Effects of peer and group education on knowledge, beliefs and breast self-examination practice among university students in Turkey

DİCLE, Aklime; karayurt, ozgul; MALAK, Tuna Arzu

Effects of peer and group education on knowledge, beliefs and breast self-examination practice among university students in Turkey

Özgül KARAYURT, (Dokuz Eylül Üniversitesi, Hemşirelik Fakültesi, İzmir, Türkiye)

Aklime DİCLE, (Dokuz Eylül Üniversitesi, Hemşirelik Fakültesi, İzmir, Türkiye)

Tuna Arzu MALAK (Dokuz Eylül Üniversitesi, Hemşirelik Fakültesi, İzmir, Türkiye)

Turkish Journal of Medical Sciences

1 0

Yıl: 2009 Cilt: 39 Sayı: 1 Sayfa Aralığı: 59 - 66 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Effects of peer and group education on knowledge, beliefs and breast self-examination practice among university students in Turkey

Öz:

Amaç: Bu çalışmanın amacı, akran ve grup eğitiminin meme kanseri ile ilgili bilgi, inançlar ve kendi kendine meme muayenesine etkisini incelenmektir. Denekler ve Yöntem: Bu çalışmanın örneklemini, 59’u akran eğitimi ve 134’ü grup eğitimi verilen toplam 193 kız üniversite öğrencisi oluşturmuştur. Veriler, eğitim öncesi ve eğitimlerden altı ay sonra toplanmıştır. Veri toplama araçları sosyodemografik özellikler, meme kanseri ve KKMM bilgi, KKMM uygulama formları ve Champion Sağlık İnanç Modeli Ölçeğidir. Verilerin analizinde ki-kare, McNemar ki-kare, bağımsız gruplarda t, ve bağımlı gruplarda t testleri kullanılmıştır. Bulgular: Akran eğitimi sonrası ortalama bilgi puanları 42.08 ± 13.89’dan 65.26 ± 13.08’e (P < 0.001) ve grup eğitimi sonrası 41.44 ± 12.79’dan 63.74 ± 11.74’e yükselmiştir (P < 0.001). Akran eğitiminden altı aydan sonra düzenli olarak kendi kendine meme muayenesi yapma oranı %25.9’dan %55.7’ye (P < 0.001) ve grup eğitiminen sonra %45.5’den, %62.2’ye yükselmiştir (P < 0.001). Kendi kendine meme muayenesi ile ilgili algılanan yararlar ve güven artmış, algılanan engeller azalmıştır. Sonuç: Her iki eğitim yönteminde benzer şekilde, KKMM bilgisi ve uygulaması artmış, algılınan sağlık inançları gelişmiştir. Hemşireler ve diğer sağlık profesyonelleri, genç kadınlarda meme kanserine ilişkin farkındalığı artırmak için kaynaklarının uygunluğuna göre akran veya grup eğitimini seçebilirler.

Anahtar Kelime: Education Turkey Culture Health Knowledge, Attitudes, Practice Breast Neoplasms Breast Self-Examination

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. American Cancer Society, Breast Cancer Facts and Figures 2006. Available from: http://www.cancer.org/downloads/STT/CAFF 2005BrFacspdf2005.pdf
2. Ministry of Health. The most frequent ten cancers in females in Turkey, 2003. (online breast cancer resources center). Available from: http://212.175.169.156/KSDB/BelgeGoster.aspx?
3. Hakama M, Pukkala E, Kallio M, Godenhjelm K, Svinhufvud U. Effectiveness of screening for breast cancer in women under 50 years at entry: the Kokta Pilot Project in Finland. Int J Cancer 1995; 63: 55-7.
4. Semiglazov VF, Moiseenko VM, Manikhas AG, Protsenko SA, Kharikova RS, Ivanov VG et al. Role of breast self examination in early detection of breast cancer: Russia/WHO prospective randomized trial in St. Petersburg. Cancer Strategy 1999; 1: 145-51.
5. Thomas DB, Gao DL, Ray RM, Wang W, Allison C, Chen F et al. Randomized trial of breast self-examination in Shanghai: final results. J Natl Cancer Inst 1995; 94: 1445–57.
6. Larkin M. Breast self examination does more harm than good says task force. Lancet 2001; 357: 2109-10.
7. Vetto JT. Teaching breast self-examination: a tale of two cities. J Cancer Educ 2006; 21: 115-6.
8. Ministry of Health in Turkey. Control programme of breast cancer: Education on breast self examination. 2006. Available from: http://www.ukdk.org/pdf/kitap/27.pdf
9. Nemcek MA. Factors influencing black women’s breast self examination. Cancer Nurs 1989; 12: 339-43.
10. Rashidi A, Rajarom SS. Middle Eastern Asian Islamic women and breast self- examination. Cancer Nurs 2000; 23: 64-70.
11. Karayurt Ö, Dramalı A. Adaptation of Champion’s Health Belief Model Scale for Turkish women and evaluation of the selected variables associated with breast self-examination. Cancer Nurs 2007; 30: 69-77.
12. Sortet JP, Banks SR. Health belief of rural Appalachian women and the practice of breast self examination. Cancer Nurs 1997; 20: 231-5.
13. Foxal MJ, Barron CR, Houfek J. Ethnic differences in breast selfexamination practice and health beliefs. J Adv Nurs 1998; 27: 419-28.
14. Lierman LM, Young HM, Powel-Cope G, Georgiadou F, Benoliel JQ. Effects of education and support on breast self-examination in older women. Nurs Res 1994; 43: 158-63.
15. Tuna-Malak A, Dicle A. Assessing the efficacy of a peer education model in teaching breast self-examination to university students. Asian Pac J Cancer Prev 2007; 8: 481-4.
16. Seif NY, Aziz MA. Effect of breast self-examination training programme on knowledge, attitude and practice of a group of working women. J Egyptian Natl Cancer Inst 2000; 12: 105–15.
17. Lu ZJ. Effectiveness of breast self-examination nursing interventions for Taiwanese community target groups. J Adv Nurs 2001; 34: 163-70.
18. Özturk M, Engin VS, Kişioglu AN, Yılmazer G. Effects of education on knowledge about and attitude towards breast self examination among 25+ years old women. EJM 2000; 5: 13-17.
19. Aydin I, Gozum S. The effect on teachers' beliefs and behaviours at breast cancer screening of two different educational methods intention of early detection of breast cancer. Eur J Cancer Supplements 2005; 3: 452.
20. Thomas B, Stamler LL, Lafreniere KD, Delahunt TD. Breast health educational interventions: changes in beliefs and practices of working women. AAOHN J 2002; 50: 460-7.
21. Ortega-Altamirano D, Lopez-Carrillo L, Lopez-Cervantes M. Strategies for teaching self-examination of the breast to women in reproductive age. Salud Publica Mex 2000; 42: 17-25.
22. Attia AK, Rahman DAM, Kamel LI. Effect of an educational film on the health belief model and breast self-examination practice. EMHJ 1997; 3: 435-43.
23. Rosentock IM, Strecher VJ, Becker MH. Social learning theory and the health belief model. Health Educ Q 1988; 15: 175-83.
24. Janz NK, Becker MH. The Health Belief Model: a decade later. Health Educ Q 1984; 11: 1-47.
25. Mikhail B. The Health Belief Model: a review and critical evaluation of the model, research and practice. In: Chinn PL, editor. Developing substance mid-range theory in nursing. Advances in Nursing Science Series. Maryland: An Aspen Publication; 1994. pp. 74-92.
26. Poss JE. Developing a new model for cross-cultural research: synthesizing the health belief model and the theory of reasoned action. Adv Nurs Sci 2001; 23: 1-15.
27. Kurt İ. Yetişkin eğitimi (Adult Education). Ankara: Nobel Yayın Dağıtım Ltd. Şti; 2000. pp. 221-33 (in Turkish).
28. Maurer F. A peer education model for teaching breast self–examination to undergraduate college women. Cancer Nurs 1997; 20: 49-61.
29. Champion VL. Instrument development for health belief model constructs. Adv Nurs Sci 1984; 6: 73-85.
30. Champion VL. Instrument refinement for breast cancer screening behaviors. Nurs Res 1993; 42: 139-43.
31. Champion VL, Menon U. Predicting mammography and breast self-examination in African American women. Cancer Nurs 1997; 20: 315-22.
32. Champion VL. Revised susceptibility, benefits, and barriers scale for mammography screening. Res Nurs Health 1999; 22: 341-8.
33. Ludwick R. Gaczkowski S. Breast self-exams by teenagers. Cancer Nurs 2001; 24: 315–9.
34. Janda M, Stanek C, Newman B, Obermair A, Trimmel M. Impact of videotaped information on frequency and confidence of breast self-examination. Breast Cancer Res Treat 2002; 73: 37-43.

APA	karayurt o, DİCLE A, MALAK T (2009). Effects of peer and group education on knowledge, beliefs and breast self-examination practice among university students in Turkey. , 59 - 66.
Chicago	karayurt ozgul,DİCLE Aklime,MALAK Tuna Arzu Effects of peer and group education on knowledge, beliefs and breast self-examination practice among university students in Turkey. (2009): 59 - 66.
MLA	karayurt ozgul,DİCLE Aklime,MALAK Tuna Arzu Effects of peer and group education on knowledge, beliefs and breast self-examination practice among university students in Turkey. , 2009, ss.59 - 66.
AMA	karayurt o,DİCLE A,MALAK T Effects of peer and group education on knowledge, beliefs and breast self-examination practice among university students in Turkey. . 2009; 59 - 66.
Vancouver	karayurt o,DİCLE A,MALAK T Effects of peer and group education on knowledge, beliefs and breast self-examination practice among university students in Turkey. . 2009; 59 - 66.
IEEE	karayurt o,DİCLE A,MALAK T "Effects of peer and group education on knowledge, beliefs and breast self-examination practice among university students in Turkey." , ss.59 - 66, 2009.
ISNAD	karayurt, ozgul vd. "Effects of peer and group education on knowledge, beliefs and breast self-examination practice among university students in Turkey". (2009), 59-66.

APA	karayurt o, DİCLE A, MALAK T (2009). Effects of peer and group education on knowledge, beliefs and breast self-examination practice among university students in Turkey. Turkish Journal of Medical Sciences, 39(1), 59 - 66.
Chicago	karayurt ozgul,DİCLE Aklime,MALAK Tuna Arzu Effects of peer and group education on knowledge, beliefs and breast self-examination practice among university students in Turkey. Turkish Journal of Medical Sciences 39, no.1 (2009): 59 - 66.
MLA	karayurt ozgul,DİCLE Aklime,MALAK Tuna Arzu Effects of peer and group education on knowledge, beliefs and breast self-examination practice among university students in Turkey. Turkish Journal of Medical Sciences, vol.39, no.1, 2009, ss.59 - 66.
AMA	karayurt o,DİCLE A,MALAK T Effects of peer and group education on knowledge, beliefs and breast self-examination practice among university students in Turkey. Turkish Journal of Medical Sciences. 2009; 39(1): 59 - 66.
Vancouver	karayurt o,DİCLE A,MALAK T Effects of peer and group education on knowledge, beliefs and breast self-examination practice among university students in Turkey. Turkish Journal of Medical Sciences. 2009; 39(1): 59 - 66.
IEEE	karayurt o,DİCLE A,MALAK T "Effects of peer and group education on knowledge, beliefs and breast self-examination practice among university students in Turkey." Turkish Journal of Medical Sciences, 39, ss.59 - 66, 2009.
ISNAD	karayurt, ozgul vd. "Effects of peer and group education on knowledge, beliefs and breast self-examination practice among university students in Turkey". Turkish Journal of Medical Sciences 39/1 (2009), 59-66.