DOI QR코드

DOI QR Code

Assessment of the Effects of Breast Cancer Training on Women Between the Ages of 50 and 70 in Kemalpasa, Turkey

  • Mermer, Gulengul ;
  • Turk, Meral
  • Published : 2015.01.22

Abstract

Background: In both developed and developing countries; breast cancer is the major cancer observed in women. The aim of this study was to assess the effect of nursing and mammographic intervention on women with breast cancer between the ages of 50 and 70. Materials and Methods: A training program, which was quasi-experimental and had a pretest-protest design, was applied in Kemalpaaa district of Izmir, between October 2008 and August 2010. The target population was women between the ages of 50 and 70, who were registered in the list of 3rd Family Medicine Unit in Izmir's Kemalpasa metropolis. A total of 106 women who were in conformity with the study criteria participated in the study. Research data were collected through home visits that included face-to-face interviews; Ministry of Health education material and video films were modified and used for the training. Data analysis was performed through 82 women who were paired at the first and the second phase. Results: It was observed that although the rate of breast self examination significantly increased after the training (p=0.022), the rate of clinical breast examination (p=0.122) and mammographic screening (p=0.523) did not. Differences in the stages of change after training were found to be statistically significant (p<0.001) and the group showed a progression in the stages of change in general (46.3%). In women mean scores of breast cancer awareness (p<0.000), severity (p<0.000), health motivation (p<0.000) and perception of the benefits of mammography (p<0.000) increased significantly and mean score of perception of mammography barriers decreased significantly (p<0.000) after the training. Conclusions: After the training on breast cancer and mammography it was determined that nursing interventions provided positive progression of stages of change of women, affected health beliefs positively and significantly increased BSE incidences. However, it did not have a significant effect on CBE and mammographic screening.

Keywords

Nursing interventions;breast cancer;behavior change;mammography;Turkey

References

  1. Ahmad F, Cameron JI, Stewart DE (2005). A tailored intervention to promote breast cancer screening among South Asian immigrant women. Social Science & Medicine, 60, 575-6. https://doi.org/10.1016/j.socscimed.2004.05.018
  2. Avci IA, Kurt H (2008). Health beliefs and mammography rates of Turkish women living in rural areas. J Nurs Scholarsh, 40, 170- 175. https://doi.org/10.1111/j.1547-5069.2008.00222.x
  3. Avci IA, Kumcagiz H, Altinel B, Caloglu A (2014). Turkish female academician self-esteem and health beliefs for breast cancer screening, Asian Pac J C ancer Prev, 15, 155-160. https://doi.org/10.7314/APJCP.2014.15.1.155
  4. Aydin IA, Gozum S (2009) Comparison of two different educational methods on teachers' knowledge, beliefs and behaviors regarding breast cancer screening. Eur J Oncol Nurs, 13, 94-101. https://doi.org/10.1016/j.ejon.2009.01.004
  5. Burack R, Liang J (1989). The acceptance and completion of mammography by older black women. American Journal of Public Health, 79, 721-726. https://doi.org/10.2105/AJPH.79.6.721
  6. Buxton JA, Bottor JL, Balneaves LG, et al (2003). Women's perceptions of breast cancer risk: are they accurate? Can J Public Health, 94, 422-6.
  7. Carney PA, Harwoord BG, Greene MA, Goodrich ME (2005). Impact of a telephone counseling intervention on transitions in stage of change and adherence to interval mammography screening (United States). Cancer Causes and Control, 16, 799-807. https://doi.org/10.1007/s10552-005-2612-4
  8. Champion VL, Maraj M, Hui S, et al (2003) b. Comparison of tailored interventions to increase mammography screening in nonadherent older women. Preventive Medicine, 36, 150-158. https://doi.org/10.1016/S0091-7435(02)00038-5
  9. Champion VL, Monahan PO, Spring JK, et al (2008). Measuring mammography and breast cancer beliefs in African American women. J Health Psychol, 13, 827-37. https://doi.org/10.1177/1359105308093867
  10. Champion VL, Skinner CS (2003) a. Differences in perceptions of risk, benefits, and barriers by stage of mammography adoption. J Women's Health (Lacrchmt), 12, 277-86. https://doi.org/10.1089/154099903321667618
  11. Champion VL, Sprigston JK, Zollinger TW, et al (2006). Comparison of three interventions to increase mammography screening in low income African American women. Cancer Detect Prev, 30, 535-44. https://doi.org/10.1016/j.cdp.2006.10.003
  12. Clark MA, Rakowski W, Ehrich B, et al (2002). The effect of a stage-matched and tailored intervention on repeat mammography. Am J Prev Med, 22, 1-7.
  13. Coleman EA, Stewart CB, Wilson S, et al (2004). An evaluation of standardized patients in improving clinical breast examinations for military women. Cancer Nursing, 27, 474-82.
  14. Ceber E, Mermer G, Okcin F, et al (2013). Breast cancer risk and early diagnosis applications in Turkish women aged 50 and over. Asian Pac J Cancer Prev, 14, 5877-82. https://doi.org/10.7314/APJCP.2013.14.10.5877
  15. Davids SL, Schapira MM, McAuliffe TL, Nattinger AB (2004). Predictors of pessimistic breast cancer risk perceptions in a primary care population. J Gen Intern Med, 19, 310-5. https://doi.org/10.1111/j.1525-1497.2004.20801.x
  16. Demireloz M, Ceber E, Ozenturk G (2010). Midwives roles in women's improvement of protective behaviour against breast cancer whether they have a family history of cancer or not. Asian Pac J Cancer Prev, 11, 1-6.
  17. DeSantis C, Ma J, Bryan L, Jemal A (2014). Breast cancer statistics, 2013. CA Cancer J Clin, 64, 52-62. https://doi.org/10.3322/caac.21203
  18. Erbil N, Bolukbas N (2014). Health Beliefs and breast self-examination among female university nursing students in Turkey. Asian Pac J Cancer Prev, 15, 6525-6529. https://doi.org/10.7314/APJCP.2014.15.16.6525
  19. Erbil N, Bolukba. N (2012). Beliefs, attitudes, and behavior of Turkish women about breast cancer and breast self-examination according to a Turkish version of the Champion Health Belief Model Scale. Asian Pac J Cancer Prev, 13, 5823-8. https://doi.org/10.7314/APJCP.2012.13.11.5823
  20. Ferlay J, Soerjomataram I, Ervik M, et al (2013). GLOBOCAN 2012 v1.0, Cancer incidence and mortality Worldwide: IARC CancerBase No. 11 [Internet]. Lyon, France: International Agency for Research on Cancer; 2013. Available from: http://globocan.iarc.fr, Date of Access: Jully 15, 2014.
  21. Fowler BA, Rodney M, Roberts S, Broadus L (2005). Collaborative breast health intervention for African American women of lower socioeconomic status. Oncol Nurs Forum, 32, 1207-1216. https://doi.org/10.1188/05.ONF.1207-1216
  22. Glanz K, Rimer BK, Viswanath K. USA, San Francisco: Jossey-Bass Inc Pub; 2008. Health behavior and health education: Theory, Research, and Practice; pp. 45-65.
  23. Global Health Estimates (GHE), WHO 2013 (http://www.who.int/healthinfo/global_burden_disease/en/), Date of Access: Agust 10, 2014.
  24. Gozum S, Karayurt O, Kav S, Platin N (2010). Effectiveness of peer education for breast cancer screening and health beliefs in eastern Turkey. Cancer Nurs, 33, 213-20. https://doi.org/10.1097/NCC.0b013e3181cb40a8
  25. Gozum, S, Aydin I (2004). Validation evidence for Turkish adaptation of Champion's Health Belief Model Scales. Cancer Nurs, 27, 491-8.
  26. GozUm, S, Karayurt O, Aydin I (2004). The results of Turkish adaptations of Champion's Health Belief Model Scale at breast cancer screening. J Res Dev Nurs, 1, 71-85.
  27. Grindel CD, Brown L, Caplan L, Blumenthal D (2004). The effect of breast cancer screening messages on knowledge, attitudes, perceived risk, and mammography screening of African American women in the rural south. Oncol Nurs Forum, 31, 801-808. https://doi.org/10.1188/04.ONF.801-808
  28. Gucuk S, Uyeturk U (2013). Effect of direct education on breast self examination awareness and practice among woman in Bolu, Turkey. Asian Pac J Cancer Prev, 14, 7707-11. https://doi.org/10.7314/APJCP.2013.14.12.7707
  29. Hall CP, Hall JD, Priemer JT, Wimberley PD, Jones CH (2007). Effects of a culturally sensitive education program on the breast cancer knowledge and beliefs of Hispanic women, Oncol Nurs Forum. 34, 1195-202. https://doi.org/10.1188/07.ONF.1195-1202
  30. Hall CP, Wimberley PD, Hall JD, et al (2005). Teaching breast cancer screening to African American women in the Arkansas Mississippi river delta. Oncol Nurs Forum, 32, 857-63. https://doi.org/10.1188/05.ONF.857-863
  31. Han HR, Lee H, Kim MT, Kim KB (2009). Tailored lay health worker intervention improves breast cancer screening outcomes in non-adherent Korean-American women. Health Educ Res, 24, 318-29.
  32. Hayden J, USA: Jones and Bartlett Learning; 2009. Introduction to health behavior theory; pp. 31-7.
  33. Health Ministry of Turkish Republic, Public Health Agency of Turkey, Department of Cancer, Statistics of 2009. (http://kanser.gov.tr/daire-faaliyetleri/kanser-istatistikleri/922-2009-kanser-insidanslar%C4%B1.html), Date of Access: June 17, 2014.
  34. Ho TV (2007). Effects of an educational intervention on breast cancer screening and early detection in Vietnamese American women. Oncol Nurs Forum, 34, 481.
  35. Hur HK, Kim GY, Park SM (2005). Predictors of mammography participation among rural Korean women age and over. J Korean Acad Nurs, 35, 1443-1450.
  36. International Agency for Research on Cancer (2001). Breast Cancer Screening. Lyon,IARC Handbooks of Cancer Prevention Vol. 7.
  37. Jebbin NJ, Adotey JM (2004). Attitudes to, knowledge and practice of breast self-examination (BSE) in Port Harcourt. Niger J Med. 13, 166-170.
  38. Jemal A, Bray F, Center MM, et al (2011). Global Cancer Statistics. Cancer J Clin, 61, 69-90. https://doi.org/10.3322/caac.20107
  39. Kim JH, Menon U (2009). Pre-and postintervention differences in acculturation, knowledge, beliefs, and stages of readiness for mammograms among Korean American women. Oncol Nurs Forum, 36, 80-92. https://doi.org/10.1188/09.ONF.E80-E92
  40. McCready T, Littlewood D, Jenkinson J (2005). Breast self-examination and breast awareness: a literature review. J Clin Nursing, 14, 570-578. https://doi.org/10.1111/j.1365-2702.2004.01108.x
  41. Moodi M, Rezaeian M, Mostafavi F, Sharifirad GZ (2012). Determinants of mammography screening behavior in Iranian women: a population-based study. J Res Med Sci, 17, 750-9.
  42. Nahcivan N, Secginli S (2003). Attitudes and behaviors towards early diagnosis of breast cancer: a guide to the use of the health belief model. Cumhuriyet University J Nurs School, 7, 33-38.
  43. Price J, Desmond S, Slenker S, Smith, D, Stewart PW (1992). Urban Black women's perception of breast cancer and mammography. J Comm Health, 17, 191-204. https://doi.org/10.1007/BF01321652
  44. Rahman S, Price JH, Dignan M, et al (2009). Access to mammography facilities and detection of breast cancer by screening mammography: A GIS approach. Int J Canc Prev, 2, 403-13.
  45. Rezaeian M, Sharifirad G, Mostafavi F, Moodi M, Abbasi MH (2014). The effects of breast cancer educational intervention on knowledge and health beliefs of women 40 years and older, Isfahan, Iran. J Educ Health Promot, 3, 43.
  46. Russell KM, Champion VL, Skinner CS (2006). Psychosocial factors related to repeat mammography screening over 5 years in African American women. Cancer Nursing, 29, 236- 243. https://doi.org/10.1097/00002820-200605000-00012
  47. Ryu E, Ahn O, Baek SS, et al (2008). Predictors of mammography uptake in Korean women aged 40 years and over. J Adv Nurs, 64, 168-175. https://doi.org/10.1111/j.1365-2648.2008.04772.x
  48. Secginli S, Nahcivan NO (2011). The effectiveness of a nurse-delivered breast health promotion program on breast cancer screening behaviours in non-adherent Turkish women: A randomized controlled trial. Int J Nurs Stud, 48, 24-36. https://doi.org/10.1016/j.ijnurstu.2010.05.016
  49. Secginli S, Nahcivan N (2004). Breast Cancer Screening Belief Scale Among Turkish Women. Cancer Nursing, 27, 287. https://doi.org/10.1097/00002820-200407000-00005
  50. Secginli S, Nahcivan N (2006). Factors associated with breast cancer screening behaviors in a sample of Turkish women: a questionnaire survey. Science Direct, 43, 161-171.
  51. Tabar L, Yen M, Vitak B, et al (2003). Mammography service screening and mortality in breast cancer patients: 20-year follow-up before and after introduction of screening. Lancet, 361, 1405-10. https://doi.org/10.1016/S0140-6736(03)13143-1
  52. Vol. 2011. Atlanta: American Cancer Society; 2011. American Cancer Society (ACS). Cancer facts and figures 2011; pp. 9-10.
  53. WHO (2014). Breast cancer: prevention and control. http:// www.who.int/cancer/ detection/ breastcancer/en/index3. html. Date of Access: october 7, 2014.
  54. Wood RY, Duffy ME, Morris SJ, Carnes JE (2002). The effect of an educational intervention on promoting breast self-examination in older African-American and Caucasian women. Oncology Nursing Forum, 29, 1081-90. https://doi.org/10.1188/02.ONF.1081-1090
  55. Yabroff KR, Mandelblatt JS, (1999). Interventions targeted toward patients to increase mammography use. Cancer Epidemiol Biomarkers Prev, 8, 749-757.
  56. Yilmaz D, Bebis H, Ortabag T (2013). Determining the awareness of and compliance with breast cancer screening among Turkish residential women. Asian Pac J Cancer Prev, 14, 3281-8. https://doi.org/10.7314/APJCP.2013.14.5.3281

Cited by

  1. Interventions Promoting Breast Cancer Screening Among Turkish Women With Global Implications: A Systematic Review vol.14, pp.4, 2017, https://doi.org/10.1111/wvn.12245
  2. The Effect of Education on the Early Diagnosis of Breast and Cervix Cancer on the Women’s Attitudes and Behaviors Regarding Participating in Screening Programs pp.1543-0154, 2017, https://doi.org/10.1007/s13187-017-1193-8