Turhan Ebru, Yasli Gokben
Assoc. Prof. Dr. Karsiyaka Community Health Center, Izmir, Turkey.
Specialist Public Health. Bornava Community Health Center, Izmir, Turkey.
P R Health Sci J. 2018 Jun;37(2):98-104.
The present study was performed to detect cancer risk of the midwifes and nurses playing central role in raising awareness in the society using Gail's model.
Sample of the present cross sectional study consists of 750 volunteer midwifes and nurses in 2016. Breast cancer risk was calculated using the Gail Risk Assessment Tool. Perceived and calculated risk levels were compared. Descriptive statistics and Chi-Square analysis, t-test, Multivariate Linear Regression Analysis, the Logistic Regression Analysis were conducted.
A mean of 5 years risk (0.8% ± 0.52) and a mean of lifetime risk (11.03% ± 4.46) were computed. It was found that risk of development of breast cancer over the next 5-years period was high for 7.1% of the midwifes and nurses. The difference between the breast cancer risk perception level of women and the breast cancer risk level according to the Gail Model was significant (p<0.01). It was determined that the midwives and nurses, who thought that they had high risks for individual breast cancer, had mammography with a higher frequency (p<0.00) and went to clinics for breast examination on a regular basis (p<0.01).
Considering the fact that participants were healthcare professionals, the use of clinical breast examination and mammography practices as a preventive behavior by nurses and midwives was lower than expected.
本研究旨在使用盖尔模型检测在提高社会意识方面发挥核心作用的助产士和护士的癌症风险。
本横断面研究的样本包括2016年的750名志愿助产士和护士。使用盖尔风险评估工具计算乳腺癌风险。比较感知到的风险水平和计算出的风险水平。进行描述性统计、卡方分析、t检验、多元线性回归分析和逻辑回归分析。
计算出平均5年风险（0.8%±0.52）和平均终身风险（11.03%±4.46）。发现7.1%的助产士和护士在未来5年患乳腺癌的风险较高。女性对乳腺癌风险的感知水平与根据盖尔模型得出的乳腺癌风险水平之间存在显著差异（p<0.01）。确定那些认为自己患个体乳腺癌风险较高的助产士和护士进行乳房X光检查的频率更高（p<0.00），并且定期前往诊所进行乳房检查（p<0.01）。
考虑到参与者是医疗保健专业人员，护士和助产士将临床乳房检查和乳房X光检查作为预防行为的使用率低于预期。
