Second Department of Obstetrics and Gynecology, Hippokration Hospital, Medical School, Aristotle University Thessaloniki, Thessaloniki, Greece.
Department of Gynecology, Gynecological Endocrinology and Oncology, Philipps University of Marburg, Marburg, Germany.
Neoplasma. 2018 Nov 15;65(6):980-985. doi: 10.4149/neo_2018_171112N729. Epub 2018 Jun 17.
The aim of this study is to assess breast self-examination (BSE) practice in a representative sample of Greek midwives and midwifery students. Breast self-examination (BSE) is infrequent in healthcare professionals, including physicians and nurses. All midwives (n=245) and graduating midwifery students (n=165) who attended a congress of midwives were eligible to participate in the study, and a self-administered, anonymous questionnaire was developed to assess BSE practice. Midwives performed BSE more frequently than students (p<0.001). In addition, 27.0% of students performed BSE less frequently than every year whereas the midwives' rate is 14.0% (p<0.001). The proportion of subjects searching for specific signs of breast cancer during BSE and the BSE technique did not differ between midwives and students. In midwifery students, higher perceived knowledge of breast cancer-related issues was associated with more frequent BSE. Only a minority of Greek midwives and midwifery students practice BSE every month, and therefore implications for nursing management in BSE education should be included in midwifery school curricula to ensure increased BSE frequency, improved BSE accuracy and the promotion of BSE teaching to patients.
本研究旨在评估希腊助产士和助产专业学生中乳房自我检查（BSE）的实践情况。在包括医生和护士在内的医护专业人员中，乳房自我检查（BSE）的频率较低。所有参加助产士大会的助产士（n=245）和即将毕业的助产专业学生（n=165）都有资格参加这项研究，研究采用了自我管理的匿名问卷来评估 BSE 的实践情况。助产士进行 BSE 的频率高于学生（p<0.001）。此外，27.0%的学生进行 BSE 的频率低于每年一次，而助产士的这一比例为 14.0%（p<0.001）。在 BSE 期间和 BSE 技术中寻找乳腺癌特定迹象的受试者比例在助产士和学生之间没有差异。在助产专业学生中，对乳腺癌相关问题的认知程度越高，进行 BSE 的频率就越高。只有少数希腊助产士和助产专业学生每月进行 BSE，因此应将护理管理对 BSE 教育的影响纳入助产学校课程，以确保增加 BSE 的频率、提高 BSE 的准确性，并促进对患者的 BSE 教学。
