Kırca Nurcan, Tuzcu Ayla, Gözüm Sebahat
Department of Fundamental of Health Nursing, Akdeniz University School of Nursing, Antalya, Turkey.
Department of Community Health Nursing, Akdeniz University School of Nursing, Antalya, Turkey.
Eur J Breast Health. 2018 Jan 1;14(1):23-28. doi: 10.5152/ejbh.2017.3272. eCollection 2018 Jan.
First-degree relatives of women with breast cancer are under higher risk when compared with the general population. The aim of this study is to evaluate breast cancer screening behaviors of women who are first-degree relatives of women with breast cancer and factors affecting these behaviors.
This descriptive study included 240 patient relatives, who agreed to participate in the study through contact with first-degree relatives of 133 patients who were receiving breast cancer treatment at the Oncology and Chemotherapy unit of an university hospital in Turkey. Data were collected using the "Descriptive Characteristics Form," which consisted of socio-demographic characteristics, health history, breast cancer risk level and health beliefs as well as the "Breast Cancer Screening Behavior Evaluation Form".
Out of the subjects, 17% reported doing breast self examination (BSE), 18% reported getting clinic breast examination (CBE) and 17% reported getting mammography. Logistic regression analysis showed that perceived susceptibility increased BSE by 0.57 times and increased mammography by 0.77 times. Physical exercise increased CBE by 0.21 times and increased mammography by 0.13 times.
It was found that women with familial breast cancer history (FBCH) had lower participation in screening behaviors. Higher susceptibility perception and regular physical exercise are the determinant variables. Women with a higher susceptibility can be led towards the screening and their participation can be increased. In women with family history, the development of healthy lifestyle behaviors like physical exercise should be supported.
与普通人群相比,乳腺癌女性患者的一级亲属患癌风险更高。本研究旨在评估乳腺癌女性患者一级亲属的乳腺癌筛查行为以及影响这些行为的因素。
这项描述性研究纳入了240名患者亲属,他们通过与在土耳其一所大学医院肿瘤与化疗科接受乳腺癌治疗的133名患者的一级亲属联系,同意参与本研究。使用“描述性特征表”收集数据,该表包括社会人口学特征、健康史、乳腺癌风险水平和健康信念,以及“乳腺癌筛查行为评估表”。
在研究对象中,17%的人报告进行过乳房自我检查(BSE),18%的人报告接受过临床乳房检查(CBE),17%的人报告进行过乳房X光检查。逻辑回归分析显示,感知易感性使BSE增加0.57倍,使乳房X光检查增加0.77倍。体育锻炼使CBE增加0.21倍,使乳房X光检查增加0.13倍。
发现有家族性乳腺癌病史(FBCH)的女性参与筛查行为的比例较低。较高的易感性认知和规律的体育锻炼是决定性变量。易感性较高的女性可以被引导去进行筛查,从而提高她们的参与度。对于有家族病史的女性,应支持发展如体育锻炼等健康的生活方式行为。