Avci Ilknur Aydin, Gozum Sebahat
Samsun Health School, Ondokuz May University, 55100 Samsun, Turkey.
Eur J Oncol Nurs. 2009 Apr;13(2):94-101. doi: 10.1016/j.ejon.2009.01.004. Epub 2009 Feb 20.
This research has been carried out to compare the effects of different educational initiatives on the beliefs and behaviors related to the practice of early diagnosis of breast cancer. Ninety-three female primary school teachers who were working in Ordu during the time of the research agreed to join the research; 51 of them comprised the model group and 42 the video group.
The teachers both in video and model groups were equaled from the point of view of their age, having had previous breast problems, a history of breast cancer in the family, or knowing how to do breast self examination (BSE). Questionnaires were used to collect data. These included the Champion's Health Belief Model Scales of Breast Cancer Screening and the control list regarding how to do BSE. The collected data were evaluated by computer using the following tests: descriptive statistics, chi-square test, Mann-Whitney U, Independent Samples t-test, Paired t-test, and McNemar test.
Following the education given to the video group, susceptibility, perceived self-efficacy of BSE, and perceived benefits of mammography increased relative to prior to education. In addition the teachers in the video group also improved in their knowledge of BSE. Regarding the education given to the model group, susceptibility, perceived self-efficacy of BSE, and perceived benefits of mammography increased relative to before the education. The teachers in the model group also improved in their knowledge and ability to perform BSE. As a result, it was determined that there is no difference between the beliefs of both groups.
This study showed that both video and model methods of education were effective in changing health beliefs regarding breast cancer screening and on the same level increasing knowledge and practice of BSE.
开展本研究以比较不同教育举措对与乳腺癌早期诊断实践相关的信念和行为的影响。研究期间在奥尔杜工作的93名女小学教师同意参与研究;其中51人组成示范组,42人组成视频组。
从年龄、既往有乳腺问题、家族中有乳腺癌病史或知晓如何进行乳房自我检查(BSE)的角度来看,视频组和示范组的教师情况相当。使用问卷收集数据。这些问卷包括冠军健康信念模型乳腺癌筛查量表以及关于如何进行BSE的对照清单。使用以下测试通过计算机对收集的数据进行评估:描述性统计、卡方检验、曼-惠特尼U检验、独立样本t检验、配对t检验和麦克尼马尔检验。
视频组接受教育后,相对于教育前,易感性、BSE的自我效能感以及乳腺钼靶检查的感知益处有所增加。此外,视频组的教师在BSE知识方面也有所提高。关于示范组接受的教育,相对于教育前,易感性、BSE的自我效能感以及乳腺钼靶检查的感知益处有所增加。示范组的教师在BSE知识和操作能力方面也有所提高。结果发现,两组的信念之间没有差异。
本研究表明,视频和示范这两种教育方法在改变关于乳腺癌筛查的健康信念以及在同等程度上增加BSE知识和实践方面均有效。