.: ORİJİNAL ARAŞTIRMA
Health Beliefs and Breast Self-Examination Behaviors of Nursing Students and Their Mothers: A Comparative Cross-Sectional Study
Hemşirelik Öğrencileri ve Annelerinin Sağlık İnançları ve Kendi Kendine Meme Muayene Davranışları: Karşılaştırmalı Kesitsel Bir Araştırma
Turkiye Klinikleri J Nurs Sci. 2023;15(1):1-7
doi: 10.5336/nurses.2022-89359
Makale Dili: EN
Tam Metin
ABSTRACT
Objective: This study was carried out to determine the effect of undergraduate education on nursing students and their mothers' health beliefs and breast self-examination (BSE) behaviors. Material and Methods: In this comparative and cross-sectional survey, the population of the study consisted of a total of 438 participants; including 219 volunteer students studying at the third and senior-year nursing students, and 219 their mothers. The data was collected using a questionnaire and Champion's Health Belief Model Scale. The data was collected by face-to-face interviews with the students in the classroom and by talking to the mothers on the phone. Results: It is the effective mothers' on performing BSE, students' BSE is 2.34-fold, and mothers' self-efficacy is 4.16-times, and mothers' perform regular BSE is 3.31-fold on students' perform BSE. The students' perception of barriers to performing the BSE was lower and their self‐efficacy and health motivation were higher, and their mothers' levels of perceived susceptibility and perceived barriers scores were significantly higher. Conclusion: It was determined that students did not inform their mothers about breast cancer and BSE at the expected level, and students and their mothers mostly did not practice BSE and BSE was affected by their health beliefs.
Keywords: Breast self-examination; early diagnosis; nursing education; nursing student
Objective: This study was carried out to determine the effect of undergraduate education on nursing students and their mothers' health beliefs and breast self-examination (BSE) behaviors. Material and Methods: In this comparative and cross-sectional survey, the population of the study consisted of a total of 438 participants; including 219 volunteer students studying at the third and senior-year nursing students, and 219 their mothers. The data was collected using a questionnaire and Champion's Health Belief Model Scale. The data was collected by face-to-face interviews with the students in the classroom and by talking to the mothers on the phone. Results: It is the effective mothers' on performing BSE, students' BSE is 2.34-fold, and mothers' self-efficacy is 4.16-times, and mothers' perform regular BSE is 3.31-fold on students' perform BSE. The students' perception of barriers to performing the BSE was lower and their self‐efficacy and health motivation were higher, and their mothers' levels of perceived susceptibility and perceived barriers scores were significantly higher. Conclusion: It was determined that students did not inform their mothers about breast cancer and BSE at the expected level, and students and their mothers mostly did not practice BSE and BSE was affected by their health beliefs.
Keywords: Breast self-examination; early diagnosis; nursing education; nursing student
ÖZET
Amaç: Bu araştırma, lisans eğitiminin hemşirelik öğrencisi ve annelerinin sağlık inançları ve kendi kendine meme muayene davranışları üzerindeki etkisinin belirlenmesi amacıyla yapıldı. Gereç ve Yöntemler: Karşılaştırmalı ve kesitsel türde bir araştırmadır. Araştırmanın evrenini hemşirelik üçüncü ve son sınıfta okuyan, gönüllü 219 öğrenci ve 219 anne olarak toplam 438 katılımcı oluşturdu. Veriler anket formu ve Champion'un Sağlık İnanç Modeli Ölçeği kullanılarak, sınıf ortamında öğrencilerle yüz yüze, annelerle telefonda görüşülerek toplandı. Bulgular: Annelerin düzenli kendi kendine meme muayenesi yapmalarının, öğrencilerin düzenli kendi kendine meme muayenesi yapmalarından 2,34 kat ve annelerin öz yeterliklerinden 4,16 kat etkili iken, öğrencilerin düzenli kendi kendine meme muayenesi yapmalarında annelerin düzenli kendi kendine meme muayenesi yapmaları 3,31 kat etkili olduğu görüldü. Öğrencilerin kendi kendine meme muayenesi uygulamaları üzerinde engel algıları düşük, öz yeterlikleri ve sağlık motivasyonları annelere göre anlamlı şekilde daha yüksek iken; annelerin algılanan duyarlılık ve algılanan engel puanları öğrencilere göre anlamlı şekilde daha yüksek olduğu görüldü. Sonuç: Öğrencilerin meme kanseri ve kendi kendine meme muayenesi konusunda annelerini beklenen düzeyde bilgilendirmedikleri, öğrencilerin ve annelerinin çoğunlukla kendi kendine meme muayenesi yapmadıkları ve kendi kendine meme muayenesinin sağlık inançlarından etkilendiği belirlendi.
Anahtar Kelimeler: Kendi kendine meme muayenesi; erken teşhis; hemşirelik eğitimi; hemşirelik öğrencisi
Amaç: Bu araştırma, lisans eğitiminin hemşirelik öğrencisi ve annelerinin sağlık inançları ve kendi kendine meme muayene davranışları üzerindeki etkisinin belirlenmesi amacıyla yapıldı. Gereç ve Yöntemler: Karşılaştırmalı ve kesitsel türde bir araştırmadır. Araştırmanın evrenini hemşirelik üçüncü ve son sınıfta okuyan, gönüllü 219 öğrenci ve 219 anne olarak toplam 438 katılımcı oluşturdu. Veriler anket formu ve Champion'un Sağlık İnanç Modeli Ölçeği kullanılarak, sınıf ortamında öğrencilerle yüz yüze, annelerle telefonda görüşülerek toplandı. Bulgular: Annelerin düzenli kendi kendine meme muayenesi yapmalarının, öğrencilerin düzenli kendi kendine meme muayenesi yapmalarından 2,34 kat ve annelerin öz yeterliklerinden 4,16 kat etkili iken, öğrencilerin düzenli kendi kendine meme muayenesi yapmalarında annelerin düzenli kendi kendine meme muayenesi yapmaları 3,31 kat etkili olduğu görüldü. Öğrencilerin kendi kendine meme muayenesi uygulamaları üzerinde engel algıları düşük, öz yeterlikleri ve sağlık motivasyonları annelere göre anlamlı şekilde daha yüksek iken; annelerin algılanan duyarlılık ve algılanan engel puanları öğrencilere göre anlamlı şekilde daha yüksek olduğu görüldü. Sonuç: Öğrencilerin meme kanseri ve kendi kendine meme muayenesi konusunda annelerini beklenen düzeyde bilgilendirmedikleri, öğrencilerin ve annelerinin çoğunlukla kendi kendine meme muayenesi yapmadıkları ve kendi kendine meme muayenesinin sağlık inançlarından etkilendiği belirlendi.
Anahtar Kelimeler: Kendi kendine meme muayenesi; erken teşhis; hemşirelik eğitimi; hemşirelik öğrencisi
REFERANSLAR:
- Abolfotouh MA, BaniMustafa AA, Mahfouz AA, Al-Assiri MH, Al-Juhani AF, Alaskar AS. Using the health belief model to predict breast self examination among Saudi women. BMC Public Health. 2015;15:1163. [Crossref] [PubMed] [PMC]
- Elshami M, Abu Kmeil H, Abu-Jazar M, Mahfouz I, Ashour D, Aljamal A, et al. Breast cancer awareness and barriers to early presentation in the gaza-strip: a cross-sectional study. J Glob Oncol. 2018;4:1-13. [Crossref] [PubMed] [PMC]
- International Agency for Research on Cancer. Breast cancer screening IARC Handbooks of Cancer Prevention Volume 15. 2016. Cited: April 10, 2020. Available from: [Link]
- American Cancer Society [Internet]. © 2022 American Cancer Society, Inc. All rights reserved [Cited: April 16, 2020]. American Cancer Society Breast Cancer Early Detection and Diagnosis. Available from: [Link]
- Black E, Richmond R. Improving early detection of breast cancer in sub-Saharan Africa: why mammography may not be the way forward. Global Health. 2019;15(1):3. [Crossref] [PubMed] [PMC]
- Ramathuba DU, Ratshirumbi CT, Mashamba TM. Knowledge, attitudes and practices toward breast cancer screening in a rural South African community. Curationis. 2015;38(1):1172. [Crossref] [PubMed] [PMC]
- Champion VL, Scott CR. Reliability and validity of breast cancer screening belief scales in African American women. Nurs Res. 1997;46(6):331-7. [Crossref] [PubMed]
- Schilling MPR, Silva IF, Opitz SP, Borges MFSO, Koifman RJ, Koifman S. Beliefs about breast cancer among women in the western amazon: a population-based study. Asian Pac J Cancer Prev. 2019;20(2):469-78. [Crossref] [PubMed] [PMC]
- Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175-91. [Crossref] [PubMed]
- Kara B, Acikel CH. Health beliefs and breast self-examination in a sample of Turkish nursing students and their mothers. J Clin Nurs. 2009;18(10):1412-21. [Crossref] [PubMed]
- Gözüm S, Aydin I. Validation evidence for Turkish adaptation of Champion's Health Belief Model Scales. Cancer Nurs. 2004;27(6):491-8. [Crossref] [PubMed]
- Ertem G, Dönmez YC, Dolgun E. Determination of the health belief and attitude of women regarding breast cancer and breast self-exam. J Breast Health. 2017;13(2):62-6. [Crossref] [PubMed] [PMC]
- Gonzales A, Alzaatreh M, Mari M, A Saleh A, Alloubani A. Beliefs and behavior of Saudi women in the university of tabuk toward breast self examination practice. Asian Pac J Cancer Prev. 2018;19(1):121-6. [PubMed] [PMC]
- Dewi TK, Massar K, Ruiter RAC, Leonardi T. Determinants of breast self-examination practice among women in Surabaya, Indonesia: an application of the health belief model. BMC Public Health. 2019;19(1):1581. [Crossref] [PubMed] [PMC]
- Udoh RH, Tahiru M, Ansu-Mensah M, Bawontuo V, Danquah FI, Kuupiel D. Women's knowledge, attitude, and practice of breast self- examination in sub-Saharan Africa: a scoping review. Arch Public Health. 2020;78:84. [Crossref] [PubMed] [PMC]
- Juanita J, Jittanoon P, Boonyasopun U. BSE practice and BSE self-efficacy among nursing students in Aceh, Indonesia. Nurse Media Journal of Nursing. 2013;3(1):557-68. [Link]
- Sapountzi-Krepia D, Rekleiti M, Lavdaniti M, Psychogiou M, Chaliou M, Xenofontos M, et al. Evaluating female nursing students' knowledge and attitudes regarding breast self-examination. Health Care Women Int. 2017;38(8):786-95. [Crossref] [PubMed]
- Gençtürk N, Demirezen E, Ay F. Health beliefs of midwifery students at Istanbul University about breast cancer and breast self-examination acknowledgements. J Cancer Educ. 2017;32(4):784-9. [Crossref] [PubMed]
- Abo Al-Shiekh SS, Ibrahim MA, Alajerami YS. Breast cancer knowledge and practice of breast self-examination among female university students, Gaza. ScientificWorldJournal. 2021;2021:6640324. [Crossref] [PubMed] [PMC]
- Jones CL, Jensen JD, Scherr CL, Brown NR, Christy K, Weaver J. The Health Belief Model as an explanatory framework in communication research: exploring parallel, serial, and moderated mediation. Health Commun. 2015;30(6):566-76. [Crossref] [PubMed] [PMC]
- Didarloo A, Nabilou B, Khalkhali HR. Psychosocial predictors of breast self-examination behavior among female students: an application of the health belief model using logistic regression. BMC Public Health. 2017;17(1):861. [Crossref] [PubMed] [PMC]
- Akhtari-Zavare M, Juni MH, Said SM, Ismail IZ. Beliefs and behavior of Malaysia undergraduate female students in a public university toward breast self-examination practice. Asian Pac J Cancer Prev. 2013;14(1):57-61. [Crossref] [PubMed]
- Champion VL. Instrument refinement for breast cancer screening behaviors. Nurs Res. 1993;42(3):139-43. [Crossref] [PubMed]
- Lavdaniti M. Perceptions and health beliefs of Greek nursing students about breast self-examination: A descriptive study. Int J Nurs Pract. 2015;21(6):882-8. [Crossref] [PubMed]
- Juárez-García DM, Téllez A. The health belief model and prediction of breast self-examination practices in female Mexican college students. Psychology in Russia State of the Art. 2019;12(3):73-85. [Crossref]
- Rosenstock IM. Historical origins of the health belief model. Health Education Monograph. 1974;2(4):328-35. [Crossref]
- Darvishpour A, Vajari SM, Noroozi S. Can health belief model predict breast cancer screening behaviors? Open Access Maced J Med Sci. 2018;6(5):949-53. [Crossref] [PubMed] [PMC]
- Dewi TK, Ruiter RAC, Diering M, Ardi R, Massar K. Breast self-examination as a route to early detection in a lower-middle-income country: assessing psychosocial determinants among women in Surabaya, Indonesia. BMC Womens Health. 2022;22(1):179. [Crossref] [PubMed] [PMC]
- Gürsoy AA, Ylmaz F, Nural N, Kahriman I, Yigitbaş C, Erdöl H, et al. A different approach to breast self-examination education: daughters educating mothers creates positive results in Turkey. Cancer Nurs. 2009;32(2):127-34. [Crossref] [PubMed]
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