| Summary: | 碩士 === 臺北醫學大學 === 護理學系 === 91 === Abstract
Title of Thesis：Factors Related to the Medical Seeking Behavior of
Cervical Positive Clients in Taipei
Institution：Graduate Institute of Nursing, Taipei Medical University
Author：Yang, Kai-Yu
Thesis directed by：Ching-Min Chen, RN, DNS, Associated Professor
Since the year 2000, cervical screening rate for women 30 years old and over has raised to more than 40%, which resulted in identifying around 3,000 cervical positive clients each year. The most important issue is that 16% of the clients not sought medical treatment. The aim of this study was to explore the factors related to the medical seeking behavior of cervical positive clients in Taipei. The major purpose was to describe and explore the relationships between cervical positive women’s current knowledge, action clue, severity of gynecologic symptoms, health locus of control and medical seeking behavior。
Correlational research design was used in this study. The structured questionnaire has been mailed to 553 qualified correspondences for their self-report. The pilot study was done in Xin-Yi District Health Center, then the stratify random sampling was applied to select women with positive Pap finding and who were 30 years old and over in other 11 districts in Taipei. The 135 effective questionnaires were returned (26% response rates).
The majority of the clients were high school graduated, married, housewife, with religious belief, and economic status of medium high and mean age of 47.43. Their knowledge toward cervical cancer and Pap was relatively high (73%), and action cues received to seek treatment were also a lot (3.41 sources). The most common gynecologic symptom was vaginal discharge, and the majority of the clients belong to internal locus of control. The majority of women received their Pap smear results as “found abnormal cells” within 7days. As the result, 132 clients seek care immediately (within 7days), 69.7% selected western medicine, and the main reason for it was “the effectiveness of the treatment”. However, there was still 3 clients did not seek care.
Base on the results of this study, no significant difference in client’s demographic variables with knowledge, action cues and gynecologic symptoms was found. Types of religion were associated with speed of seeking care and internal locus of control. Marital status and economic level were associated with external locus of control. Older client’s tended to be external locus of control. Women’s knowledge of Pap and cervical cancer was significantly different by type of therapies client selected. Logistic regression analyses revealed that not a single independent variable could predict either speed of seeking care or type of therapy all variables. With such a high prevalence of seeking care among cervical positive clients (97.8%), this study indicated a high self-selection bias that women seek care were more willing to return questionnaires. Intervention on how to reach and promote noncompliance women would need further investigation.
Keywords：cervical positive client, knowledge, action clue, gynecologic
symptom, health locus of control, medical seeking behavior
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