基于元认知策略对育龄期女性BSE行为干预的调查

Survey of BSE Behavioral Intervention in Female in Child Bearing Period Based on the Metacognitive Strategy

目的将"元认知策略"运用于BSE实践中,以达到唤起受试者元认知意识,使其主动规范和监控BSE,建立长效、客观、连续的自检机制,以期为我国妇女提供更适合的乳腺癌预防措施,促进乳腺癌二级预防工作的持久发展。方法采用随机抽样、分组的方法,将郑州市某社区的育龄期女性分为干预组和对照组,进行BSE及乳腺疾病相关知识宣教。干预组宣教内容增加元认知策略灌输及乳房自我检测卡的应用。结果干预组的就诊率及BSE行为持续时间均优于对照组(P≤0.05),两组差异有显著意义。结论 "元认知策略"对受试者进行BSE的持续性有着确实影响,即将"元认知策略"应用于BSE,对提高女性防癌意识和乳房自查能力有积极意义。

Objective To arouse the metacognitive awareness of subjects and make them actively standardize and monitor BSE and build a long-term, objective and continuous self-examination mechanism in order to provide the women in our country with prevention measures of mammary cancer suitable for them and promote the lasting development of secondary prevention work of mammary cancer by applying metacognitive strategy to BSE practice. Methods The female in child bearing period in some community of Zhengzhou were randomly divided into the intervention group and the control group, and they were given the knowledge propaganda related to BST and mammary cancer, and the application of metacognitive strategy instillation and breast self-examination card was added to the content of propaganda in the intervention group. Re-sults The visiting rate and BSE behavior duration in the intervention group were better than those in the control group, and the differences between the two groups had obvious significance, P≤0.05. Conclusion Metacognitive strategy really has an effect on the continuity of subjects for BSE, in other words, the application of metacognitive strategy in the BSE is of posi-tive significance to the improvement of female cancer-prevention awareness and breast self-examination ability.