Tara S, Agrawal C S, Agrawal A
Department of Community Health Nursing, BP Koirala Institute of Health Sciences, Dharan, Nepal.
Kathmandu Univ Med J (KUMJ). 2008 Jan-Mar;6(1):89-93.
Breast cancer is one of the most common causes of death in many developed countries amongst middle-aged women and is becoming common in developing countries as well.
The objective of this study was to evaluate the performance of Breast Self Examination (BSE) against examination conducted by the trained health personnel.
A descriptive evaluative study was conducted among women aged 15 to 60 years undertaken in urban and rural areas. It was a population-based study and non-probability sampling method was used for data collection. Respondents conducted Breast Self Examination on their own, and then investigators did clinical examination of breasts of the respondents to verify their findings.
Mean age of the respondents was 34.54 +/- 9.12 years. Nearly half (44.8%) of the respondents were illiterate. On comparison of each variable of breast self- examination with the physical examination of breast, it was observed that size of the breasts and lump found in the breast had significant relation to performance during examination (P<0.1). The result of Kappa test showed 68% agreement between findings of examinations done by the experts and respondents.
Breast Self Examination can be used as an important tool for primary prevention of breast cancer in Nepal, where sophisticated method like screening mammography for general public cannot afford.
乳腺癌是许多发达国家中年女性最常见的死因之一，在发展中国家也日益普遍。
本研究的目的是评估乳房自我检查（BSE）与训练有素的卫生人员进行的检查相比的效果。
在城乡地区对15至60岁的女性进行了一项描述性评估研究。这是一项基于人群的研究，采用非概率抽样方法收集数据。受访者自行进行乳房自我检查，然后研究人员对受访者的乳房进行临床检查以核实其检查结果。
受访者的平均年龄为34.54 +/- 9.12岁。近一半（44.8%）的受访者是文盲。将乳房自我检查的每个变量与乳房体格检查进行比较时，发现乳房大小和乳房中发现的肿块与检查期间的表现有显著关系（P<0.1）。Kappa检验结果显示，专家和受访者的检查结果之间的一致性为68%。
在尼泊尔，乳房自我检查可作为乳腺癌一级预防的重要工具，因为普通民众负担不起像乳腺钼靶筛查这样的复杂方法。
