• 기본간호학회지
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• 제14권2호
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• pp.189-197
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• 2007

Purpose: Breast cancer is a common cancer in women in Korea. Early detection of breast cancer is very important for the protection of a woman's health. The purpose of this quasi-experimental study was to determine the effect of BSE education on knowledge, self efficacy and performance in middle-aged women. Method: The participants were 33 women who agreed to participate in the study. They responded to a questionnaire that included items on knowledge, self-efficacy and performance of BSE. The experimental group was given a 90 minute-session including a lecture and practice with a BSE practice model and their own body. Their knowledge of the BSE was measured using Choi's tool and self-efficacy was measured using the scale by Champion and Scott. Results: Homogeneity for knowledge, self-efficacy and performance of BSE between the experimental and the control groups was confirmed. After 3 months of BSE education, knowledge, self-efficacy and frequency of BSE performance in the experimental group were significantly higher than for the women in the control group. Conclusion: A BSE education program would be helpful to enhance health behavior by early detection of breast cancer in middle-age women.

• 한국간호교육학회지
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• 제13권2호
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• pp.277-283
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• 2007

Purpose: The purpose of this study was to determine the effect of BSE education and practice on knowledge, self efficacy and performance in female nursing students. Method: The subjects consisted of 40 students from 2 nursing colleges. They responded to questionnaires that included knowledge, self-efficacy and performance of BSE within a 3-month interval. The experimental group was subjected to a 90 minute-educational session. Their knowledge of BSE was measured using Choi's tool and self-efficacy was measured using Champion and Scott. Result: Self-efficacy and frequency of BSE performance in the experimental group were significantly higher than those of the control group while BSE knowledge was not significantly different between the two groups. Conclusion: Nursing students don't put their knowledge into practice. This fact suggests that changing a behavior needs something more than knowledge. In this study, the BSE education had an effect on self-efficacy and performance. Therefore, practical education needs to be reinforced for nursing students to perform BSE for their own health and to be able to demonstrate it for clients.

• 보건교육건강증진학회지
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• 제20권3호
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• pp.77-90
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• 2003

The purpose of this study was to identify the influencing factors on the compliance of breast self-examination (BSE) among 205 Christian women living in Pusan and U1san areas. Structured self-administered questionnaires were used. Knowledge levels were measured by the instrument developed by Choi(l996). Self- efficacy and health belief were measured by the instruments developed by Champion (1993) and modified by Choi(1996). Women who did BSE more than once within 6 months were categorised as compliant. Data was analyzed by descriptive statistics, t- test, χ² test and logistic regression analysis using SPSS WIN program. The results of this study were summarized as follows； 1. 15.1％ of women performed the BSE at least once during the last 6 months. 2. Non-complier and compliant women showed statistically significant differences in the level of self efficacy and barriers. 3. Predictors of BSE compliance were ‘history of having breast disease’, ‘experience of receiving recommendation for BSE’, ‘barriers’, and ‘experience of meeting with breast cancer patients’ and explained 14.8％ of variance in compliance of BSE. For future clinical practice, health professionals, including nurses, need to actively suggest to women the importance of BSE, and to distribute the information through posters and pamphlets at clinics and public health centers. Including the opportunity to meet patients in health education centers can be another strategy to increase women's motivation for BSE. For future research, it is necessary to recruit women from broader geographic areas utilizing various sources such as community centers to increase generalizability of the findings.

• 동서간호학연구지
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• 제19권1호
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• pp.37-45
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• 2013

Purpose: The purpose of this study was to investigate the level of knowledge, health belief, and self-efficacy affecting on breast self-examination (BSE), and to identify factors influencing the practice of BSE of women in their 30's and 40's. Methods: With a correlation survey design, 194 women in their 30's and 40's were recruited at 4 culture centers in Busan via convenience sampling. Measures were included with knowledge, health belief, and self-efficacy for breast self-examination and level of BSE practice. Results: Level of knowledge, health belief and self-efficacy for BSE were greater than medium level. BSE practice had positive correlations with subscales of health belief, except barrier and self-efficacy, but no relationship with knowledge. Self-efficacy, sensitivity, and benefit among the entered variables were significant factors influencing the practice of BSE, and explanatory power of these variables was 32.8%. Conclusion: Based on this study, studies are required to compare through repeated research according to age, education, occupation, environmental characteristics. In addition, to maximize the educational effect, development of the educational program in conjunction with the local community to increase breast self-examination practice and research about the effectiveness are needed.

• 성인간호학회지
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• 제18권3호
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• pp.416-425
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• 2006

Purpose: To evaluate the effects of a follow-up program for breast cancer patients after surgery. Method: A quasi-experimental design was used. The subjects were 56 breast cancer patients (experimental group: 27, control group: 29). The subjects of the experimental group participated in the Follow-up program of 7 sessions once a week, during 4 weeks including one telephone visit. The program consisted of health education of breast cancer, exercise, lymph edema prevention, diet education, theraband rehabilitation exercise, laugh therapy, and breast self examination. The obtained data were analysed by using the ANCOVA of SPSS. Results: There was a significant difference in the scores of physical wellbeing, symptom distress and mood state between the two groups. Conclusion: Considering these research results, short-term intervention could improve physical and emotional functioning abilities by helping better health. Nurses should establish and manage a proper program to provide multipurpose support and it must apply the program after surgery as soon as possible for breast cancer women.

• 지역사회간호학회지
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• 제7권2호
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• pp.281-293
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• 1996

Breast cancer ranks as one of the major health problems of adult women. Studies have shown that Breast Self-Examination (BSE) is effective in detecting breast cancer in its early stages. To motivate women BSE practicing, a nonequivalent control group pretest-posttest design was conducted. Women 40 years or older who participated in the public education program for BSE from March 11 to April 6, 1996, were randomized in an experimental group(N=50) which received a letter about the Breast Cancer Risk Appraisal and in a control group(N=50) which didn't received a letter about the Breast Cancer Risk Appraisal. After 6 months, a follow-up phone survey was taken on all participants to measure the effectiveness of the intervention. Collected data was analyzed by one, two, and three-way ANOVA with an SAS program. The results are summarized as follows : 1. The level of the Breast Cancer Risk Appraisal of the subjects is high risk(17%), moderate risk(12%), boderline risk(14%), no increased risk (57%). 2. The intervention was effective in increasing the practice scores of BSE for women(F=5.12, P<.05). 3. BSE practice scores according to breast cancer risk appraisal level of the experimental group was not significantly increased after the intervention as contrasted with the control group (F=2.33, P>.05). 4. BSE practice scores according to educational level of the experimental group was significantly increased after the intervention, as contrasted with that of the control group (F=10.09, P<.001) .On the basis of this study it can be concluded that the Breast Cancer Risk Appraisal increases practice of BSE.

• 대한간호학회지
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• 제24권4호
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• pp.678-695
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• 1994

The purpose of this study was to investigate knowledge, attitudes and practices of women toward breast self-examination and to identify factors that may influence compliance with breast examination. The subjects for this study were 282 women in three hospitals located in In-Chun. Data were collected during the period from October 15 to 30, 1993 by means of a structured questionnaire. The data were analyzed using the SAS program and include descriptive statistics, 1-test, ANOVA, Pearson correlation coefficient and stepwise multiple regression. The results of study are as follows : 1. The mean knowledge score for the total sample was 13.58. Factors affecting the women's knowledge of breast cancer and BSE were : age, level of education, experience with breast cancer patients, experience in learning BSE, information about BSE, self-practice of BSE, level of intention to perform BSE, and participation in a BSE class. 2. Elements related to attitude included : (a) perceived feeling of susceptibility to breast cancer, and (b) belief about the effectiveness of BSE. The mean perceived susceptibility score was 1.62 and the mean effectiveness score was 4.22. Factors affecting the women's perceived susceptibility to breast cancer were exercise for health, level of intention to perform BSE , intention to recommend to others and self-practice of BSE. The relation between the womens' belief about effectiveness of BSE and level of intention to perform BSE and intention to recommend to others were statistically significant. 3. The mean self-practice score for the total sample was 4.01. Factors affecting the women's practice were experience with breast cancer patients, information about BSE, experience in learning BSE, enlisting the help of significant peers, and level of intention to perform BSE. Results indicated 35.8% of the total sample practiced BSE. The most frequent reason women gave for not performing BSE was “Didn’t knew about BSE technique”, “Didn’t think do it”. 4. No relation was found between knowledge and attitudes and practices. 5. When all the variables were examined for their contribution to the variance in the practice of BSE, it was found that confidence in ability to detect a mass by BSE, knowledge about breast cancer and BSE, and experience with breast cancer patients were significant variables and explained 35.8% of the variance. From the results of this study it can be said that women need to be taught proper BSE technique so they can become more proficient in detecting breast abnormalities.

• 재활간호학회지
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• 제2권2호
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• pp.225-233
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• 1999

The purpose of this study is to determine the need of education about BSE for the medical members, to survey about the performance and the knowledge of BSE in patients who operated on subtotal and total mastectomy and to compare the regularity of BSE with the severity of breast cancer. The subjects were 163 patients with operated on mastectomy who participated were interviewed in the S university Hospital. The collected data were analyzed by descriptive statistics and t-test, One-way ANOVA and Pearson Correlation with SPSSWIN program. Results were obtained as follows: 1. There was no statistical difference between in the regular group of the mammography and the regular BSE group(F=0.558, P=0.458). 2. There was statistical difference between the method of detection and the severity of the breast cancer(F=3.359, P=0.011). 3. There was statistical difference between regularity of the BSE and the severity of breast cancer(F=3.301, P=0.019). 4. There was showed higher severity of the breast cancer in the elderly patients(r=0.172, P=0.019). 5. There was showed higher severity of the breast cancer in the lower educational level(r=-0.170, P=0.033). According to this study need to the development of the educational program about the BSE and the future research about the regular BSE of the high risk group in the breast cancer.

• Asian Pacific Journal of Cancer Prevention
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• 제15권24호
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• pp.10943-10947
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• 2015

Background: This study aimed to understand the relationship between knowledge level and behavior on breast care in Chinese students, so as to provide strategies for improving the health education of breast care and subsequently for aiding in breast cancer prevention. Materials and Methods: A self-designed questionnaire was used to evaluate breast care knowledge level and characterize related behavior. Correlation analysis was conducted for the knowledge level and behavior. The study was carried out using 597 female undergraduate students in medical and non-medical colleges in Wuhu, China. Results: The average score of breast care knowledge was $5.32{\pm}1.68$ ($5.62{\pm}1.68$ and $5.00{\pm}1.68$ for medical and non-medical students, respectively), with a greater score value for sophomores ($5.59{\pm}1.72$) than freshmen ($5.18{\pm}1.65$). The average score of breast care behavior was $2.21{\pm}1.13$, again with a greater value in sophomores ($2.37{\pm}1.15$) than freshmen ($2.21{\pm}1.13$). A significant positive correlation (r=0.231, p<0.01) between knowledge scores and behavior scores was observed. In addition, various factors, including paying attention to breast care information, receiving breast self-examination guidance, TV program and Internet, were found to influence breast care knowledge. Conclusions: In general, female undergraduate students lack of self-awareness of breast care with a low rate of breast self-examination. It is necessary to carry out health education to improve early detection of breast cancer.

• 지역사회간호학회지
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• 제19권2호
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• pp.188-195
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• 2008

Purpose: The research purpose was analysis of the effect of a health education program for newly-married executed from 2003 to 2005 as a part of health care service from community health center and providing the fundamental source for health education needed during newly-married. Method: The data collection with structured questionnaires was conducted during October to December in 2006. From the health center 106 brides who participate the program and 130 brides who didn't participate. Health care program for newly married couple were composed health examinations and health educations. Health examinations were CBC, LFT and Ag & Ab prevallence rates of hepatitis B, rubella. Health educations were done two times, the first individual health education was done at enrolled in health center for establishment of desirable couple relationship, family planning, contraception method and management of pre-pregnancy. The second individual health education was done for explanation of blood examination results, prevention of the congenital deformity and the vertical transmission of hepatitis B, management for pregnancy, breast feeding method, introduction to safety delivery method and encouraging self-study using by materials made by health center after two weeks at revisiting health center. SPSS/PC(ver. 12.0) and $X^2$-test, t-test was used to analyze the collected and tabulated data. Socio-demographic characteristics and regional characteristics of residence area of two groups shows no significant difference. Result: As a variables of experimental effect. The natural childbirth rates of participants group was significantly higher than Non-participants group(p=.012). Breast feeding rates for participants group was also statistically significant higher than Non-participants group. Contraception rates showed no significant difference. The rubella vaccination rates (p=.001) and The hepatitis B vaccination rates (p=.012) shows statistical differences. Conclusion: Therefore health care program for newly married couple in a community health care center was effective generally. We supposed that explore participation ways for nonparticipants, expand the program to community health care center in whole country.