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Evaluation of Breast Self-Examination (BSE) Application in First and Second Degree Relatives of Patients with Breast Cancer

  • Bebis, Hatice (Public Health Nursing, Gulhane Military Medicine Academiy Nursing School, Gulhane Military Medicine Academy) ;
  • Altunkurek, Serife Zehra (Public Health Nursing, Gulhane Military Medicine Academiy Nursing School, Gulhane Military Medicine Academy) ;
  • Acikel, Cengizhan (Department of Public Health, Gulhane Military Medicine School) ;
  • Akar, Ilker (Department of General Surgery, Gulhane Military Medicine School) ;
  • Altunkurek, Serife Zehra (Public Health Nursing, Gulhane Military Medicine Academiy Nursing School, Gulhane Military Medicine Academy)
  • Published : 2013.08.30

Abstract

Background: The aim of this study was to determine beliefs concerning breast self-examination in first- and second-degree relatives of patients with breast cancer and evaluate their breast self-examination (BSE) application. Materials and Methods: A survey study was conducted in an oncology polyclinic and general surgery clinic of a hospital in Ankara, the capital of Turkey with a sample of 140 women. Results: It was determined that 60.7% of the participants had conducted BSE and 48.1% had undergone a clinical breast examination. Perceived selfefficacy of the women who performed BSE were significantly higher compared with women who did not practice BSE (p<0.001) Furthermore, perceived barriers were lower among those who had performed BSE (p<0.001). Logistic regression analysis indicated that women who perceived higher self-efficacy (OR: 1.119, 95% CI: 1.056-1.185, p<0.001) and had regular CBE (OR: 8.250, 95% CI: 3.140-21.884, p<0.001) and educational status (OR: 5.287, 95% CI: 1.480-18.880, p<0.01) were more likely to perform BSE. Conclusions: Findings from this study indicated that perceived barriers, perceived self-efficacy, and educational status could be predictors of BSE behavior among the first- and second-degree relatives of patients with breast cancer. Therefore, BSE training programs that emphasize self-efficacy and address perceived barriers are recommended.

Keywords

Breast cancer;breast self-examination;health belief;relatives

References

  1. Arevian M, Noureddine S, Abboud S (2011). Belief related to breast cancer and breast cancer screening among Lebanese Armenian women. Health Care Women Int, 32, 972-89. https://doi.org/10.1080/07399332.2011.580405
  2. Avci AI (2008). Factors associated with breast self-examination practices and beliefs in female workers at a Muslim community. Eur J Oncol Nurs, 12, 127-33. https://doi.org/10.1016/j.ejon.2007.11.006
  3. Aydin I (2004). Knowledge and practices about breast self examination of university students. Ataturk Universitesi Hemsirelik Yuksekokulu Dergisi, 7, 26-34.
  4. Azaiza F, Cohen M (2006). Health belief and rates of breast cancer screening among Arab women. J Womens Health, 15, 520-30. https://doi.org/10.1089/jwh.2006.15.520
  5. Brain K, Norman P, Gray J, Mansel R (1999). Anxiety and adherence to breast self-examination in women with a family history of breast cancer. Psychosom Med, 61, 181-7. https://doi.org/10.1097/00006842-199903000-00010
  6. Canbulat N, Uzun O (2008). Health beliefs and breast cancer screening behaviours among female workers in Turkey. Eur J Oncol Nurs, 12, 148-56. https://doi.org/10.1016/j.ejon.2007.12.002
  7. Chalmers K, Marles S, Tataryn D, Scott-Findlay S, Serfas K (2003). Reports of information and support needs of daughters and sisters of women with breast cancer. Eur J Cancer Care, 12, 81-90. https://doi.org/10.1046/j.1365-2354.2003.00330.x
  8. Champion VL (1993). Instruent refinement for breast cancer screening behaviours. Nurs Res, 42, 139-43.
  9. Champion VL (1999). Revised susceptibility, benefits, and barriers scale for mammography screening. Res Nurs Health, 22, 341-8. https://doi.org/10.1002/(SICI)1098-240X(199908)22:4<341::AID-NUR8>3.0.CO;2-P
  10. Cohen M (2006). Breast cancer early detection, health beliefs, and cancer worries in randomly selected women with and without a family history of breast cancer. Psychooncology, 15, 873-83. https://doi.org/10.1002/pon.1018
  11. Ferlay J, Shin HR, Bray F, et al (2010). GLOBOCAN 2008 v2.0, Cancer Incidence and Mortality Worldwide: IARC CancerBase No. 10 [Internet]. Lyon, France: International Agency for Research on Cancer. .
  12. Gasalberti D (2002). Early detection of breast cancer by self-examination: the infl uence of perceived barriers and health conception. Oncol Nurs Forum, 29, 1341-7. https://doi.org/10.1188/02.ONF.1341-1347
  13. Gil F, Mendez I, Sirgo A, et al (2003). Perception of breast cancer risk and surveillance behaviours of women with family history of breast cancer: a brief report on a Spanish cohort. Psychooncology, 12, 821-7. https://doi.org/10.1002/pon.704
  14. Graham ME, Liggons Y, Hypolite M (2002). Health beliefs and self breast examination practice an health beliefs. J Cult Divers, 9, 49-54.
  15. Green BB, Taplin SH (2003). Breast cancer screening controversies. J Am Board Fam Pract, 16, 233-41. https://doi.org/10.3122/jabfm.16.3.233
  16. Lechner L, Nooijer DJ, Vries DH (2004). Breast self-examinaton:longitudinal predictors of intention ans subsequent behaviour. Eur J Cancer Prev, 13, 369-76. https://doi.org/10.1097/00008469-200410000-00003
  17. Manascievez R (2003). Editorial misses central point. Bri Med J, 26, 710.
  18. Nakhichevan N, Secginli S (2007). Health belief related to breast self-examination in a sample of Turkish women. Oncol Nurs Forum, 34, 425-32. https://doi.org/10.1188/07.ONF.425-432
  19. Norman P, Brain K (2005). An application of an extended health belief model to the prediction of breast self-examination among women with a family history of breast cancer. Br J Health Psychol, 10, 1-16. https://doi.org/10.1348/135910704X24752
  20. Park S, Hur HK, Kim G, Song H (2007). Knowledge, barriers and facilitators of Korean women and their spouses in the contemplation stage of breast self-examination. Cancer Nurs, 30, 78-84. https://doi.org/10.1097/00002820-200701000-00014
  21. Petro-Nustas W, Mikhail BI (2002). Factors associated with breast self-examination among Jordanian women. Public Health Nurs, 19, 263-71. https://doi.org/10.1046/j.1525-1446.2002.19406.x
  22. Rosenstock IM (1966). Why people use health services. Milbank Mem Fund Q, 44, 94-124. https://doi.org/10.2307/3348967
  23. Secginli S, Nahcivan NO (2006). Factors associated with breast cancer screening behaviours in a sample of Turkish women: a questionnaire survey. Int J Nurs Stud, 43, 161-71. https://doi.org/10.1016/j.ijnurstu.2005.02.004
  24. Siahpush M, Singh GK (2002). Sociodemographic variations in breast cancer screening behavior among Australian women: results from 1995 national health survey. Prev Med, 35, 174-80. https://doi.org/10.1006/pmed.2002.1063
  25. Smith RA (2003). Breast self examination: do we really know what we think we know? BMJ, 3, 168-9.
  26. Thomas DB, Gao DL, Ray RM, et al (2002). Randomized trial of breast self-examination in Shanghai: Final results. J National Cancer Institute, 94, 1445-57. https://doi.org/10.1093/jnci/94.19.1445
  27. Yilmaz M, Guler G, Bekar M, Guler N (2010). Risk of breast cancer, health beliefs and screening behaviour among Turkish Academic women and housewives. Asian Pac J Cancer Prev, 12, 817-22.
  28. Yi M, Park EY (2012). Effects of breast health education conducted bt trained breast cancer survivors. J Adv Nurs, 68, 1100-10. https://doi.org/10.1111/j.1365-2648.2011.05815.x

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