Ersin Fatma, Bahar Zuhal
Public Health Nursing Department, Nursing Faculty, Dokuz Eylul University, Izmir, Turkey.
Asian Pac J Cancer Prev. 2011;12(10):2555-62.
Breast cancer is an important public health problem on the grounds that it is frequently seen and it is a fatal disease. The objective of this systematic analysis is to indicate the effects of interventions performed by nurses by using the Health Belief Model (HBM) and Health Promotion Model (HPM) on the breast cancer early diagnosis behaviors and on the components of the Health Belief Model and Health Promotion Model. The reveiw was created in line with the Centre for Reviews and Dissemination guide dated 2009 (CRD) and developed by York University National Institute of Health Researches. Review was conducted by using PUBMED, OVID, EBSCO and COCHRANE databases. Six hundred seventy eight studies (PUBMED: 236, OVID: 162, EBSCO: 175, COCHRANE:105) were found in total at the end of the review. Abstracts and full texts of these six hundred seventy eight studies were evaluated in terms of inclusion and exclusion criteria and 9 studies were determined to meet the criteria. Samplings of the studies varied between ninety four and one thousand six hundred fifty five. It was detected in the studies that educations provided by taking the theories as basis became effective on the breast cancer early diagnosis behaviors. When the literature is examined, it is observed that the experimental researches which compare the concepts of Health Belief Model (HBM) and Health Promotion Model (HPM) preoperatively and postoperatively and show the effect of these concepts on education and are conducted by nurses are limited in number. Randomized controlled studies which compare HBM and HPM concepts preoperatively and postoperatively and show the efficiency of the interventions can be useful in evaluating the efficiency of the interventions.
乳腺癌是一个重要的公共卫生问题，因为它常见且是一种致命疾病。本系统分析的目的是指出护士运用健康信念模式（HBM）和健康促进模式（HPM）所实施的干预措施对乳腺癌早期诊断行为以及健康信念模式和健康促进模式各组成部分的影响。该综述是根据2009年发布的循证医学图书馆指南（CRD）编写的，由约克大学国家卫生研究院制定。通过使用PUBMED、OVID、EBSCO和COCHRANE数据库进行综述。综述结束时，总共发现了678项研究（PUBMED：236项、OVID：162项、EBSCO：175项、COCHRANE：105项）。根据纳入和排除标准对这678项研究的摘要和全文进行了评估，确定有9项研究符合标准。这些研究的样本量在94至1655之间。研究发现，以这些理论为基础提供的教育对乳腺癌早期诊断行为有效果。在查阅文献时发现，术前和术后比较健康信念模式（HBM）和健康促进模式（HPM）概念并显示这些概念对教育的影响且由护士开展的实验性研究数量有限。术前和术后比较HBM和HPM概念并显示干预措施有效性的随机对照研究可能有助于评估干预措施的有效性。
