여대생 자녀의 유방암 교육이 어머니들의 유방암조기검진 증진에 미치는 영향

The Effects of Daughter's Breast Health Education on Mother's Breast Cancer Screening Attitude

  • 투고 : 2010.06.26
  • 심사 : 2010.09.14
  • 발행 : 2010.09.30

초록

Purpose: This study was to explore the effects of breast cancer education for college students on their mother's breast cancer screening promotion. Methods: This study used a one-group pretest and posttest design. Data were collected from September to November, 2007 from a sample of 80 college students and their mothers using a survey questionnaire, which asked about demographic variables, concerns over health and breast cancer, communication, stage of change and attitude (pros and cons) related to breast cancer, and confidence in breast self-examination. The college students received education about breast cancer for 50 minutes and then they educated their mothers about breast cancer. Data were analyzed with descriptive statistics and paired t-test. Results: The mean age of the college students was 22.0 years, and that of their mothers 49.4 years with a range from 43 to 58 years. After receiving education on breast cancer, there were significant changes in the mean scores of concerns about health and breast cancer, communication, pros in mammography, and confidence in practicing breast self-examination. Conclusion: This study indicates that education on breast cancer to mothers through their college-age daughters is effective and can be utilized to promote breast cancer screening for women.

키워드

참고문헌

  1. Ahn, S., Yoo, K. Y., & The Korean Breast Cancer Society (2006). Chronological changes of clinical characteristics in 31,115 new breast cancer patients among Koreans during 1996-2004. Breast Cancer Research Treat, 99, 209-214. https://doi.org/10.1007/s10549-006-9188-x
  2. Bae, S. S., Jo, H. S., Kim, D. H., Choi, Y. J., Lee, H. J., Lee, T. J., et al. (2008). Factors associated with gastric cancer screening of Koreans based on a socioecological model. Journal of Preventive Medicine and Public Health, 41 (2), 100-106. https://doi.org/10.3961/jpmph.2008.41.2.100
  3. Bouchardy, C., Morabia, A., Verkooijen, H. M., Fioretta, G., Wespi, Y., & Schafer, P. (2006). Remarkable change in age-specific breast cancer incidence in the Swiss canton of Geneva and its possible relation with the use of hormone replacement therapy. BioMed Central Cancer, 22 (6), 78.
  4. Ceber, E., Yucel, U., Mermer, G., & Ozenturk, G. (2009). Health beliefs and breast self-examination in a sample of Turkish women academicians in a university. Asian Pacific Journal of Cancer Prevention, 10 (2), 213-218.
  5. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). New Jersey: Lawrence Erlbaum Associates.
  6. Fox, S. A., Heritage, J., Stockdale, S. E., Asch, S. M., Duan, N., & Reise, S. P. (2009). Cancer screening adherence: Does physician-patient communication matter? Patient Education and Counseling, 75 (2), 178-184. https://doi.org/10.1016/j.pec.2008.09.010
  7. Health Policy Team in Ministry of Health and Welfare (2005). Health plan 2010: Sectional detail plan. Gwacheon: Ministry of Health and Welfare.
  8. Ju, H. O., Kim, J. S., Cho, Y. S., Park, N. H., Yo, Y. S., Cho, Y. R., et al. (2003). A survey on cancer screening among nurses at general hospital in Busan. Korean Journal of Women Health Nursing, 9 (1), 18-27.
  9. Juon, H., Kim, M., Shankar, S., & Han, W. (2004). Predictors of adherence to screening mammography among Korean American women. Preventive Medicine, 39 (3), 474-481. https://doi.org/10.1016/j.ypmed.2004.05.006
  10. Kang, H. S., Thomas, E., Kwon, B. E., Hyun, M. S., & Jun, E. M. (2008). Stages of change: Korean women's attitudes and barriers toward mammography screening. Health Care for Women International, 29 (2), 151-164. https://doi.org/10.1080/07399330701738176
  11. Kara, B., & Acikel, C. H. (2009). Health belief and breast selfexamination in a sample of Turkish nursing students and their mothers. Journal of Clinical Nursing, 18 (10), 1412-1421. https://doi.org/10.1111/j.1365-2702.2007.02241.x
  12. Kim, S. H., Yi, J. H., Kim, K. K., & Shin, A. S. (2005). Factors associated with compliance to breast self-examination. Journal of Health and Social Science, 17, 57-77.
  13. Kim, T. K. (2008). Development of a prediction model of the intention of mammography in women. Unpublished doctoral dissertation, Hanyang University, Seoul.
  14. Lee, Y. J. (2003). Predicting factors corresponding to the stage of adaptation for mamography based on transtheoretical model. Unpublished doctoral dissertation, Yonsei University, Seoul.
  15. Malak, A. T., & Dicle, A. (2007). Assessing the efficacy of a peer education model in teaching breast self-examination to university students. Asian Pacific Journal of Cancer Prevention, 8 (4), 481-484.
  16. National Cancer Information Center (2010, september 4). Guideline to exam for breast cancer. Retrieved July 30, 2010, from http://www.cancer.go.kr/cms/cancer/prophylaxis/03/1190618_1755.html
  17. Park, S. M., Hur, H. K., Park, M. J., & Song, H. Y. (2006). Effects of action oriented breast self-examination (BSE) education on knowledge, self-efficacy, and performance competence in nursing students. Korean Journal of Women Health Nursing, 12 (1), 47-52.
  18. Park, S. Y. (2005). The change of quality of life, depression and family support according to the process of treatment in breast cancer patients. Unpublished master thesis, Chungnam National University, Daejeon.
  19. Pearlman, D. N., Rakowski, W., Clark, M. A., Ehrich, B., Rimer, B. K., Goldstein, M. G., et al. (1997). Why do women's attitude toward mammography change over time? Implications for physician-patient communication. Cancer Epidemiol Biomarkers and Prevention, 6, 451-457.
  20. Rakowski, W., Clark, M. A., Pearlman, D. N., Ehrich, D., Rimer, B. K., Goldstein, M. G., et al. (1997). Integrating pros and cons for mammography and pap testing: Extending the construct of decisional balance to tow behaviors. Preventive Medicine, 26 (5), 664-673. https://doi.org/10.1006/pmed.1997.0188
  21. Ryu, E., Ahn, O., Baek, S. S., Jeon, M. S., Han, S. E., Park, Y. R., et al. (2008). Predictors of mammography uptake in Korea women aged 40 years and over. Journal of Advanced Nursing, 64 (2), 168-175. https://doi.org/10.1111/j.1365-2648.2008.04772.x
  22. Shaw, J. E., Tessaro, I. A., Herman, C. J., & Giese, E. A. (1997). Predictors of the performance of breast and cervical cancer early detection by public health nurses. American Journal of Preventive Medicine, 13 (3), 199-204. https://doi.org/10.1016/S0749-3797(18)30194-6
  23. Sigband, L. (2001). The impact of maternal breast cancer on the adolescent daughter: A proposed program for preventive treatment. Unpublished doctoral dissertation, University of California-Berkeley, California, USA.
  24. Sinicrope, P. S., Brockman, T. A., Patten, C. A., Frost, M. H., Vierkant, R. A., Petersen, L. R., et al. (2008). Factors associated with breast cancer prevention communication between mothers and daughters. Journal of Women's Health, 17 (6), 1017-1023. https://doi.org/10.1089/jwh.2007.0497
  25. Sinicrope, P. S., Patten, C. A., Clark, L. P., Brockman, T. A., Frost, M. H., Petersen, L. R., et al. (2009). Adult daughters' reports of breast cancer risk reduction and early detection advice received from their mothers: an exploratory study. Psychooncology, 18, 169-178. https://doi.org/10.1002/pon.1393
  26. Smigal, C., Jemal, A., Ward, E., Cokkinides, V., Smith, R., Howe, H., et al. (2006). Trends in breast cancer by race and ethnicity: Update 2006. CA: A Cancer Journal for Clinicians, 56, 168-183. https://doi.org/10.3322/canjclin.56.3.168
  27. Thompson, J. (2005). The effects of a mother's breast cancer on her relationship with her adolescent daughter. Unpublished doctoral dissertation, University of Chicago, Illinois, USA.
  28. Wu, T. Y., Heish, H. F., & West, B. T. (2008). Demographics and perceptions of barriers toward breast cancer screening among Asia-American women. Women's Health, 48 (3), 261-281. https://doi.org/10.1080/03630240802463384
  29. Yang, Y. H. (2007). The effects of a BSE (Breast Self-Examination) education program on knowledge, self-efficacy and performance level in female nursing students. The Journal of Korean Academy Society of Nursing Education, 13 (2), 277-283.