Berkiten Ayla, Sahin Nevin Hotun, Sahin Fezan Mutlu, Yaban Zuleyha Simsek, Acar Zeynep, Bektas Hatice
Midwifery, Kocaeli University Vocational School, Kocaeli, Turkey.
Asian Pac J Cancer Prev. 2012;13(7):3389-97.
The aim of this study was to analyze studies in Turkey about self-breast examination and produce conclusive, reliable and detailed basis for future studies.
Studies performed between 2000 and 2009 (until the end of September) were retrieved from databases using breast cancer, breast examination, breast cancer screening and risk factors as key words. Fifty-nine studies were identified and 18 of them (15 journal articles and three theses) were used for the meta-analysis t.
Married women and women with a family history of breast cancer were found to perform self-breast examination more frequently than single women and women without a family history of breast cancer, respectively (OR=1.02 %CI 0.82-1.63; OR=1.16 %CI 0.82-1.63). According to the health belief model scales, women performing self-breast examination were determined to have 1.7 times higher susceptibility (OR=1.70), 1.34 times higher seriousness perception (OR=1.34), 3.32 times higher health motivation (OR=3.32), 5.21 times more self-efficacy/confidence (OR=5.21) and 2.56 times higher self-breast examination benefit perception (OR=2.56).
Nursing care models caused an increase in self-breast examination by women, and thus, it may be useful to organize and evaluate such health-related programs and consider women health perceptions.
本研究旨在分析土耳其国内关于自我乳房检查的研究,为未来的研究提供确凿、可靠且详细的依据。
使用乳腺癌、乳房检查、乳腺癌筛查和风险因素作为关键词,从数据库中检索2000年至2009年(截至9月底)期间开展的研究。共识别出59项研究,其中18项(15篇期刊文章和3篇论文)用于荟萃分析。
发现已婚女性和有乳腺癌家族史的女性分别比单身女性和无乳腺癌家族史的女性更频繁地进行自我乳房检查(比值比=1.02,95%置信区间0.82 - 1.63;比值比=1.16,95%置信区间0.82 - 1.63)。根据健康信念模型量表,进行自我乳房检查的女性被确定易感性高1.7倍(比值比=1.70)、严重性认知高1.34倍(比值比=1.34)、健康动机高3.32倍(比值比=3.32)、自我效能/信心高5.21倍(比值比=5.21)以及自我乳房检查益处认知高2.56倍(比值比=2.56)。
护理模式促使女性自我乳房检查的次数增加,因此,组织和评估此类与健康相关的项目并考虑女性的健康认知可能会有所帮助。