Kuru Alici Nilgün, Arikan Dönmez Ayşe, Aktaş Okşan, Zeytun Zeybek
Hacettepe University, Faculty of Nursing, Department of Public Health Nursing, Ankara, Türkiye.
Hacettepe University, Faculty of Nursing, Department of Medical Nursing, Ankara, 06100, Türkiye.
BMC Public Health. 2025 Jun 2;25(1):2048. doi: 10.1186/s12889-025-23313-y.
The aim of this study was to examine the effects of simulation-based breast health education on Afghan women's awareness of breast cancer, including knowledge of its risk factors, signs, and symptoms, as well as to improve their breast self-examination skills.
This study was a pre-test, post-test, parallel-arm randomized controlled trial.
The study sample consisted of 46 Afghan women, with 23 participants assigned to each of the intervention and control groups using block randomization. This study was conducted at the Social Development and Aid Mobilization (SGDD-ASAM) in Ankara, Türkiye. The intervention group received simulation-based breast health training. Each session of breast health education was 180 min. The simulation used a one-to-one show-and-do technique, which took approximately 120 min. Data were collected using the Breast Cancer Awareness Measure and the Breast Self-Examination Skill Assessment Form. The data were analyzed with the IBM SPSS 26 program. Descriptive statistics were used to evaluate the study data, including mean, standard deviation, percentage, and frequency distribution. The Shapiro-Wilk normality test was applied for further analysis. The Chi-Square (X) Test was used to compare outcomes between groups. The significance level of p < 0.05 was considered.
After the simulation-based training, there was a significant increase in confidence, skills, and behavior awareness among participants in the intervention group compared to the control group (p < 0.001). While there was no change in the control group, awareness of breast cancer, knowledge, and skills in the intervention group were predominantly rated as sufficient.
The simulation-based breast health education intervention for Afghan refugee women was found to be a practical and innovative approach to raising breast cancer awareness and providing breast self-examination skills. This intervention may play a significant role in identifying at-risk individuals and raising their awareness. If sustained, this could potentially increase future screening participation and early detection, ultimately contributing to improved patient outcomes. It is recommended that policymakers and health professionals prioritize the integration of simulation-based health education into prevention and health promotion strategies targeting disadvantaged populations, such as refugees and migrants, to improve early diagnosis and advance health equity.
Clinical Trials Number is NCT06051331. Registration date is 22.11.2023.
本研究旨在探讨基于模拟的乳腺健康教育对阿富汗妇女乳腺癌知晓率的影响，包括对其风险因素、体征和症状的了解，并提高她们的乳房自我检查技能。
本研究为前测、后测、平行组随机对照试验。
研究样本包括46名阿富汗妇女，通过区组随机化将23名参与者分配到干预组和对照组。本研究在土耳其安卡拉的社会发展与援助动员组织（SGDD-ASAM）进行。干预组接受基于模拟的乳腺健康培训。每次乳腺健康教育课程为180分钟。模拟采用一对一示范操作技术，耗时约120分钟。使用乳腺癌知晓率测量表和乳房自我检查技能评估表收集数据。数据采用IBM SPSS 26程序进行分析。描述性统计用于评估研究数据，包括均值、标准差、百分比和频率分布。应用夏皮罗-威尔克正态性检验进行进一步分析。采用卡方（X）检验比较组间结果。以p < 0.05为显著性水平。
与对照组相比，基于模拟的培训后，干预组参与者的信心、技能和行为意识显著提高（p < 0.001）。对照组没有变化，而干预组对乳腺癌的知晓率、知识和技能大多被评为足够。
针对阿富汗难民妇女的基于模拟的乳腺健康教育干预被发现是提高乳腺癌知晓率和提供乳房自我检查技能的一种实用且创新的方法。这种干预可能在识别高危个体和提高他们的意识方面发挥重要作用。如果持续下去，这可能会增加未来的筛查参与率和早期检测率，最终有助于改善患者预后。建议政策制定者和卫生专业人员优先将基于模拟的健康教育纳入针对难民和移民等弱势群体的预防和健康促进策略中，以改善早期诊断并促进健康公平。
临床试验编号为NCT06051331。注册日期为2023年11月22日。
