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The Effect of Simulation-Assisted Breast Cancer Education on Health Beliefs and Breast Self-Examination Practices in Young Adults

Yıl 2024, Cilt: 13 Sayı: 4, 1875 - 1884, 25.12.2024
https://doi.org/10.37989/gumussagbil.1505470

Öz

The most frequent cancer in women is breast cancer, which is a major global public health concern. Increasing cancer awareness and routine breast self-examination are important steps for early diagnosis. The aim of this study is to increase knowledge and practice attitudes regarding breast examination through simulation and peer support. The research had a pre-test-post-test design and was conducted with 138 university students. “Personal Information Form” and “Champion Health Belief Model Scale in Breast Cancer Screening” were used as data collection tools. Data were analyzed with SPSS 22.0 Windows package program. Shapiro-Wilk test to determine the normal distribution of variables, "Kruskal Wallis H Test" for differences between three or more groups, "Wilcoxon Sign Test" was used. After the intervention, a significant increase was observed in the sub-dimensions of the health belief model scale, including sensitivity, severity, benefit and health motivation, as well as the perceived benefits of breast self-examination and self-efficacy levels (p <0.05). Benefit and health motivation levels vary depending on sociodemographic factors such as income level, place of residence, and family history of cancer (p<0.05). Educational program supported by simulation and peer education can increase students' knowledge about breast cancer and breast self-examination and increase the frequency of practice.

Kaynakça

  • 1. Karayurt, Ö., Coşkun., A. ve Cerit, K. (2008). “Hemşirelerin Meme Kanseri ve Kendi Kendine Meme Muayenesine İlişkin İnançlari ve Uygulama Durumu”. Meme Sağlığı Dergisi, 4 (1), 15-20.
  • 2. Sisman, H., Arslan, S., Gokce., E. and Akpolat, R. (2022). “The Effect of Breast Self-Examination Education on The Knowledge And Practice Of Student Nurses: An Experimental Study”. Türkiye Klinikleri Journal of Nursing Sciences, 14 (2), 304-10. DOI: 10.5336/nurses.2021-85367
  • 3. Cidem, F. and Ersin, F. (2019). “The Effect Of Women's Perceptions Of Social Support And Self-Efficacy On Breast Cancer Early Diagnosis Behaviors”. J Educ Res Nurs, 16 (3), 183-190.
  • 4. Duzova, M., Yıgıt, N.I., Esen, F.Z., and Akman, N.B. (2023). “Breast Self-Examination And Breast Cancer Awareness in Medical Students: A Survey Study In A Medical School”. Genel Tıp Dergisi, 33 (1), 81-85 https://doi.org/10.54005/geneltip.1219422
  • 5. Nassif, J, Sleiman, A.K, Nassar, A.H. and Naamani, S. (2019). “Hybrid Simulation İn Teaching Clinical Breast Examination To Medical Students”. JCE, 34 (1), 194-200. DOI: 10.1007/s13187-017-1287-3.
  • 6. Dadzi, R. and Adam, A. (2019). “Assessment Of Knowledge And Practice Of Breast Self-Examination Among Reproductive Age Women In Akatsi South District Of Volta Region Of Ghana”. PLoS One. 14 (12), e0226925. https://doi.org/10.1371/journal.pone.0226925
  • 7. Khan, H., Raza, V.F., Choudhry, S., and Ali, R. (2022). “Do We Need To Increase Community Awareness Regarding Self-Breast And Clinical Breast Examination In Pakistan? Pakistan Journal of Medical & Health Sciences, 16 (5), 113-113. https://doi.org/10.53350/pjmhs22165113
  • 8. Yildirim, D. and Kocaağalar, A.E. (2022). “Effect Of Breast Self-Examination Training And Follow-Up Program Using Health Belief Model On Turkish Women’s Knowledge, Attitudes, And Practices: A Randomized Controlled Study”. International Journal of Health Promotion and Education, 60 (5), 286-297. https://doi.org/10.1080/14635240.2022.2031251
  • 9. Karasu, F., Golluce, A., Güvenc, E., and Polat, F. (2017). “Bir Vakıf Üniversitesindeki Öğrencilere Meme Kanseri Hakkında Verilen Eğitiminin Etkinliği”. Mersin Üniversitesi Sağlık Bilimleri Dergisi, 10 (1), 14-24.
  • 10. Cura, S.U., Kocatepe, V., Yıldırım, D., and Kucukakgun, H. (2020). “Examining Knowledge, Skill, Stress, Satisfaction, And Self-Confidence Levels Of Nursing Students In Three Different Simulation Modalities”. Asian Nursing Research, 14, 158-164.
  • 11. Karabacak, U., Unver, V., Ugur, E., and Kocatepe, V. (2019). “Examining The Effect Of Simulation Based Learning On Self-Efficacy And Performance Of First-Year Nursing Students”. Nurse Education in Practice, 36, 139-143.
  • 12. Ozkalp, B. and Saygili, U. (2015). “The Effectiveness Of Similitor Usage In The Paramedic Education”. Procedia-Social and Behavioral Sciences, 174, 3150-3153. https://doi.org/10.1016/j.sbspro.2015.01.1054
  • 13. Saygili, U. and Ozkalp, B. (2015). “The effect of simulator-education on students receiving education at the department of elderly care”. Procedia-Social and Behavioral Sciences, 174, 3154-3158. https://doi.org/10.1016/j.sbspro.2015.01.1055
  • 14. Angarita, F.A., Price, B., Castelo, M., and Tawil, M. (2019). “Improving The Competency Of Medical Students In Clinical Breast Examination Through A Standardized Simulation And Multimedia-Based Curriculum”. Breast Cancer Research and Treatment, 173, 439-445. DOI: 10.1007/s10549-018-4993-6.
  • 15. Acun, A. and Ordu, Y. (2023). “Kavram Haritası ile Verilen Kendi Kendine Meme Muayenesi Eğitiminin Hemşirelik Öğrencilerinin Sağlık İnançları ve Öz Yeterlilik Düzeylerine Etkisi”. Black Sea Journal of Health Science, 6 (4), 632-639. https://doi.org/10.19127/bshealthscience.1320775
  • 16. Gümüş Ş.Y. and Sohbet, R. (2019). “Meme Kanseri Ve Erken Tanı Yöntemleri Eğitiminin Öğrencilerin Sağlık Bilgisi, İnanç Ve Uygulamalarına Etkisi”. JAREN, 5 (3), 204-212.
  • 17. Champion, V.L. and Scott, C.R. (1997). “Reliability And Validity Of Breast Cancer Screening Belief Scales In African American women”. Nursing Research, 46, 331-337.
  • 18. Gözüm, S., Karayurt, Ö., and Aydın, İ. (2004). “Meme Kanseri Taramalarında Champıon'un Sağlık İnanç Modeli Ölçeğinin Türkçe Uyarlamlarına İlişkin Sonuçlar”. Hemşirelikte Araştırma Geliştirme Dergisi, 6 (1), 71-85.
  • 19. Gozum, S. and Aydin, I. (2004). “Validation Evidence For Turkish Adaptation of Champion's Health Belief Model Scales”. Cancer Nursing, 27 (6), 491-498.
  • 20. Saygili Duzova, U., Duzova, M., Golcur, G., Arıcı, E., and Idin, M. (2023). “The effect of education given to university students on health beliefs and testicular self‐examination”. International Journal of Urological Nursing, 17(3), 218-225.
  • 21. Duzova, U. S., Kaplan Serin, E., Mutlu, A., Ocal, N., Akkus, H., Toprak, N., and Ceylan, D. (2024). “The Effect of Cervical Cancer and Human Papillomavirus Vaccine Education on Vaccination Perception in University Students: A Quasi-Experimental Controlled Educational Intervention”. Journal of Adolescent and Young Adult Oncology, https://doi.org/10.1089/jayao.2024.0121
  • 22. Koc, G., Gulen, S.H., Ergol, S., and Yildirim, C.M. (2019). “Female University Students' Knowledge And Practice Of Breast Self-Examination In Turkey”. Niger J Clin Pract, 22 (3), 410-415. DOI: 10.4103/njcp.njcp_341_18.
  • 23. Kumarasamy, H., Veerakumar, A., Subhathra, S., and Suga, Y. (2017). “Determinants Of Awareness And Practice Of Breast Self Examination Among Rural Women in Trichy Tamil Nadu”. Journal Of Mid-Life Health, 8 (2), 84-88.
  • 24. Karayurt, O. and Dramal, A. (2007). Adaptation of Champion's Health Belief Model Scale for Turkish Women And Evaluation Of The Selected Variables Associated With Breast Self-Examination. Cancer Nursing, 30 (1), 69-77.
  • 25. Secginli, S. and Nahcivan, N.O. (2006). “Factors Associated With Breast Cancer Screening Behaviours In A Sample Of Turkish Women: A Questionnaire Survey”. International Journal of Nursing Studies, 43 (2), 161-171.

Simülasyon Destekli Meme Kanseri Eğitiminin Genç Yetişkinlerde Sağlık İnançları ve Kendi Kendine Meme Muayenesi Uygulamaları Üzerindeki Etkisi

Yıl 2024, Cilt: 13 Sayı: 4, 1875 - 1884, 25.12.2024
https://doi.org/10.37989/gumussagbil.1505470

Öz

Kadınlarda en sık görülen kanser, küresel halk sağlığı açısından önemli bir sorun olan meme kanseridir. Kanser farkındalığın arttırılması ve rutin olarak kendi kendine meme muayenesinin yapılması, erken teşhis için önemli adımlardır. Bu çalışmanın amacı simülasyon ve akran desteği yoluyla meme muayenesine ilişkin bilgi ve uygulama tutumlarının arttırılmasıdır. Araştırma ön-test-son-test deseninde olup 138 üniversite öğrencisi ile yürütülmüştür. Veri toplama aracı olarak “Kişisel Bilgi Formu” ve “Meme Kanseri Taramasında Şampiyon Sağlık İnanç Modeli Ölçeği” kullanılmıştır. Veriler SPSS 22.0 Windows paket programıyla analiz edildi. Değişkenlerin normal dağılımını belirlemek için Shapiro-Wilk testi, üç veya daha fazla grup arasındaki farklar için "Kruskal Wallis H Testi", iki bağımlı grup arasındaki farkları incelemek için "Wilcoxon İşaret Testi" kullanıldı. Girişim sonrasında sağlık inanç modeli ölçeğinin duyarlılık, şiddet, fayda ve sağlık motivasyonunu içeren alt boyutları ile kendi kendine meme muayenesi ve öz yeterlilik düzeylerine ilişkin algılanan faydalarda anlamlı bir artış gözlenmiştir (p <0,05). Öğrencilerin, yararlanma ve sağlık motivasyon düzeyleri ile gelir düzeyi, yaşanılan yer, ailede kanser öyküsü gibi sosyodemografik faktörlere bağlı olarak değişmektedir (p<0,05). Simülasyon ve akran eğitimiyle desteklenen bir eğitim programının öğrencilerin meme kanseri ve kendi kendine meme muayenesi konusundaki bilgilerini artırabileceğini ve uygulama sıklığını artırabileceğini göstermektedir.

Kaynakça

  • 1. Karayurt, Ö., Coşkun., A. ve Cerit, K. (2008). “Hemşirelerin Meme Kanseri ve Kendi Kendine Meme Muayenesine İlişkin İnançlari ve Uygulama Durumu”. Meme Sağlığı Dergisi, 4 (1), 15-20.
  • 2. Sisman, H., Arslan, S., Gokce., E. and Akpolat, R. (2022). “The Effect of Breast Self-Examination Education on The Knowledge And Practice Of Student Nurses: An Experimental Study”. Türkiye Klinikleri Journal of Nursing Sciences, 14 (2), 304-10. DOI: 10.5336/nurses.2021-85367
  • 3. Cidem, F. and Ersin, F. (2019). “The Effect Of Women's Perceptions Of Social Support And Self-Efficacy On Breast Cancer Early Diagnosis Behaviors”. J Educ Res Nurs, 16 (3), 183-190.
  • 4. Duzova, M., Yıgıt, N.I., Esen, F.Z., and Akman, N.B. (2023). “Breast Self-Examination And Breast Cancer Awareness in Medical Students: A Survey Study In A Medical School”. Genel Tıp Dergisi, 33 (1), 81-85 https://doi.org/10.54005/geneltip.1219422
  • 5. Nassif, J, Sleiman, A.K, Nassar, A.H. and Naamani, S. (2019). “Hybrid Simulation İn Teaching Clinical Breast Examination To Medical Students”. JCE, 34 (1), 194-200. DOI: 10.1007/s13187-017-1287-3.
  • 6. Dadzi, R. and Adam, A. (2019). “Assessment Of Knowledge And Practice Of Breast Self-Examination Among Reproductive Age Women In Akatsi South District Of Volta Region Of Ghana”. PLoS One. 14 (12), e0226925. https://doi.org/10.1371/journal.pone.0226925
  • 7. Khan, H., Raza, V.F., Choudhry, S., and Ali, R. (2022). “Do We Need To Increase Community Awareness Regarding Self-Breast And Clinical Breast Examination In Pakistan? Pakistan Journal of Medical & Health Sciences, 16 (5), 113-113. https://doi.org/10.53350/pjmhs22165113
  • 8. Yildirim, D. and Kocaağalar, A.E. (2022). “Effect Of Breast Self-Examination Training And Follow-Up Program Using Health Belief Model On Turkish Women’s Knowledge, Attitudes, And Practices: A Randomized Controlled Study”. International Journal of Health Promotion and Education, 60 (5), 286-297. https://doi.org/10.1080/14635240.2022.2031251
  • 9. Karasu, F., Golluce, A., Güvenc, E., and Polat, F. (2017). “Bir Vakıf Üniversitesindeki Öğrencilere Meme Kanseri Hakkında Verilen Eğitiminin Etkinliği”. Mersin Üniversitesi Sağlık Bilimleri Dergisi, 10 (1), 14-24.
  • 10. Cura, S.U., Kocatepe, V., Yıldırım, D., and Kucukakgun, H. (2020). “Examining Knowledge, Skill, Stress, Satisfaction, And Self-Confidence Levels Of Nursing Students In Three Different Simulation Modalities”. Asian Nursing Research, 14, 158-164.
  • 11. Karabacak, U., Unver, V., Ugur, E., and Kocatepe, V. (2019). “Examining The Effect Of Simulation Based Learning On Self-Efficacy And Performance Of First-Year Nursing Students”. Nurse Education in Practice, 36, 139-143.
  • 12. Ozkalp, B. and Saygili, U. (2015). “The Effectiveness Of Similitor Usage In The Paramedic Education”. Procedia-Social and Behavioral Sciences, 174, 3150-3153. https://doi.org/10.1016/j.sbspro.2015.01.1054
  • 13. Saygili, U. and Ozkalp, B. (2015). “The effect of simulator-education on students receiving education at the department of elderly care”. Procedia-Social and Behavioral Sciences, 174, 3154-3158. https://doi.org/10.1016/j.sbspro.2015.01.1055
  • 14. Angarita, F.A., Price, B., Castelo, M., and Tawil, M. (2019). “Improving The Competency Of Medical Students In Clinical Breast Examination Through A Standardized Simulation And Multimedia-Based Curriculum”. Breast Cancer Research and Treatment, 173, 439-445. DOI: 10.1007/s10549-018-4993-6.
  • 15. Acun, A. and Ordu, Y. (2023). “Kavram Haritası ile Verilen Kendi Kendine Meme Muayenesi Eğitiminin Hemşirelik Öğrencilerinin Sağlık İnançları ve Öz Yeterlilik Düzeylerine Etkisi”. Black Sea Journal of Health Science, 6 (4), 632-639. https://doi.org/10.19127/bshealthscience.1320775
  • 16. Gümüş Ş.Y. and Sohbet, R. (2019). “Meme Kanseri Ve Erken Tanı Yöntemleri Eğitiminin Öğrencilerin Sağlık Bilgisi, İnanç Ve Uygulamalarına Etkisi”. JAREN, 5 (3), 204-212.
  • 17. Champion, V.L. and Scott, C.R. (1997). “Reliability And Validity Of Breast Cancer Screening Belief Scales In African American women”. Nursing Research, 46, 331-337.
  • 18. Gözüm, S., Karayurt, Ö., and Aydın, İ. (2004). “Meme Kanseri Taramalarında Champıon'un Sağlık İnanç Modeli Ölçeğinin Türkçe Uyarlamlarına İlişkin Sonuçlar”. Hemşirelikte Araştırma Geliştirme Dergisi, 6 (1), 71-85.
  • 19. Gozum, S. and Aydin, I. (2004). “Validation Evidence For Turkish Adaptation of Champion's Health Belief Model Scales”. Cancer Nursing, 27 (6), 491-498.
  • 20. Saygili Duzova, U., Duzova, M., Golcur, G., Arıcı, E., and Idin, M. (2023). “The effect of education given to university students on health beliefs and testicular self‐examination”. International Journal of Urological Nursing, 17(3), 218-225.
  • 21. Duzova, U. S., Kaplan Serin, E., Mutlu, A., Ocal, N., Akkus, H., Toprak, N., and Ceylan, D. (2024). “The Effect of Cervical Cancer and Human Papillomavirus Vaccine Education on Vaccination Perception in University Students: A Quasi-Experimental Controlled Educational Intervention”. Journal of Adolescent and Young Adult Oncology, https://doi.org/10.1089/jayao.2024.0121
  • 22. Koc, G., Gulen, S.H., Ergol, S., and Yildirim, C.M. (2019). “Female University Students' Knowledge And Practice Of Breast Self-Examination In Turkey”. Niger J Clin Pract, 22 (3), 410-415. DOI: 10.4103/njcp.njcp_341_18.
  • 23. Kumarasamy, H., Veerakumar, A., Subhathra, S., and Suga, Y. (2017). “Determinants Of Awareness And Practice Of Breast Self Examination Among Rural Women in Trichy Tamil Nadu”. Journal Of Mid-Life Health, 8 (2), 84-88.
  • 24. Karayurt, O. and Dramal, A. (2007). Adaptation of Champion's Health Belief Model Scale for Turkish Women And Evaluation Of The Selected Variables Associated With Breast Self-Examination. Cancer Nursing, 30 (1), 69-77.
  • 25. Secginli, S. and Nahcivan, N.O. (2006). “Factors Associated With Breast Cancer Screening Behaviours In A Sample Of Turkish Women: A Questionnaire Survey”. International Journal of Nursing Studies, 43 (2), 161-171.
Toplam 25 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Dahili Hastalıklar Hemşireliği
Bölüm Makaleler
Yazarlar

Ülkü Saygılı Düzova 0000-0001-8402-0022

Zühal Şeflek 0000-0002-1385-5310

Perihan Nur Uzun Bu kişi benim 0000-0001-8224-6765

Müge Aker Bu kişi benim 0009-0001-5039-6061

Ayşe Beyza İnan Bu kişi benim 0000-0001-7145-3291

Hasan Eskene 0000-0002-5685-3366

Yayımlanma Tarihi 25 Aralık 2024
Gönderilme Tarihi 27 Haziran 2024
Kabul Tarihi 26 Ekim 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 13 Sayı: 4

Kaynak Göster

APA Saygılı Düzova, Ü., Şeflek, Z., Uzun, P. N., Aker, M., vd. (2024). The Effect of Simulation-Assisted Breast Cancer Education on Health Beliefs and Breast Self-Examination Practices in Young Adults. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 13(4), 1875-1884. https://doi.org/10.37989/gumussagbil.1505470
AMA Saygılı Düzova Ü, Şeflek Z, Uzun PN, Aker M, İnan AB, Eskene H. The Effect of Simulation-Assisted Breast Cancer Education on Health Beliefs and Breast Self-Examination Practices in Young Adults. Gümüşhane Sağlık Bilimleri Dergisi. Aralık 2024;13(4):1875-1884. doi:10.37989/gumussagbil.1505470
Chicago Saygılı Düzova, Ülkü, Zühal Şeflek, Perihan Nur Uzun, Müge Aker, Ayşe Beyza İnan, ve Hasan Eskene. “The Effect of Simulation-Assisted Breast Cancer Education on Health Beliefs and Breast Self-Examination Practices in Young Adults”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 13, sy. 4 (Aralık 2024): 1875-84. https://doi.org/10.37989/gumussagbil.1505470.
EndNote Saygılı Düzova Ü, Şeflek Z, Uzun PN, Aker M, İnan AB, Eskene H (01 Aralık 2024) The Effect of Simulation-Assisted Breast Cancer Education on Health Beliefs and Breast Self-Examination Practices in Young Adults. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 13 4 1875–1884.
IEEE Ü. Saygılı Düzova, Z. Şeflek, P. N. Uzun, M. Aker, A. B. İnan, ve H. Eskene, “The Effect of Simulation-Assisted Breast Cancer Education on Health Beliefs and Breast Self-Examination Practices in Young Adults”, Gümüşhane Sağlık Bilimleri Dergisi, c. 13, sy. 4, ss. 1875–1884, 2024, doi: 10.37989/gumussagbil.1505470.
ISNAD Saygılı Düzova, Ülkü vd. “The Effect of Simulation-Assisted Breast Cancer Education on Health Beliefs and Breast Self-Examination Practices in Young Adults”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 13/4 (Aralık 2024), 1875-1884. https://doi.org/10.37989/gumussagbil.1505470.
JAMA Saygılı Düzova Ü, Şeflek Z, Uzun PN, Aker M, İnan AB, Eskene H. The Effect of Simulation-Assisted Breast Cancer Education on Health Beliefs and Breast Self-Examination Practices in Young Adults. Gümüşhane Sağlık Bilimleri Dergisi. 2024;13:1875–1884.
MLA Saygılı Düzova, Ülkü vd. “The Effect of Simulation-Assisted Breast Cancer Education on Health Beliefs and Breast Self-Examination Practices in Young Adults”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, c. 13, sy. 4, 2024, ss. 1875-84, doi:10.37989/gumussagbil.1505470.
Vancouver Saygılı Düzova Ü, Şeflek Z, Uzun PN, Aker M, İnan AB, Eskene H. The Effect of Simulation-Assisted Breast Cancer Education on Health Beliefs and Breast Self-Examination Practices in Young Adults. Gümüşhane Sağlık Bilimleri Dergisi. 2024;13(4):1875-84.