Soyer Meral Türk, Ciceklioglu Meltem, Ceber Esin
Department of Public Health, Faculty of Medicine, Ege University, Bornova, Izmir, Turkey.
J Clin Nurs. 2007 Apr;16(4):707-15. doi: 10.1111/j.1365-2702.2006.01644.x.
The purposes of this study were to identify the level of breast cancer and breast self examination practice knowledge of primary health nurses and the factors influencing breast cancer and breast self examination knowledge as well as to investigate the frequency of breast self examination practice of primary health nurses and influencing factors and to evaluate the effects of an in-service training program about breast cancer and breast self examination practice for primary health nurses.
An increased awareness among nurses about breast cancer prevention would most likely result in a higher number of better educated women about breast cancer and also motivate adherence to screening recommendations.
A pre-test and post-test design was implemented to evaluate the effectiveness of a Breast Cancer and Breast Self Examination Education Program for primary health nurses. The program was instructed to 192 of the 215 primary health nurses by two nurse trainers. Pre- and post-tests made available a quantitative evaluation of the level of improvement in breast cancer and breast self-examination knowledge.
Mean of total breast cancer knowledge score of primary health nurses prior to the program was 58.51 SD 15.63 whereas, it increased to 75.96 SD 9.53, revealing a statistically significant escalation (p < 0.0001). A significant increase was detected in the number of primary health nurses practising breast self examination as a result of the significant improvement in the mean of self breast self examination practice knowledge score which rose evidently from 71.09 SD 19.31 to 85.02 SD 12.92 (p < 0.0001).
The in-service education program improved the knowledge about breast cancer and practice of breast self examination in trained primary health nurses. The program model, which involved trained primary health nurse also represented an efficient use of the resources.
It is important that primary health nurses have adequate breast cancer knowledge and practice of breast self examination to contribute effectively to primary health care. Findings of this study can be used to guide the planning efforts on continuous education of primary health nurses about breast cancer and breast self examination issues.
本研究的目的是确定基层保健护士的乳腺癌及乳房自我检查实践知识水平、影响乳腺癌及乳房自我检查知识的因素，调查基层保健护士乳房自我检查实践的频率及影响因素，并评估一项针对基层保健护士的乳腺癌及乳房自我检查实践在职培训项目的效果。
护士对乳腺癌预防的认识提高，很可能会使更多女性接受更好的乳腺癌教育，并促使她们坚持筛查建议。
采用前测和后测设计来评估针对基层保健护士的乳腺癌及乳房自我检查教育项目的效果。该项目由两名护士培训师对215名基层保健护士中的192名进行授课。前测和后测对乳腺癌及乳房自我检查知识的提高水平进行了定量评估。
项目实施前，基层保健护士的乳腺癌知识总分均值为58.51，标准差为15.63，而项目实施后增至75.96，标准差为9.53，显示出具有统计学意义的提高（p < 0.0001）。由于自我乳房自我检查实践知识得分均值显著提高，从71.09，标准差为19.31明显升至85.02，标准差为12.92（p < 0.0001），进行乳房自我检查的基层保健护士人数显著增加。
在职教育项目提高了接受培训的基层保健护士对乳腺癌的知识及乳房自我检查的实践。该项目模式让接受培训的基层保健护士参与其中，也体现了资源的有效利用。
基层保健护士具备足够的乳腺癌知识及乳房自我检查实践能力，对于有效提供初级卫生保健很重要。本研究结果可用于指导针对基层保健护士持续开展乳腺癌及乳房自我检查问题教育的规划工作。
