Izmir Atatürk School of Health, Ege University, Izmir, Turkey.
J Clin Nurs. 2010 Aug;19(15-16):2363-71. doi: 10.1111/j.1365-2702.2009.03150.x.
To determine the effectiveness of an educational program concerning knowledge of breast cancer, early detection practices and health beliefs of nurses and midwives.
Educational programs play an important role in breast cancer preventive behaviour.
The study was designed as an experimental post-test only, control group design. The educational program was applied only to the experimental group. The study group included 157,134 nurses and midwives respectively in the experimental and the control group.
Participants in the experimental group received an educational program on the breast cancer. One year after the educational program was delivered, data were collected from the two groups using a personal data form and the Turkish version of Champion's Health Belief Model Scale. Descriptive statistics, paired samples t-test, chi-square test and Fisher's exact test were conducted in the course of the data analyses.
The mean total knowledge score was significantly higher in the experimental group than in the control group. The application percentage of mammography and clinical breast examination was higher in the experimental group. There were no significant differences between two groups in performing breast self-examination. The experimental group was significantly more likely to feel confident and motivated, and their total score on the health belief scale was much better than that of the control group.
The results of this study showed that educational intervention had a positive impact on knowledge of breast cancer, on practices related to breast cancer, on early detection and on the health beliefs in the experimental group.
The educational programs, including techniques to increase the motivation and skills for early detection of breast cancer, should be made widespread in nursing and midwifery. Health beliefs should be considered in planning educational programs about breast cancer. Interventions should be designed to enhance nurses' and midwives' confidence and motivation.
评估一项关于护士和助产士乳腺癌知识、早期检测实践和健康信念的教育计划的效果。
教育计划在乳腺癌预防行为中发挥着重要作用。
该研究设计为仅进行实验后测试的对照设计。仅向实验组实施教育计划。实验组包括 157134 名护士和助产士,对照组也包括 157134 名护士和助产士。
实验组参与者接受了乳腺癌教育计划。教育计划实施一年后,通过个人资料表和土耳其版 Champion 健康信念模型量表从两组中收集数据。在数据分析过程中进行了描述性统计、配对样本 t 检验、卡方检验和 Fisher 精确检验。
实验组的平均总分明显高于对照组。实验组进行乳房 X 光摄影和临床乳房检查的应用率较高。两组在进行乳房自我检查方面没有显著差异。实验组明显更有信心和动力,他们的健康信念量表总分明显好于对照组。
本研究结果表明,教育干预对实验组的乳腺癌知识、与乳腺癌相关的实践、早期检测和健康信念产生了积极影响。
应在护理和助产领域广泛开展包括提高乳腺癌早期检测的动机和技能的教育计划。在规划乳腺癌教育计划时应考虑健康信念。应设计干预措施以增强护士和助产士的信心和动力。