Women's Health Nursing (여성건강간호학회지)

Korean Society of Women Health Nursing (한국여성건강간호학회)
권호 표지
DOI QR코드

DOI QR Code

Knowledge, Attitude, and Practice of Obstetric Nurses in Relation to Breast Cancer and Breast Self-examination

산과 간호사의 유방암과 유방자가검진에 대한 지식, 태도 및 실천

  • Received : 2010.10.18
  • Accepted : 2011.03.07
  • Published : 2011.03.20
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study aims to determine obstetrics nurses knowledge, attitude, and practice about breast cancer and breast self-examination (BSE), and to contribute to the early detection of breast cancer during breastfeeding periods. Methods: For the survey, 163 individuals (obstetric nurses) were chosen by convenience sampling and agreed to participate in the study. Their knowledge, attitude, and practice about breast cancer and BSE. Results: Knowledge and attitude averaged $70.45{\pm}10.90$ (of 100) and $3.64{\pm}0.27$ (of 5), respectively. While most nurses (99%) recognized the importance of BSE, only 58.9% experienced BSE. BSE practice level averaged $8.35{\pm}1.96$ (of 12). Only 20.2% had recommended BSE to their clients. Practice level varied significantly for different marital status, breastfeeding experience, and education, while knowledge and attitude remained independent. Nurses who had experienced mammogram or breast ultrasonogram themselves scored higher in knowledge. Attitude was higher for nurses who received recommendation for BSE, performed BSE, received BSE education, or recommended BSE to clients. Practice level was higher for nurses who received BSE education or willing to perform BSE in future. Practice level had a positive correlation with attitude but no correlation to knowledge. Conclusion: Obstetric nurses need continuing education for practicing BSE. Practical BSE education can not only promote preventive behavior of nurses, but it can also improve the breast health management of obstetrical clients.

Keywords

References

  1. Bergfeldt, K., Nilsson, B., Einhorn, S., & Hall, P. (2001). Breast cancer risk in women with a primary ovarian cancer - A case-control study. European Journal of Cancer, 37, 2229-2234. https://doi.org/10.1016/S0959-8049(01)00282-9
  2. Budden, L. (1998). Registered nurses' breast self-examination practice and teaching to female clients. Journal of Community Health Nursing, 15 (2), 101-112. https://doi.org/10.1207/s15327655jchn1502_4
  3. Shin, H. R., Won, Y. J., Jung, K. W., Kong, H. J., Yim, S. H., Lee, J. K., et al. (2005). Nationwide cancer incidence in Korea, 1999-2001: First results using the National Cancer Incidence Database. Cancer Research and Treatment, 37 , 325-331. https://doi.org/10.4143/crt.2005.37.6.325
  4. Choi, K. O. (1994). A study of nurse's knowledge, attitudes and practices of breast self-examination. Journal of Korean Academy of Adult Nursing, 6 (1), 80-100.
  5. Cohen, J. (1988) Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdal, NJ: Lawrence Earlbaum Associates.
  6. Ertem, G., & Kocer, A. (2009). Breast self-examination among nurses and midwives in Odemis health district in Turkey. Indian Journal of Cancer, 46 (3), 208-213. https://doi.org/10.4103/0019-509X.52955
  7. Hwang, M. A. (2009). The relationships between breast selfexamination knowledge, health belief, self-efficacy and practice of nurse. Unpublished master's thesis, Gyeongsang National University, JinJu.
  8. Kim, A. L. (1994). The effect of audiovisual information with videotape influencing on knowledge and attitude of breast self examination. Journal of Korean Academy of Adult Nursing, 6 (1), 112-124.
  9. Kim, E. G. (2003). Factors influencing on the compliance of breast self-examination among women and nurse. Unpublished master's thesis, Pusan National University, Busan.
  10. Kim, E. K., Lee, H. J., Ahn, S. H., & Chung, E. S. (2003). Factors influencing on the compliance of breast self-examination of nurses in a local area. Journal of Korean Academy of Nursing, 33 (7), 1048-1056
  11. Lee, C. H., Kim, Y. I., Jung, H. S., & Kim, J. Y. (2005). Analysis of factors affecting occupational health nurses' early breast cancer screening. Journal of Korean Community Nursing, 16 (1), 68-76.
  12. Lee, E. J. (2002). Affecting factors of breast self-examination practice among hospital nurses. Unpublished Doctoral Dissertation, Daejeon University, Daejeon.
  13. Lee, E. H. (2003). Breast self-examination performance among Korean nurses. Journal of Nurses in Staff Development, 19, 81-87. https://doi.org/10.1097/00124645-200303000-00005
  14. Lee, E. S. (2002). The role of breast self-examination and mammography, Journal of Radiological Science and Technology, 21 (1), 7-11.
  15. Lee, S. R. (2001). A case-control study on related factors of breast cancer in Korean women. Journal of Public Health Social Science, 10, 97-115.
  16. National Cancer Center (n.d.). National cancer control program. Retrieved April 1, 2006 from http://www.ncc.re.kr/index.jsp
  17. Paik, N. S. (2009, October). Current status of breast cancer in Korea, Panel discussion at the annual meeting of the global breast cancer conference, Seoul, Korea.
  18. Park, N. J., & Kang, D. H. (2006). Breast cancer risk and immune responses in healthy women. Oncology Nursing Forum, 33 (6), 1151-1159. https://doi.org/10.1188/06.ONF.1151-1159
  19. Park, S. M., Hur, H. K., Kim, G. Y., & Song, H. Y. (2007). A descriptive study for developing a program to promote compliance with regular breast self-examination (BSE). Korean Journal of Women Health Nursing, 13 (2), 88-97.
  20. Park, S. M., Kim, B. H., Park, M. J., Ahn, Y. H., & Chung, C. W. (2010). Effects on nursing students of cognition-behavior integrated breast cancer prevention education using an interchangeable nodule model. Korean Journal of Women Health Nursing, 16 (2), 166-176. https://doi.org/10.4069/kjwhn.2010.16.2.166
  21. Report about Health Problems and Policies by Women Lifecycle (2000). Seoul: Ministry of Health & Welfare.
  22. Rothestein, W. G. (2006). Dietary fat, coronary heart disease and cancer: A historical review. Preventive Medicine, 43, 356-360. https://doi.org/10.1016/j.ypmed.2006.07.013
  23. Salazar, M. K., & Carter, W. B. (1993). Evaluation of breast selfexamination beliefs using a decision model. Western Journal of Nursing Research, 15, 403-421. https://doi.org/10.1177/019394599301500402
  24. Seo, Y. O. (2003). The difference of women's knowledge, attitudes and practice education after education for breast self-examination. Journal of Korean Academy of Adult Nursing, 15 (1), 5-13.
  25. Sim, E. S. (2008). Factors of periodic medical check-up on breast cancer among nurses. Unpublished master's thesis, Kosin University, Busan.
  26. Smith, R. P., & D'orsi, C. J. (1999). Screening for breast cancer, Philadelphia: Lippincott Willams and Wilkins.
  27. Son, B. H., Ahn, S. H., Kwak, B. S., Kim, J. K., Kim, H. J., Hong, S. J., et al. (2006). The recurrence rate, risk factors and recurrence patterns after surgery in 3,700 patients with operable breast cancer. Journal of Korean Breast Cancer, 9, 134-144. https://doi.org/10.4048/jbc.2006.9.2.134
  28. Soyer, M. T., Ciceklioglu, M., & Ceber, E. (2007). Breast cancer awareness and practice of breast self examination among primary health care nurses: Influencing factors and effects of an in-service education. Journal of Community Nursing, 16 (4), 707-715.
  29. Tae, Y. S., & Kim, S. J. (2003). Knowledge, attitudes and practices about breast self-examination of clinical nurses, Kosin Medical Journal, 18 (1), 128-141.
  30. Yang, S. A. (1996). A study on the relationship between practice of breast self-examination and health belief model variables in middle aged women. Unpublished master's thesis, Ewha Womans University, Seoul.

Cited by

  1. 일 지역 여고생의 유방자가검진에 대한 지식 및 태도가 유방자가검진 실천의지에 미치는 영향 vol.31, pp.2, 2011, https://doi.org/10.14367/kjhep.2014.31.2.79
  2. 미혼 간호사의 Pap 검진의도 영향요인 vol.20, pp.3, 2011, https://doi.org/10.4069/kjwhn.2014.20.3.225
  3. Intrinsic Motivation Factors Based on the Self-Determinant Theory for Regular Breast Cancer Screening vol.15, pp.23, 2011, https://doi.org/10.7314/apjcp.2014.15.23.10101
  4. Barriers to Breast Cancer Screening in Nursing and Midwifery Personnel of Hospitals of Birjand, Iran vol.14, pp.1, 2017, https://doi.org/10.5812/modernc.11720
  5. Effect of an Integrated Breast Health Program for Pregnant Women on Knowledge, Attitude, and Early Screening Practice Related to Breast Cancer vol.28, pp.2, 2021, https://doi.org/10.22705/jkashcn.2021.28.2.186