의료보험공단 건강진단시 자궁경부암검진 수진실태왿� 수진에 영향을 미치는 요인에 관한 연구 (A Study of the condition of the receiving the cervical cancer examination during the health examination of medical insurance and of the factors to affect on the receiving the examination.)

-Abstract- This study investigated the actual condition of receiving cervical cancer examination (pap smear) of married women at health examination of medical insurance and found the factors which affected upon receiving the examination.
The subjects of this study were 117 married female teachers over 30 years of age in the 7 elementary schools at Pusan area, who had the health examination in 1996.
Questionnaire survey was conducted during 20 days from July 1, to July 20, 1996.
The instrument developed by the researcher was based on references having to do with the Health Belief Model.
The data was analyzed by T-test, ANOVA and X-test by means of SPSS package.
The conclusion through this study is as follows.
1. The frequency of receiving the cervical cancer examination in health examination of medical insurance was 53.0%, not receiving was 29.9%, not being able to receiving because of having the menstruation was 14.5, and not receiving because of just after birth or in pregnancy was 2.6%.
2. In the cause of not receiving the cervical cancer examination, because the way of the examination is a psychological burden upon me was 48.6%, because of receiving the examination from other place was 28.6%, because the examination does not matter for me was 22.8%.
3. I received intermittently the cervical cancer examination before the health examination of medical insurance was 52.1%, I have never received the examination was 34.2%, I regularly receive he examination was 13.7%.
4. a) The first hypothesis that the degree of the perceived susceptibility of the received group will be higher than that of not received group was rejected.
b) The second hypothesis that the degree of the perceived benefit of the received group will be higher than that of the not received group was rejected.
5. The significant difference was not found in the actual condition of receiving the cervical cancer examination according to age, the age of marriage, the age of the first birth, the number of pregnancy, the educational level, the religion, the living standard, and the existance of the cervical cancer patients in neighborhood.
According to above result, it was found that many persons did not receive the cervical cancer examination because the way of the examination was a psychological burden to them, and it seems that the rate of the receiving the cervical cancer examination was low because the cervical cancer examination was an selective ite in the health examination of medical insurance. Therefore, it is considered that the rate of the receiving the cervical cancer examination of medical insurance can be raised by means of offer of education in necessity about of the importance of the receiving of the cervical cancer examination, by the means of improvement of difficult factors and by the means of the adjustment of the law. In addition, the nurse who have the role of counselor and leader for the women have concern about the health education and policy related to health management and should offer the nursing intervention to lead to change the behavior.

-Abstract- This study investigated the actual condition of receiving cervical cancer examination (pap smear) of married women at health examination of medical insurance and found the factors which affected upon receiving the examination.
The subjects of this study were 117 married female teachers over 30 years of age in the 7 elementary schools at Pusan area, who had the health examination in 1996.
Questionnaire survey was conducted during 20 days from July 1, to July 20, 1996.
The instrument developed by the researcher was based on references having to do with the Health Belief Model.
The data was analyzed by T-test, ANOVA and X-test by means of SPSS package.
The conclusion through this study is as follows.
1. The frequency of receiving the cervical cancer examination in health examination of medical insurance was 53.0%, not receiving was 29.9%, not being able to receiving because of having the menstruation was 14.5, and not receiving because of just after birth or in pregnancy was 2.6%.
2. In the cause of not receiving the cervical cancer examination, because the way of the examination is a psychological burden upon me was 48.6%, because of receiving the examination from other place was 28.6%, because the examination does not matter for me was 22.8%.
3. I received intermittently the cervical cancer examination before the health examination of medical insurance was 52.1%, I have never received the examination was 34.2%, I regularly receive he examination was 13.7%.
4. a) The first hypothesis that the degree of the perceived susceptibility of the received group will be higher than that of not received group was rejected.
b) The second hypothesis that the degree of the perceived benefit of the received group will be higher than that of the not received group was rejected.
5. The significant difference was not found in the actual condition of receiving the cervical cancer examination according to age, the age of marriage, the age of the first birth, the number of pregnancy, the educational level, the religion, the living standard, and the existance of the cervical cancer patients in neighborhood.
According to above result, it was found that many persons did not receive the cervical cancer examination because the way of the examination was a psychological burden to them, and it seems that the rate of the receiving the cervical cancer examination was low because the cervical cancer examination was an selective ite in the health examination of medical insurance. Therefore, it is considered that the rate of the receiving the cervical cancer examination of medical insurance can be raised by means of offer of education in necessity about of the importance of the receiving of the cervical cancer examination, by the means of improvement of difficult factors and by the means of the adjustment of the law. In addition, the nurse who have the role of counselor and leader for the women have concern about the health education and policy related to health management and should offer the nursing intervention to lead to change the behavior.