EFFECTIVENESS OF METHODS USED TO TEACH BREAST SELF-EXAMINATION

被引：20

作者：

BENNETT, SE ^{[1
]}

LAWRENCE, RS ^{[1
]}

ANGIOLILLO, DF ^{[1
]}

BENNETT, SD ^{[1
]}

BUDMAN, S ^{[1
]}

SCHNEIDER, GM ^{[1
]}

ASSAF, AR ^{[1
]}

FELDSTEIN, M ^{[1
]}

机构：

[1] HARVARD UNIV,HARVARD COMMUNITY HLTH PLAN,BOSTON,MA 02215

来源：

AMERICAN JOURNAL OF PREVENTIVE MEDICINE | 1990年 / 6卷 / 04期

关键词：

D O I：

10.1016/S0749-3797(18)31007-9

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

The efficacy of breast self-examination (BSE) is limited by the extent to which women can be taught to perform a frequent and proficient examination. We randomized 783 women from a health maintenance organization into group instruction, individual instruction, individual instruction with a reminder system, or minimal intervention designed to simulate an office encounter where BSE was encouraged but not taught. The percentage of lumps 1 cm and smaller detected in silicone breast models, the number of false-positive detections, the search technique, and the self-reported BSE frequency were measured before and four months after intervention. Multiple tests for comparisons of interventions showed that the interventions containing BSE instruction were comparable in increasing true- and false-positive detection of lumps and in improving search technique, but the minimal intervention resulted in lower scores for all three outcomes (P < .0001). Women in all four intervention groups increased their BSE frequency over the four-month follow-up period, but the greatest improvement in frequency was reported among women receiving reminders.

引用

页码：208 / 217

页数：10