乳房自我检查教育对提高妇女乳房肿块检出能力的评价

目的：为了对乳房自我检查教育的效果进行评价。方法：上海纺织系统1925～1958年出生的267040名女职工按工厂随机分为干预组及对照组，干预组妇女接受乳房自我检查的教育和两次强化教育。抽样调查4012名妇女在评估前一年的参加乳房普查及自查情况，并要求干预组妇女演示乳房自查技能，从1套6只乳房硅胶模型中随机抽取3只模型对干预组和对照组妇女的肿块检出能力进行比较。对所有对象进行随访。结果：干预组妇女的自查频率明显高于对照组妇女；干预组妇女乳房自查三步手法的正确掌握率较高；干预组妇女使用乳房硅胶模型进行肿块检出的能力高于对照组；干预组退休妇女对乳房小肿块的检出能力高于对照组退休妇女，但两组的在职妇女无显著差异。结论：乳房自我检查教育活动有助于提高妇女乳房肿块自我检出能力。

Evaluation or Efficacy Of Breast Self Examination Education In Improving Women''s Breast Lump Finding Ability

Objective The purpose of this paper is to evaluate the effectiveness of breast self examination (BSE) education. Methods: 267040 female employees of shanghai textile industry system who were born between 1925 and 1958 were randomed by factory into a breast self examination instruction or control group. Women in the instruction group were given intensive training in BSE and twice subsequent rainforcement sessions. 4012 randomised women had been surveyed about participation breast cancer screening program and frequency of practicing BSE during a year before assessment study began. Also, the women in the instruction group were asked to demonstrate their BSE technique on themselves. Furthermore, two groups women were compared in their lump finding ability on breast silicon models randomly selected from a set of six models. Follow - up of the study cohort had been performed to find malignant breast lesions. Results: During a year befpre assessment study began, more women in the instruction group practiced more times BSE than women in the control group did. Also, sampled women in the instruction group were generally able to demonstrate correct three -step BSE techniques on themselves, and demonstrated greater proficiency in deteCting lumps in breast models than did control women. Follow - up of the population showed that more retired women in the instruction coup can detect small breast lumps than thine in the control group, but no differences in current women between two groups. Condusions:BSE education aids to impmve women's breast lump finding ability.