Rodríguez J G, Vélez M, Serrano E, Casado M P
Universidad Central del Caribe, School of Medicine, University Hospital Dr. Ramón Ruiz Arnau, Bayamón, P.R. 00960-6032.
Bol Asoc Med P R. 1995 Mar-Apr;87(3-4):49-53.
To determine what adolescents students know or feel about testicular cancer, (TC) and the testicular self examination, (TSE), technique, 127 males students (mean age 16.14 years) were given a 21 item questionnaire. The role of the primary physician and the role of written and visual educational material were assessed for effectiveness in increasing the regular performance of monthly testicular self examination by male students at a Health Education Course at Cervantes Public School at Bayamón, P.R. Out of 127 male student, only 2.4%, (n = 3), initially knew about the symptoms of TC. Analysis of the attitude and knowledge questions revealed that respondents were not sure about general concepts in TC and, were not sure that this cancer could be self diagnosed. This study pretends to assess the effects of modeling and guiding practice as components within a comprehensive testicular self examination education program for adolescents male students. Three groups were studied from 10th, 11th, and 12th, grade. The variables investigated were knowledge of testicular cancer, attitudes toward testicular cancer, and frequency of self reported testicular self examination. The participants then received written material plus a physician's lecture on TC and TSE. Upon follow up, 87.5%, (n = 113) of the students reported performing monthly TSE, (P < 0.001), a statistically significant increase in performance. Although 20.3% (n = 26) reported having a physical examination by a physician within the previous 3 months, less than 4.7%, (n = 6) reported being taught TSE by a physician. Physicians need to educate males about testicular cancer and its early detection.
为了确定青少年学生对睾丸癌（TC）以及睾丸自我检查（TSE）技术的了解程度或感受，向127名男学生（平均年龄16.14岁）发放了一份包含21个条目的问卷。在波多黎各巴亚蒙市塞万提斯公立学校的健康教育课程中，评估了初级医生的作用以及书面和视觉教育材料在提高男学生每月定期进行睾丸自我检查的有效性。在127名男学生中，只有2.4%（n = 3）最初了解睾丸癌的症状。对态度和知识问题的分析表明，受访者对睾丸癌的一般概念不确定，并且不确定这种癌症可以自我诊断。本研究旨在评估示范和指导实践作为青少年男学生全面睾丸自我检查教育计划组成部分的效果。对十年级、十一年级和十二年级的三个组进行了研究。所调查的变量包括睾丸癌知识、对睾丸癌的态度以及自我报告的睾丸自我检查频率。参与者随后收到了关于睾丸癌和睾丸自我检查的书面材料以及医生的讲座。随访时，87.5%（n = 113）的学生报告每月进行睾丸自我检查（P < 0.001），检查执行情况有统计学意义的显著增加。尽管20.3%（n = 26）报告在过去3个月内由医生进行过体格检查，但只有不到4.7%（n = 6）报告由医生教授过睾丸自我检查。医生需要对男性进行睾丸癌及其早期检测的教育。
