Mutebi Miriam, Wasike Ronald, Mushtaq Ahmed, Kahie Aideed, Ntoburi Stephen
Department of Surgery, Aga Khan University Hospital, P.O. Box 30271-00100, Nairobi, Kenya.
Springerplus. 2013 Oct 17;2:528. doi: 10.1186/2193-1801-2-528. eCollection 2013.
Breast cancer is characterized by late presentation and significant morbidity and mortality in developing countries. Breast screening aids in early detection of breast cancer. Nurses are uniquely placed to provide advocacy and screening in a resource limited environment.
To assess the effectiveness of an abbreviated training program in breast cancer awareness on nurses at a tertiary hospital, in a resource constrained environment.
Using a statistical tool, the Solomon Model, 79 nurses were identified and divided into experimental and control groups. An abbreviated training intervention in breast cancer awareness was administered to the experimental group. Pre and post test questionnaires and objective structured clinical examinations were used to determine nurses' knowledge and practice skills before and after the abbreviated training intervention.
Initial scores of knowledge and practice skills related to clinical breast examination were low: Mean knowledge scores of 18 out of 25 [72%] and mean practice scores of 12.5 out of 30 [41.6%]. Significant improvement was observed following the abbreviated training intervention in both knowledge and practice skills. Knowledge scores of 22 out of 25 [88%, p = < 0.001] and practice scores of 26 out of 30 [86.6%, p=0.003]. Trained nurses were able to improve their knowledge of breast cancer from fair to good knowledge.
There is need to increase breast awareness, both in terms of knowledge and practice skills, in nurses as a means of improving awareness among the general population and early detection of breast cancer. An abbreviated training in breast cancer awareness can improve these skills in nurses.
在发展中国家，乳腺癌具有就诊晚、发病率和死亡率高的特点。乳房筛查有助于早期发现乳腺癌。护士在资源有限的环境中处于独特地位，能够提供宣传和筛查服务。
在资源受限的环境下，评估一所三级医院针对护士的简化乳腺癌知识培训项目的效果。
使用所罗门模型这一统计工具，确定了79名护士并将其分为实验组和对照组。对实验组进行了简化的乳腺癌知识培训干预。通过培训前后的问卷调查和客观结构化临床考试，来确定护士在简化培训干预前后的知识和实践技能。
与临床乳房检查相关的知识和实践技能初始得分较低：25分中平均知识得分为18分[72%]，30分中平均实践得分为12.5分[41.6%]。简化培训干预后，知识和实践技能均有显著提高。知识得分达到25分中的22分[88%，p = < 0.001]，实践得分达到30分中的26分[86.6%，p = 0.003]。经过培训的护士能够将其乳腺癌知识从一般提高到良好水平。
有必要提高护士在乳腺癌知识和实践技能方面的认知，以此作为提高普通人群认知和早期发现乳腺癌的一种手段。简化的乳腺癌知识培训可以提高护士的这些技能。
