적으로 유의한 차이가 있었다. 대상자의 유방자가검진에 대한 지식, 태도 및 실천과의 관계를 살펴본 결과 지식과 태도 정도의 관계는 미약한 순 상관관계를 보였고, 지식과 실천 정도의 관계는 약한 순 상관관계로 나타났다. 연구의 결과를 토대로 여대생의 유방자가검진 실천을 향상시킬 수 있는 효과적인 유방자가검진 교육방법 개발이 필요하다.

• 한국융합학회논문지
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• 제7권1호
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• pp.77-87
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• 2016

본 연구의 목적은 문제 기반 학습(PBL) 및 실습을 융합하여 유방 자가 검진 교육 후 여성수도자들의 경험을 포커스 그룹 인터뷰 연구방법을 이용하여 면담, 확인하고 유방 자가 검진 교육을 문제 기반 학습과 실습을 융합하여 새로운 발전적 방향을 모색하고자 하는데 있다. 여성수도자들은 주 1회, 2시간, 4주간 문제 기반 학습 유방 자가 검진 교육을 받고 3개월 간 유방 자가 검진 실천율을 확인하는 프로그램에 참여한 후 '유방암에 대한 인식', '유방 자가 검진 교육에 대한 인식', '유방 자가 검진 교육 경험', '유방 자가 검진을 위한 문제 기반 학습 및 실습 융합 교육경험'과 '교육 후 변화'의 범주가 도출되었다. 대상자들은 교육 후 지식이 증가하고 새로운 실기능력을 습득한 것에 대체적으로 만족하였으나 규칙적으로 수행하지 못하는 개인적, 환경적 요인을 타나냈다. 또한 교육 전 일관되지 않은 인식과 막연하게 안심하고 있던 태도에서 교육 후 오히려 불안감이 증가되어 관심을 더 가지게 되었음을 나타내 유방암과 유방 자가 검진에 대한 동기가 증가된 것으로 판단되어 긍정적 효과로 파악되었다. 추후 수도자의 요구에 맞는 융합적 유방 자가 검진 교육 프로그램의 개발이 필요하다.

• 지역사회간호학회지
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• 제9권1호
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• pp.200-212
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• 1998

Breast cancer ranks as one of the major health problems of adult women. Studies have shown that the BSE educational program based on the Individually Prescribed Instruction Model is effective in BSE practice. To motivate women in BSE practicing, a one-group pretest-posttest design was conducted. The subjects of the study were 49 Women who participated in the educational program of BSE and were mothers of D middle school in D City. The instruments of study were a BSE frequency & proficiency recording chart and a BSE confidence scale developed by Elearnor. The data was collected from September 4 in 1997 to April 30 in 1998 and was analyzed with an SAS program. The results were summarized as follows : 1) Frequency scores in BSE practice in the posttest was significantly increased after the intervention as contrasted with that in the pretest(t=1.32, P<.01). 2) Proficiency scores in BSE practice in the posttest was significantly increased after the intervention as contrasted with that in the pretest (t = 1. 69, P<.001). 3) Confidence scores in BSE practice in the posttest was significantly increased after the intervention as contrasted with that in the pretes(t=l1.48, P<.01). 4) The Pearson correlation coefficient between BSE frequency scores and confidence scores in BSE practice was significant (r =.72, P<.001). On the basis of this study, it can be concluded that the BSE educational program has improved BSE compliance.

• 기본간호학회지
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• 제14권2호
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• pp.189-197
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• 2007

Purpose: Breast cancer is a common cancer in women in Korea. Early detection of breast cancer is very important for the protection of a woman's health. The purpose of this quasi-experimental study was to determine the effect of BSE education on knowledge, self efficacy and performance in middle-aged women. Method: The participants were 33 women who agreed to participate in the study. They responded to a questionnaire that included items on knowledge, self-efficacy and performance of BSE. The experimental group was given a 90 minute-session including a lecture and practice with a BSE practice model and their own body. Their knowledge of the BSE was measured using Choi's tool and self-efficacy was measured using the scale by Champion and Scott. Results: Homogeneity for knowledge, self-efficacy and performance of BSE between the experimental and the control groups was confirmed. After 3 months of BSE education, knowledge, self-efficacy and frequency of BSE performance in the experimental group were significantly higher than for the women in the control group. Conclusion: A BSE education program would be helpful to enhance health behavior by early detection of breast cancer in middle-age women.

• 지역사회간호학회지
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• 제11권2호
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• pp.606-612
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• 2000

본 연구의 목적은 유방자가검진(BSE)의 지식정도, 훈련도, 숙련도 및 빈도와의 관계를 파악하고, BSE 빈도를 가장 잘 예측하는 변수를 결정하기 위함이다. 연구대상자는 미국에 이민 온 40세-60세 사이의 중년 여성 58명으로 와싱톤주의 시애틀과 타코마 지역에 거주하고 있었다. 연구도구는 미국암협회의 BSE 안내책자를 기초로 하여 개발하였다. 자료는 자가보고형 질문지를 이용하여 한국교회 4곳으로부터 연구의 취지를 설명하고 연구대상자들의 연구동의를 얻은 후 우편으로 질문지를 회수하였다. 자료수집 기간은 2000년 3월 6일부터 2000년 5월13일이었으며. 질문지 회수율은 77%이었다. 수집된 자료는 SPSS를 이용하여 Frequency, Percentage, Pearson correlation, Regression analysis로 분석하였다. 연구 결과는 주요 변수사이의 관련성에서 그 이전연구 결과와 대개 일치하였다. 대상자의 BSE 빈도는 년간 10회-12회 실행이 21.08%이였고, 전혀 실행하지 않는 정도가 4.80%를 차지했다. BSE 빈도와 관련변수와의 상관관계에서 나이는 BSE 빈도와 역상관 관계(r=-.289, p=.038)를 나타냈고, BSE 훈련에 대한 지도(r=0521, p=.000). BSE 지식에 대한 기술(r=.573, p=.000) 및 BSE 숙련도(R=.694 P=.000)는 BSE 빈도와 정상관 관계를 보였다. 회귀분석 결과는 BSE 빈도의 가장 유의한 예측변수로서 BSE 지식에 대한 기술(beta=.5813. p=.003)로 지지되었다. 이 연구의 의의는 지역사회간호사가 이민 온 한국 중년여성들의 BSE실행에 대한 이해를 높임으로 유방암의 조기발견에 대한 예방적 행위를 증진시키는 데 유용한 기초 자료로 제공될 것이다.

• 한국산학기술학회논문지
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• 제14권5호
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• pp.2349-2359
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• 2013

본 연구는 계획된 행위이론에 근거하여 중년기 여성의 유방자가검진의도와 행위에 영향을 미치는 요인을 예측하기 위한 구조모형 연구이다. 연구대상은 중년기 여성 217명을 대상으로 1차 의도조사를 실시한 후 1개월 이내의 유방자가 검진 실천 횟수를 조사하였다. 연구결과 모형의 적합 도는 ${\chi}^2$=1246.6 (p<.001), ${\chi}^2$/df=2.72, CFI=.831, TLI=.817, RMSEA=.089이었으며, 1개월 이내 유방자가검진 실천 율은 56.2%였다. TPB 변수의 설명력은 의도에 43.9%, 행위에 10.9%로 나타났다. 주관적 규범(${\beta}$=.364, p<.001)과 지각된 행위통제(${\beta}$=.553, p<.001)가 의도에 긍정적 영향을 미쳤으며, 행위에는 행위의도(${\beta}$=.768, p<.01)가 긍정적 영향을 나타냈다. 결과적으로 본 모형은 중년여성의 유방자가검진을 설명하는데 적합한 모형이며, 중년여성의 유방자가검진행위 증진을 위한 중재프로그램 개발은 행위의도 강화에 중점을 두어야 할 것으로 판단된다.

• 대한간호학회지
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• 제34권2호
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• pp.307-314
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• 2004

Purpose: This cross-sectional survey was undertaken to examine the differences of BSE (breast-self examination) performance and health beliefs between Korean and Korean-American women and to identify which factors influence the BSE based on the HBM variables. Method: The study subjects were recruited from both Korea(189 women) and Cleveland in Ohio, USA(I46 women). The HBM variables were measured using a reliable and valid Health Belief Model Scale. The subjects were also asked whether or not they did a BSE in the last year. Result: The Korean-American women who performed the BSE was statistically higher than that of Korean women. Regarding to the BSE-related health belief, the scores of benefits, confidence, and health motivation was significantly higher in Korean-American. After controlling for living places, age, education, and job, barriers and confidence variables significantly explained the BSE performance of Korean and Korean-American women. Conclusion: There was a differences in BSE-related health belief and performance between Korean and Korean-American women. Among health belief variables, barriers and confidence were core variables predicting the BSE performance of Korean and Korean-American women together.

• 기본간호학회지
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• 제16권4호
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• pp.472-480
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• 2009

Purpose: The purpose of this study was to explore differences in health belief by compliance level with breast self-examination (BSE) and the predictors of BSE compliance among women. Method: Using a convenience sampling method, 163 women were selected for the sample. Data were measured for each participant during the period between December 2008 and February 2009, and analyzed by chi-square test, t-test, Kruskal-Wallis test with post hoc, and logistic regression analysis. Samples were categorized into three groups by the compliance level of BSE for the last 6 months: Never-performers (i.e, women who had never performed BSE), irregularly-performers (i.e, women who performed BSE at least once), and regularly-performers (i.e, women who performed monthly BSE). Result: Significant differences were reported among never-performers, irregularly-performers and regularly-performers correlated to age, level of education, mammography, ultrasonography, clinical examination, benefit, and confidence. There was no significant difference between irregularly-performers and regularly performers. The significant factor influencing compliance with BSE was 'confidence', which explained 33.7% of the variance in compliance with BSE. Conclusion: Women who had more confidence in their ability to perform BSE were more likely to practice BSE. It is necessary to develop the strategy to enforce woman's confidence in complying with BSE.

• 성인간호학회지
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• 제13권4호
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• pp.551-559
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• 2001

Purpose: The purpose of this study is to identify predicting factors of the performance of breast self-examination (BSE) among Korean middle-aged women based upon the Health Belief Model. Method: A descriptive design was used for this study. A total of 309 convenience samples were recruited from Yonsu-Gu, Inchon. The Champion's Health Belief Model Scale was used to measure the health belief related variables of susceptibility, severity, benefits, barriers, confidence, and health motivation. The performance of BSE asked of it was as ever or never performed during the last year. The obtained data were analysed using descriptive statistics, $\chi^2$-test, t-test, and logistic regression. Result: Results showed that 32% had ever BSE last year. Age and BSE education among demographic characteristics were significantly associated with the performance of BSE. Thus, these demographic variables were added to the logistic regression analyses with the health belief variables. As a result, age, BSE education, health motivation, and confidence significantly explained the performance of BSE. Conclusion: This study suggests that it is important that the development of BSE educational programs increase confidence and motivation, particularly for middle aged-Korean women.

• 성인간호학회지
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• 제15권1호
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• pp.5-13
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• 2003

Purpose: The purpose of this study was to compare the effect of breast self-examination (BSE) education between at education and three months. Method: The study subjects were consisted of 30 women chosen from those in a Catholic church in Seoul. The data was collected by using questionnare at two different times: immediately after the BSE education and 3 momths after. Result: At three months, women who performed BSE was 50.0% and the number of BSE practce was 2.53. There was statistically significant change on the score of the knowledge, barrier and practice between at education and three months later. Susceptibility was increased after three month, but wasn't significant different. Confidence, motivation after three months were decreased from the time of initial BSE education and wasn't significantly changed. It was found that motivation about BSE explained 44.2% of variance. Conclusion: The findings showed that the knowledge of BSE, and attitudes and practice were change between at the time of the first survey and at three months. Therefore, the intensive education about BSE can be effective to enhance women's health belief and practice to perform BSE for early detection of breast cancer.