Gürsoy Ayla Akkaş, Ylmaz Fatma, Nural Nesrin, Kahriman Ilknur, Yigitbaş Cagla, Erdöl Hacer, Kobya Bulut Hacer, Yeşilçiçek Kymet, Karadeniz Mumcu Havva, Hindistan Sevilay
Trabzon School of Health, Karadeniz Technical University, Trabzon, Turkey.
Cancer Nurs. 2009 Mar-Apr;32(2):127-34. doi: 10.1097/NCC.0b013e3181982d7b.
Breast cancer is a common cancer among women, and early detection is important for breast cancer mortality and morbidity. The aim of this study was to determine the effects of daughters teaching their mothers about breast self-examination (BSE) and its health beliefs. In the study's first stage, 168 university students were trained by the School of Health students about BSE through group training methods. Then, these trained university students were asked to train their mothers about BSE. Data were collected before the training and then again after the training (1 month later). The study instruments included questionnaire forms and the Champion Health Belief Model Scale. The results were analyzed using paired- and unpaired-sample t test, analysis of variance, bivariate correlation analysis, and stepwise multiple regression analysis. The results show that women's knowledge level increased 2-fold after training, and the knowledge level difference between pretraining and post-training was significant (P = .000). The mothers' background information (hear-read) and BSE practice (P = .006 and .006, respectively) before the training process were found to be significant predictors of sociodemographic and other variables influencing the mothers' knowledge levels. The training increased the perceived benefit (P = .032) and confidence (P = .000) significantly. It was found that there was a negative but significant correlation between perceived barriers and BSE knowledge after the education (P = .019). It was found that mothers' knowledge level about BSE was higher after the education. Furthermore, perceived barriers decreased while other subscales increased. Education from daughter to mother can be used as a BSE training approach to increase women's knowledge about BSE.
乳腺癌是女性中的常见癌症，早期检测对于乳腺癌的死亡率和发病率至关重要。本研究的目的是确定女儿教导母亲进行乳房自我检查（BSE）及其健康信念的效果。在研究的第一阶段，168名大学生通过小组培训方法接受了卫生学院学生关于BSE的培训。然后，要求这些经过培训的大学生对他们的母亲进行BSE培训。在培训前和培训后（1个月后）收集数据。研究工具包括问卷形式和冠军健康信念模型量表。使用配对和非配对样本t检验、方差分析、双变量相关分析和逐步多元回归分析对结果进行分析。结果表明，女性的知识水平在培训后提高了两倍，培训前和培训后的知识水平差异显著（P = 0.000）。发现培训过程前母亲的背景信息（听说读）和BSE实践（分别为P = 0.006和0.006）是影响母亲知识水平的社会人口统计学和其他变量的重要预测因素。培训显著提高了感知收益（P = 0.032）和信心（P = 0.000）。发现教育后感知障碍与BSE知识之间存在负但显著的相关性（P = 0.019）。发现教育后母亲对BSE的知识水平更高。此外，感知障碍减少而其他子量表增加。从女儿到母亲的教育可以用作一种BSE培训方法，以增加女性对BSE的知识。
