مرکز منطقه ای اطلاع رساني علوم و فناوري - بررسي دلائل عدم انجام ماموگرافي غربالگري در پرستارها و ماماهاي شاغل در مراكزبهداشتي درماني شهرستانهاي منتخب استان مازندران

چكيده لاتين :

Introduction: Breast cancer is a fatal disease that in morbidity and mortality of hundreds of thousands of women worldwide yearly. Early detection of the illness can decrease its mortality and morbidity. Mammography is the most sensitive and safest existing method for early detect of this disease. While trying to introduce mammography screening as the best tool against breast cancer, This study aims at assessing the reasons for avoiding this test among the presonnel affiliated to health and teratment centers is Mazandaran. Material and Methods: This study is a cross-sectional study perfomed on 62 nurces and midvives over 40 years of age working in health and treatment centers in Babol, Amol, Babolsar and Ghaemsha. The instrument was a standard questionnaire, containing 66 questions designed in three parts by the following titles: knowledge, ideas on health components (e.g. susceptibility and severity of illness, benefits and barriers perceived), and motivating factors, moderate and poor llevel of knowledge also low and moderate perception of first three components of HBM and high moderate perception of the last component were considered as reasons for avoiding screening mammography. Results: 68% of the samples were nurses with a mean of age of 44.3 years. 79% of them had bachelor degree. About knowledge, the results showed that 68% of the studied population did not have any good knowledge. The most false answers were allocated to mammography (definition of mammography, accuracy and the quilty of its performance). The finding about HBM showed that more than 55% of the samples had no high perception of susceptibility and also 60% about severity of the disease. Also 63% of the samples had no good perception of the benefits of screening mammography but 75% felt high barriers for performing it. The most important motivating factors were "detection of breast mass" and "doctorʹs recommendation ". This investigation showed a significant positive relation between the perception of susceptibility and severity of the illness and benefits of screening mammography and also the level of knowledge with the tendency to do it. Also a significant negative relation was between barriers perceived with the tendency to do mammography. Conclusion: The findings showed that more than of half of the samples did not have good perceotion of susceptibility an severity of the illness and benefits of screening mammography but mentioned high barriers for doing it. Therefore the following are suggested: 1) Encourage the doctors to refer the women to mammography centers 2) Educate the women and improve the knowledge of the health and treatment personnel about screening mammography 3) offer mammographyito with high quality.