Kanserden Korunma Dersi Alan Ve Almayan Fizyoterapi Ve Rehabilitasyon Öğrencilerinin Kansere Yönelik Farkındalık Düzeylerinin Karşılaştırılması

Abstract

Amaç: Bu araştırmanın amacı kanserden korunma dersi alan ve almayan fizyoterapi ve rehabilitasyon öğrencilerinin kansere yönelik farkındalık düzeylerini karşılaştırmaktı. Gereç ve Yöntemler: Kesitsel bir çalışma olarak planlanan bu araştırmaya fizyoterapi ve rehabilitasyon bölümünde öğrenim gören ve kanserden korunma dersi alan (n=53) ve almayan (n=53) toplam 106 ikinci sınıf öğrencisi dâhil edildi. Öğrencilerin kansere yönelik farkındalık düzeyleri Kansere Yönelik Farkındalık Anketi (KYFA) ile değerlendirildi. Kanserden korunma dersi alan ve almayan öğrencilerin KYFA toplam puanlarının karşılaştırılmasında bağımsız gruplarda t testi, öğrencilerin KYFA’da yer alan sorulara verdikleri doğru cevapların oranlarının karşılaştırılmasında ki-kare testi kullanıldı. Bulgular: Kanserden korunma dersi alan kadın öğrencilerin oranı kanserden korunma dersi almayan kadın öğrencilerin oranından daha düşük, kanserden korunma dersi alan öğrencilerin sigara alışkanlığı oranı kanserden korunma dersi almayan öğrencilerin sigara alışkanlığı oranından daha yüksekti (sırasıyla, p=0,019, p˂0,001). Kanserden korunma dersi alan ve almayan öğrencilerin diğer sosyo-demografik özellikleri benzerdi (p˃0,050). Kanserden korunma dersi alan öğrencilerin kansere yönelik farkındalık düzeyleri kanserden korunma dersi almayan öğrencilere göre daha yüksekti (p˂0,001). Ayrıca, KYFA’da yer alan 54 sorunun 43’ünü (% 79,62) kanserden korunma dersi alan öğrencilerin daha yüksek oranda doğru cevapladığı görüldü. Sonuç: Mezuniyetleri sonrası kanserden korunma stratejileri ile ilgili toplumun bilinçlendirilmesi ve kanser rehabilitasyonu sürecinde aktif bir rol üstlenmesi beklenen fizyoterapi ve rehabilitasyon öğrencilerinde kansere yönelik farkındalık düzeylerinin iyileştirilmesi adına fizyoterapi ve rehabilitasyon ders öğretim planlarında kansere yönelik derslere yer verilmesi önerilmektedir.

Keywords

• Eğitim
• Farkındalık
• Kanser
• Sağlık bilimleri.

Comparison of Cancer Awareness Levels of Physiotherapy and Rehabilitation Students Who Took and Did Not Take Cancer Prevention Course

Abstract

Aim; The aim of this study was to compare the cancer awareness levels of physiotherapy and rehabilitation students who took or did not take cancer prevention course Method; A total of 106 second-grade students who were studying physiotherapy and rehabilitation and who took a cancer prevention course (n=53) and who did not (n=53) were included in the study which was planned as a cross-sectional study. Students' cancer awareness levels were evaluated with the Cancer Awareness Survey (CAS). Independent sample t-test was used to compare the CAS total scores of students who took and did not take a cancer prevention course, and the chi-square test was used to compare the rates of students' correct answers to the questions in the CAS. Results; The rate of female students who took cancer prevention course was lower than the rate of female students who did not take cancer prevention course, and the smoking habit rate of students who took cancer prevention course was higher than the smoking habit rate of students who did not take cancer prevention course (p=0.019, p˂0.001, respectively). Other socio-demographic characteristics of students who took and did not take a cancer prevention course were similar (p˃0.050). The cancer awareness levels of students who took cancer prevention course were higher than students who did not take cancer prevention course (p˂0.001). It was observed that students who took cancer prevention courses answered 43 of the 54 questions (79.62%) in the CAS correctly at a higher rate. Conclusion; It is recommended to include cancer-related courses in physiotherapy and rehabilitation course teaching plans in order to increase the existing cancer awareness level in physiotherapy and rehabilitation students who are expected to take an active role in the process of raising public awareness about cancer prevention strategies and cancer rehabilitation after their graduation.

Keywords

• Education
• Awareness
• Cancer
• Health sciences.

References

1. 1. Ustundag H, Zengin N, Andsoy II and Gul A. Awareness of health sciences students about colorectal cancer risk factors. European Journal of Cancer Care. 2019; 28(3): e13016. https://doi.org/10.1111/ecc.13016
2. 2. Jemal A, Bray F, Center MM, Ferlay J, Ward E and Forma D. Global cancer statistics. CA: a cancer journal for clinicians. American Cancer Society. 2011; 61(2): 69-90. https://doi.org/10.3322/caac.20107
3. 3. Pattanshetty R and Pawar N. Knowledge and awareness of cervical cancer and attitude toward HPV vaccination among female undergraduate physiotherapy students in Belgaum, Karnataka. Journal of Dr. YSR University of Health Sciences. 2021; 10(3): 178-185. https://doi.org/10.4103/jdrntruhs.jdrntruhs_56_21
4. 4. Kocamaz D, Tuncer A, Yamak D, Sever Ö ve Yıldırım M. Kanser ve onkolojik rehabilitasyon. Zeugma Health Research. 2019; 1(1):25-30.
5. 5. Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA and Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: a cancer journal for clinicians. 2018; 68(6): 394-424. https://doi.org/10.3322/caac.21492
6. 6. Düger T, Uysal SA ve Kabak VY. Onkolojik fizyoterapi ve rehabilitasyonda egzersizin kanıt düzeyi. Turkiye Klinikleri J Physiother Rehabil-Special Topics. 2019; 1: 71-8.
7. 7. Berardi R, Morgese F, Rinaldi S, Torniai M, Mentrasti G, Scortichini L, et al. Benefits and limitations of a multidisciplinary approach in cancer patient management. Cancer Management and Research. 2020: 9363-9374. https://doi.org/10.2147/CMAR.S220976
8. 8. Wang X, Ding Y, Cai HY, You J, Fan FQ, et al. Effectiveness of modified complex decongestive physiotherapy for preventing lower extremity lymphedema after radical surgery for cervical cancer: a randomized controlled trial. International Journal of Gynecologic Cancer. 2020; 30(6): 757-763. https://doi.org/10.1136/ijgc-2019-000911

9. 9. Çilengiroğlu İY, ÜnsarS ve Erol Ö. Üniversite öğrencilerinin kanser farkındalık düzeylerinin belirlenmesi. Avrasya Sağlık Bilimleri Dergisi. 2022; 5(3): 19-27. https://doi.org/10.53493/avrasyasbd.1032065
10. 10. Koca CG ve Yenidünya O. Diş hekimliği öğrencilerinde oral kanser farkındalık düzeylerinin değerlendirilmesi. Osmangazi Tıp Dergisi. 2020; 42(5): 90-95.
11. 11. Karaca PP ve Koyucu RG. Sağlık hizmetleri öğrencilerinin meme kanseri konusunda bilgilerinin değerlendirilmesi. Androloji Bülteni. 2020 22: 94-102. https://doi.org/10.24898/tandro.2020.72325
12. 12. Pérula-de Torres LÁ, Romero-Rodríguez E, Moscosio-Cuevas JI, Ruiz-Moral R, Jiménez-García C, Ranchal-Sanchez A, et al. Awareness of the european code against cancer of family medicine residents and nursing and medicine students in spain. Journal of Cancer Education. 2021; 36: 1069-1074. https://doi.org/10.1007/s13187-020-01736-y
13. 13. Pandya M and Mukhi S. Knowledge and awareness about cervical cancer amongst physiotherapist of Ahmedabad-An observational study. International Journal of Health Sciences Research. 2020; 10(9): 424-30.
14. 14. Patwa SV and Mukhi S. Knowledge and awareness of buccal mucosa cancer amongst physiotherapist. International Journal of Health Sciences and Research. 2022; 12(3): 193-198.
15. 15. Abdelbasset WK, Ibrahim AA, Alsubaie SF, Alrawaili SM, Althomali OW, Hussein HM, et al. Awareness and knowledge of breast cancer rehabilitation among Saudi Arabia physical therapists. European Review for Medical & Pharmacological Sciences. 2023; 27(12): 5370-7. https://doi.org/10.26355/eurrev_202306_32771
16. 16. Faul F, Erdfelder E, Lang AG and Buchner A. G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods. 2007; 39(2): 175-191. https://doi.org/10.3758/bf03193146
17. 17. T.R. Ministry of Health General Directorate of Public Health. Turkey Cancer Control Programme. https://hsgm.saglik.gov.tr/depo/birimler/kanser-db/Dokumanlar/Raporlar/Turkey_NCCP_18_April_2022.pdf, 2022 (accessed 12.06.2023).
18. 18. Sarkar S, Horn G, Moulton K, Oza A, Byler S, Kokolus S, Longacre M. Cancer development, progression, and therapy: an epigenetic overview. International Journal Moleculer Sciences. 2013 14(10):21087-113. https://doi.org/10.3390/ijms141021087.
19. 19. Cani G.Onkoloji Hemşireliği; Nobel Tıp Kitabevi. Press: İstanbul, Türkiye, 2020.
20. 20. Kızıltan ŞH. Kanserden Korunma ve Karsinojeler; Nobel Tıp Kitabevleri. Press: İstanbul, Türkiye, 2017.
21. 21. Cruz CSD, Tanoue LT, Matthay RA. Lung cancer: epidemiology, etiology, and prevention. Clinics in Chest Medicine. 2011 32:605-644. https://doi.org/10.1016/j.ccm.2011.09.001.
22. 22. American Cancer Society. Can Gallbladder Cancer Be Prevented?. https://www.cancer.org/cancer/types/gallbladder-cancer/causes-risks prevention/prevention.html#:~:text=There's%20no%20known%20way%20to,defects%2C%20are%20beyond%20our%20control. 2023 (accesses 15.09.2023).
23. 23. Lester J. Breast cancer in 2007: Incidence, risk assessment, and risk reduction strategies. Clinical Journal of Oncology Nursing. 2007 11(5): 619–622. https://doi.org/10.1188/07.cjon.619-622.
24. 24. Cancer Research UK. Trends in awareness and behaviour relating to UV and sun protection: 2003- 2013. 2014. http://www.cancerresearchuk. org/sites/default/files/sun_protection_trends_-_cruk.pdf (accessed 10.08.2023).
25. 25. Dogan ES, Caydam OD. Knowledge, attitudes, and beliefs regarding skin cancer among health sciences students in Turkey: A cross-sectional study. Sao Paulo Medical Journal. 2024 142(6):e2024089. https://doi.orgs/10.1590/1516-3180.2024.0089.13052024.
26. 26. American Cancer Society. Can Testicular Cancer Be Found Early? https://www.cancer.org/cancer/types/testicular-cancer/detection-diagnosis staging/detection.html#:~:text=Testicular%20self%2Dexam,-The%20best%20time&text=Hold%20your%20testicle%20between%20your,or%20consistency%20of%20your%20testicles. 2018 (accessed 20.08.2023).
27. 27. Whitehead TP, Metayer C, Wiemels JL, Singer AW, Miller MD. Childhood Leukemia and Primary Prevention. Current Problems in Pediatric and Adolescent Health Care. 2016 46(10):317-352. https://doi.org/10.1016/j.cppeds.2016.08.004
28. 28. American Canser Society. Can Non-Hodgkin Lymphoma Be Prevented? https://www.cancer.org/cancer/types/non-hodgkin-lymphoma/causes-risks-prevention/prevention.html. 2023 (accessed 20.09. 2023).
29. 29. Akduran F and Cinar N. Effects of Nursing Education on Awareness of Risk Factors for Colorectal Cancer. Asian Pacific Journal of Cancer Prevention. 2015; 16(14): 5763-5766. https://doi.org/17314/apjcp.2015.16.14.5763 .
30. 30. Kulakçı H, Ayyıldız TK, Yıldırım N, Öztürk O, Topan AK and Taşdemir N. Effects of Breast Cancer Fatalism on Breast Cancer Awareness among Nursing Students in Turkey. Asian Pacific Journal of Cancer Prevention. 2015; 16(8): 3565-3572. https://doi.org/10.7314/apjcp.2015.16.8.3565
31. 31. Yang S, Li P, Yu L, Liu N, Wang J, Guo P, Zhang X and Zhang W. Breast Cancer Awareness Based on Health Information
32. 32. Literacy and Influential Factors among Female Nursing Students in China. Journal of Cancer Education. 2020. https://doi.org/10.1007/s13187-020-01844-9
33. 33. Bayrak U, Gram E, Mengeş E, Okumuş ZG, Sayar HC, Skrijelj E, et al. Üniversite öğrencilerinin sağlıkla ilgili alışkanlıklar ve kanser konusundaki bilgi ve tutumları. Dokuz Eylül Üniversitesi Tıp Fakültesi Dergisi. 2010; 24(3): 95-104.
34. 34. Erdem SS, Yılmaz M, Yıldırım H, Mayda AS, Bolu F, Durak AA, et al. Düzce’de Yaşayanların Kanser ve Kanser Risk Faktörleri Hakkında Bilgi Düzeyi. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi. 2017; 7(1):1-10.
35. 35. Kurtuncu M, Akhan LU, Celik S and Alkan I. Cancer awareness among university students in Turkey. Asian Pacific Journal of Cancer Prevention. 2014; 15(10): 4289-4294. https://doi.org/10.7314/apjcp.2014.15.10.4289
36. 36. Merten JW, Parker A, Williams A, King JL, Largo-Wight E and Osmani M. Cancer risk factor knowledge among young adults. Journal of Cancer Education. 2017; 32: 865-870. https://doi.org/10.1007/s13187-016-1093-3
37. 37. Murphy-Banks R, Blanch-Hartigan D, Boehm L, Hamel PC and Parsons SK. Personal narrative: Raising awareness of adolescent and young adult cancer survivors in similarly aged university students. Journal of Adolescent and Young Adult Oncology. 2019; 8(4): 434-441. https://doi.org/10.1089/jayao.2018.0131
38. 38. Uthman, OA. Global, regional, and national life expectancy, all‐cause and cause‐specific mortality for 249 causes of death, 1980–2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet. 2016; 388(10053): 1459-1544. https://doi.org/10.1016/S0140-6736(16)31012-1
39. 39. Li Y, Schoufour J, Wang DD, Dhana K, Pan A, Liu X, et al. Healthy lifestyle and life expectancy free of cancer, cardiovascular disease, and type 2 diabetes: prospective cohort study. BMJ, 2020: 368. https://doi.org/10.1136/bmj.l6669
40. 40. Berardi R, Morgese F, Rinaldi S, Torniai M, Mentrasti G, Scortichini L, et al. Benefits and limitations of a multidisciplinary approach in cancer patient management. Cancer Management and Research. 2020: 9363-9374. https://doi.org/10.2147/CMAR.S220976
41. 41. Wang, X, Ding Y, Cai HY, You J, Fan FQ, Cai ZF, et al. Effectiveness of modified complex decongestive physiotherapy for preventing lower extremity lymphedema after radical surgery for cervical cancer: a randomized controlled trial. International Journal of Gynecologic Cancer. 2020; 30(6): 757-763. https://doi.org/110.1136/ijgc-2019-000911
42. 42. Carter LM and Ogden GR. Oral cancer awareness of undergraduate medical and dental students. BMC Medical Education. 2007; 7(1): 1-8. https://doi.org/10.1186/1472-6920-7-44
43. 43. Aga SS, Khan M, Alsulimani EF, Fallatah MA, Alquzi AS, Alzahrani RA, Binyamin MT. Knowledge and Awareness regarding colorectal cancer among health and allied students of King Saud Bin Abdulaziz University for Health Sciences, Jeddah. Journal of Family Medicine and Primary Care. 2021; 10(6): 2284-2292. https://doi.org/10.4103/jfmpc.jfmpc_2427_20. 44. Loo JL, Woo WY, Chin MW, Yam HR, Ang YK, Yim HS. Cancer awareness of a sample of Malaysian undergraduate students. American Journal of Cancer Prevention. 2013; 1(1): 9-13. https://doi.org/10.12691/ajcp-1-1-3.
44. 45. Farazi PA. Siahpush M. Michaud TL, Kim J, Muchena C. Awareness of HPV and cervical cancer prevention among university health sciences students in cyprus. Journal of Cancer Education. 2019; 34: 685-690. https://doi.org/10.1007/s13187-018-1356-2
45. 46. Abdallah AA, Hummeida ME and Elmula IMF. Awareness and attitudes of nursing students towards prevention of cervical cancer. Cervical Cancer. 2016; 1(1): 106. https://doi.org/10.4172/2475-3173.1000106.
46. 47. Parle J and Gupta S. Breast Cancer Knowledge, Attitude and Self-examination Practices of Physiotherapy Students in India: A Cross-sectional Study. International Journal of Community Medicine and Public Health. 2020; 7: 3585-93. https://doi.org/10.18203/2394-6040.ijcmph20203927. 48. Irfan R, Memon H, Umrani IN, Soomro H. Breast cancer awareness among pharmacy and physiotherapy students of medical university Nawabshah. The Journal of the Pakistan Medical Association. 2021; 71(1 (B)): 297-301. https://doi.org/10.47391/jpma.550.
47. 49. Karaca PP, Koyucu RG. Breast Cancer Risk Level of Mothers of Nursing Students, Their Behaviors of Screening Methods and Effective Factors. Androloji Bülteni. 2023; 22(2): 94-102. https:/doi.org/10.24898/tandro.2020.72325
48. 50. Geçtürk N, Ay F, Kıvanç MM. The relationship between health sciences students' knowledge of cancer and behavioral styles. Sağlık ve Yaşam Bilimleri Dergisi. 2023;5(2):96-102. https://doi.org/10.33308/2687248X.202352302