Yılmaz Meryem, Sayın Yazile, Cengiz Hatice Öner
Division of Nursing, Department of Surgical Disease Nursing, Cumhuriyet University School of Health Sciences, Sivas, Turkey.
Division of Nursing, Department of Surgical Disease Nursing, Bezmialem Vakıf University School of Health Sciences, İstanbul, Turkey.
Eur J Breast Health. 2017 Apr 4;13(4):175-182. doi: 10.5152/tjbh.2017.3255. eCollection 2017 Oct.
Breast cancer (BC) is the most common female malignancy in the world and Turkey. Its prevalence and mortality are surprisingly increasing at a rapid rate. The objective of this study was to determine the effectiveness of training sessions on women's knowledge of relevant risk factors of BC and screening methods, screening behaviors and health beliefs among of healthy women in Turkey.
In this study, in order to establish the efficiency of BC training, a semi-empirical single group pre-test & post-test research model was used. The data were collected by using a self-administered questionnaire and by using the Turkish version of Champion's health belief model scale (CHBMS). The pre-test was performed before the training and after one week of the training, post-test was performed with a questionnaire having the same content.
In total, 244 women participated in the study. The average age of the women was 39.44 (SD=1.06) years. The mean total knowledge score increased significantly (p<.001) from 9.05 in the pre-test to 16.53 in the post-test. The results showed that both mean knowledge scores and CHBMS subscales scores of the women were increased significantly (p<.001) from the pre-test to the post-test. In multiple linear regression analysis, BC screening knowledge of women with susceptibility, benefit, self-efficacy and health motivation subscales of CHBMS, breast self-examination (BSE) practice and self-efficacy were also significant in the post-test; in the pre- and post-tests, a significant relationship among the level of education of women, susceptibility and seriousness was found (p<.001).
The study showed that the training program had profound effects on BC knowledge, screening behaviors and health beliefs of women.
乳腺癌（BC）是全球及土耳其最常见的女性恶性肿瘤。其患病率和死亡率正以惊人的速度迅速上升。本研究的目的是确定培训课程对土耳其健康女性关于BC相关危险因素、筛查方法、筛查行为及健康信念的知识的有效性。
在本研究中，为确定BC培训的效果，采用了半实证单组前测与后测研究模型。通过使用自填式问卷和土耳其语版的冠军健康信念模型量表（CHBMS）收集数据。前测在培训前进行，培训一周后进行后测，后测使用内容相同的问卷。
共有244名女性参与了该研究。女性的平均年龄为39.44（标准差=1.06）岁。平均总知识得分从前测的9.05显著提高（p<.001）至后测的16.53。结果表明，女性的平均知识得分和CHBMS各分量表得分从前测到后测均显著提高（p<.001）。在多元线性回归分析中，CHBMS的易感性、益处、自我效能和健康动机分量表、乳房自我检查（BSE）实践及自我效能方面的女性BC筛查知识在后测中也具有显著性；在前测和后测中，发现女性的教育水平、易感性和严重性之间存在显著关系（p<.001）。
该研究表明培训项目对女性的BC知识、筛查行为和健康信念有深远影响。
