• 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.

• 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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• 제28권3호
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• pp.718-728
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• 1998

Breast self-examination is the most effective and easiest way for women to increase the responsible consciousness about their health. The purpose of this study was to test the variables impacted to promote breast self-examination practice. The research design used in this study was a nonequevalent control group of a non-synchronized design. The sample that was assembled consisted of 124 women. A purposive sample consisted of 124 women. Each subject was given to assessed on the following the demographic data related to the breast self-examination, knowledge of self-examination, accuracy, in performing self-examination, self-efficacy about breast cancer and breast self-examination, and the number of subjects who found a mass. The result of this study may be summarized as follows : 1. To examine the theretical model fit to the data, chi square test statistics and goodness of fit index were identified($\chi$$^2$=2.30, df=2, GFI=0.99, AGFI=0.94 RMSR=0.02, NFI=0.99, NNFI=0.99, Critical Number=439). 2. The direct effects of education of breast self-examination were knowledge, self-efficacy, accuracy, number finding a mass. But the Indirect effect of education on breast self-examination was frequency of breast self-examination. 3. Knowlege, as direct paths to the breast self-examination practices, was removed in the theoretical model. The parsimonious best fit model included self-efficacy, accuracy, the number finding mass, frequency of breast self-examination practices. 4. The final model produced a chi-square=5.58(p=0.35) with df=5, and GFI =0.99, AGFI =0.94, RMSR=0.03, NFI=0.99, NNFI=0.99, CN=339 indicating very a good fit. Based on the result of this study, education of breast self-examination is very effective for increasing the competency of the breast self-examination through the knowledge and self-efficacy. Resources to promote self-efficacy may be helpful to increase the frequency of self-examination because self-efficacy is a direct effect on it. These findings suggest the need to develop nursing strategy to promote the self-efficacy of breast self-examination.

• 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.

• 월간성인병
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• 133호
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• pp.6-6
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• 1992

• Spatial Information Research
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• 제6권2호
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• pp.133-152
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• 1998

본 연구에서는 신촌 일대의 하숙 및 자취시설에 대한 실태를 조사하고 이를 기초로 하숙ㆍ자취 정보관리 시스템을 구축하여 하숙이나 자취를 선택하는데 있어 어려움을 겪고 있는 원거리 거주학생들이나 지방주민 혹은 외국인들에게 편리하고 신속한 하숙ㆍ자취 정보를 제공하려 한다. 이외에도 대학이 지역사회 내에 있는 하숙집이나 자취집에 대한 정보를 정보시스템 속에 체계화 시켜 누구나 정보 접근을 가능하게 함으로서 홍보와 선의의 경쟁을 통해 지역사회 발전에 도움을 주고자 한다. 본 연구는 기초조사단계와 시스템 구축단계로 크게 2부문으로 나누어 수행되었다. 기초조사단계는 시스템 구축에 필요한 데이터베이스를 구축한다는 의미뿐만 아니라 현재 하숙 및 자취를 이용하는 학생들의 물리적, 심리적 상황에 대한 조사를 통해 학생지도의 자료로 사용하기 위한 목적도 있다. 시스템 구축단계에서는 기초조사에서 얻어진 수요자가 요구하는 하숙 및 지역정보인 하숙집의 통학거리, 비용, 구성원, 시설정보 주인정보 및 건물사진의 데이터를 데이터베이스로 하여 하숙 및 자취집의 위치 정보와 함께 GIS(Geographic Information System)를 활용한 하숙 및 자취 정보관리시스템을 구축하였다. 본 시스템은 수요자 요구에 맞는 정보를 제공할 뿐 아니라 공급자들끼리 개방된 선의의 경쟁으로 서비스가 개선 될 수 있도록 하였다. 특히 대학과 지역 사회의 협조 체제 속에서 대학이 지역의 경제를 활성화 및 지역 주민의 정보화를 유도하여 앞으로 생산성을 높일 수 있는 기회를 제공하는 한편 대학은 학생을 위한 서비스를 제공한다는 점에서 매우 의의가 있다고 할 수 있다.보건교육 후 자궁암과 관련된 건강지식의 정도는 사업군이 3.6점으로 대조군에 비해 유의하게 높았으며, 자궁암검진 실천동기는 ‘건강상의 이유로 스스로 결정’이 가장 많았으며 사업군에서 건강소식지가 동기인 경우는 11.7%였다. 건강소식지가 자궁암검진 실천에 영향을 준 경우는 60.6%였으며, 자궁암검진에 관한 보건교육을 받고 검진을 밟지 않은 사람들 중 미래의 검진실행의지에 건강소식지가 영향을 미친 경우는 48.7%였다. 보건교육을 받은 후 유방암 자가검진 실천율은 사업군에서 53.9%로 받기 전의 27.3%보다 증가하였으나 대조군의 경우는 별 차이가 없었다. 연령별로는 60대가 가장 높았고 사업군에서 검진율의 증가분은 30대가 가장 컸다. 교육수준별로는 사업군은 고졸이, 대조군은 전문대졸이 가장 높았고 사업군에서 검진율의 증가분은 고졸에서 가장 컸다. 보건교육 후 유방암과 관련된 건강지식의 정도는 사업군이 3.7점으로 대조군보다 유의하게 높았으며, 유방암 자가검진법을 실천하는 사람들의 동기는 ‘일반 대중매체의 영향’이 가장 많았으며 건강소식지가 동기인 경우도 20.4%였다. 사업군에서 건강소식지가 유방암 자가검진법 실천에 영향을 미친 경우가 79.6%였으며 유방암 자가검진법에 관한 보건교육을 받고 실천하지 않은 사람들 중 미래의 실천의지에 건강소식지가 영향을 미친 경우는 43.6%였다. 이상의 소견에서 지역주민을 대상으로 인쇄매체를 통한 보건교육은 인쇄물만으로도 쉽게 실천 할 수 있는 유방암 자가검진법이 가장 효과적이었으며, 자궁암검진에 관해서도 검진을 받을 수 있도록 지역사회의 보건의료의 하부구조를 정비하여 제도적 장치를 마련하고

• 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.

• 종양간호연구
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• 제2권1호
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• pp.50-60
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• 2002

Breast self-exam is easiest, safe and cost effective to be recommended as an important method for early detection of breast cancer. This experimental research with non-equal control design was to develop the efficacy expectation program for breast self-exam based on Bandura's self-efficacy information source. The study objects selected from two local churches in Busan. Twenty from S church were selected as a study group, twenty from D church as a control group. Efficacy expectation promoting program was based on Bandura's efficacy promoting source and was two hour lecture including slide, video tape, demonstration, pamphlet. After this, there were individual interviews with them and consultations through telephone f or verbal persuasion on the weekly basis between the first week and the fifth week. The effect from the experiment were measured on the first week after education and on the fifth week. Data from control group was collected during the period from Jan 11, 2 001 to Feb 15, 2001 and data from study group was collected during the period from Jan 12, 2001 to Feb 16, 2001. Measurement instrument for this study was developed by the author with the advice of specialist in order to measure self-efficacy and breast self-exam practice. Data analysis was done by using SPSS/10.0 PC program $with^2-$ test. t-test and ANCOVA. Proved results for hypothesis were as follows. 1) It was supported that "Study group educated by efficacy expectation promoting program has higher score in change rat e of self-efficacy than control group." (1 week after education F=18.395, p=.000 5 weeks after education F=28.972, p=.000) 2) It was supported that "Study group educated by efficacy expectation promoting program has higher score in change rate of exam practice than control group." (1 week after education F=37.984, p=.000 5 weeks after education F=28.972, p=.000) In conclusion, efficacy expectation promoting program for breast self-exam developed by this study may increase s elf-efficacy and breast self-exam practice.

• 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.

• 지역사회간호학회지
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• 제15권1호
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• pp.155-164
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• 2004

Purpose: The purpose of this study was to identify factors affecting early detection behaviors of breast cancer such as breast self examination(BSE), breast physical examination, mammography. Method: The subjects were 141 women on an island and materials were collected through an organized questionnaire from March, to August 2002. The data were analyzed by using descriptive statistics, $x^2$ and logistic analysis by SAS program. Results: 52.7% of the subjects performed breast self examination, 67.2% did breast physical examination and 67.7% did mammography. That is, about 60% of the subjects performed early detection behavior to find the breast cancer. Practice of breast self examination was significantly correlated with experience of physician examination and mammography. The most significant factor on BSE was a normal salted diet, and the most significant factor on physical examination and mammography was the high education level of subjects. Conclusions: According to the results of this study, it suggests that intensive education and information strategies for breast cancer early detection need to be developed. In particular, early detection programs for lower educated women should be activated.