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乳腺癌患者一级和二级亲属中乳腺自我检查(BSE)应用情况的评估。

Evaluation of breast self-examination (BSE) application in first and second degree relatives of patients with breast cancer.

作者信息

Bebis Hatice, Altunkurek Serife Zehra, Acikel Cengizhan, Akar Ilker, Altunkurek Serife Zehra

机构信息

Public Health Nursing, Gulhane Military Medicine Academiy Nursing School, Gulhane Military Medicine Academy, Ankara, Turkey E-mail :

出版信息

Asian Pac J Cancer Prev. 2013;14(8):4925-30. doi: 10.7314/apjcp.2013.14.8.4925.

Abstract

BACKGROUND

The aim of this study was to determine beliefs concerning breast self-examination in first- and second-degree relatives of patients with breast cancer and evaluate their breast self-examination (BSE) application.

MATERIALS AND METHODS

A survey study was conducted in an oncology polyclinic and general surgery clinic of a hospital in Ankara, the capital of Turkey with a sample of 140 women.

RESULTS

It was determined that 60.7% of the participants had conducted BSE and 48.1% had undergone a clinical breast examination. Perceived self- efficacy of the women who performed BSE were significantly higher compared with women who did not practice BSE (p<0.001) Furthermore, perceived barriers were lower among those who had performed BSE (p<0.001). Logistic regression analysis indicated that women who perceived higher self-efficacy (OR: 1.119, 95% CI: 1.056- 1.185, p<0.001) and had regular CBE (OR: 8.250, 95% CI: 3.140-21.884, p<0.001) and educational status (OR: 5.287, 95% CI: 1.480-18.880, p<0.01) were more likely to perform BSE.

CONCLUSIONS

Findings from this study indicated that perceived barriers, perceived self-efficacy, and educational status could be predictors of BSE behavior among the first- and second-degree relatives of patients with breast cancer. Therefore, BSE training programs that emphasize self-efficacy and address perceived barriers are recommended.

摘要

背景

本研究旨在确定乳腺癌患者一级和二级亲属对乳房自我检查的看法,并评估他们乳房自我检查(BSE)的实施情况。

材料与方法

在土耳其首都安卡拉一家医院的肿瘤多学科门诊和普通外科门诊进行了一项调查研究,样本为140名女性。

结果

确定60.7%的参与者进行过乳房自我检查,48.1%接受过临床乳房检查。与未进行乳房自我检查的女性相比,进行乳房自我检查的女性自我效能感显著更高(p<0.001)。此外,进行乳房自我检查的女性感知到的障碍更低(p<0.001)。逻辑回归分析表明,自我效能感较高的女性(比值比:1.119,95%置信区间:1.056 - 1.185,p<0.001)、定期接受临床乳房检查的女性(比值比:8.250,95%置信区间:3.140 - 21.884,p<0.001)以及受教育程度较高的女性(比值比:5.287,95%置信区间:1.480 - 18.880,p<0.01)更有可能进行乳房自我检查。

结论

本研究结果表明,感知到的障碍、自我效能感和受教育程度可能是乳腺癌患者一级和二级亲属乳房自我检查行为的预测因素。因此,建议开展强调自我效能感并解决感知到的障碍的乳房自我检查培训项目。

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