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Üniversite Öğrencilerin Kendi Kendine Meme Muayenesine İlişkin İnanç ve Uygulamalarının İncelenmesi

Yıl 2024, Cilt: 33 Sayı: 4, 290 - 306, 09.12.2024
https://doi.org/10.17942/sted.1384382

Öz

Amaç: Bu çalışmanın amacı, üniversite öğrencilerinin kendi kendine meme muayenesi konusundaki bilgi, davranış ve farkındalıkları ile meme kanserinin erken teşhisi konusundaki sağlık inançlarını araştırmaktır.
Yöntem: Tanımlayıcı ve kesitsel çalışma 610 üniversite öğrencisi ile gerçekleştirildi. Veriler Kasım 2022 ile Nisan 2023 tarihleri arasında "Kişisel Bilgi Formu" ve "Champion Meme Kanseri Sağlık İnanç Modeli Ölçeği" kullanılarak toplandı.
Bulgular: Öğrencilerin meme kanseri hakkında bilgi sahibi olduğu (%72,0), kendi kendine meme muayenesi yapmayı bildiği (%62,8) ve internetten (%46,9) öğrendiği bulundu. Öğrencilerin kendi kendine meme muayenesini ayda bir defa (%36,8) ve ne zaman akıllarına gelirse (%74,2) yaptıkları belirlendi. Ailesel risk faktörü bulunan öğrencilerin duyarlılık düzeylerinin anlamlı derecede arttığı belirlendi. Öğrencilerin geldikleri bölgenin hastalığı ciddiye alma düzeylerini arttırdığı bulundu (p<0,05). Meme kanseri hakkında bilgi sahibi olan, aylık ya da yıllık olarak, her ayın ilk günü ya da aklına geldikçe kendi kendine meme muayenesi yapan öğrencilerin, duyarlılık motivasyon, yarar, engel, öz yeterlilik alt ölçek puanları ve toplam ölçek puanları istatistiksel olarak anlamlı düzeyde yüksek saptandı (p<0,05).
Sonuç: Farkındalığın artırılmasının meme kanseri taramasına ilişkin sağlık inançlarını artırabileceği belirlendi. Ayrıca, öğrencilerin sağlık inançlarının ikamet edilen coğrafi bölge, öğrenim görülen fakülte, ailede kanser öyküsü, meme kanseri hakkında bilgi sahibi olma, kendi kendine meme muayenesi yapma sıklığı, yapma ve yapmama nedenleri gibi değişkenlere bağlı olduğu sonucuna varıldı. Meme kanseri ve kendi kendine meme muayenesi farkındalığı konusunda yoğun ve kapsamlı bir eğitime ihtiyaç vardır. Eğitim müfredatına demografik değişkenlerin ve bireysel deneyim özelliklerinin entegre edilmesi önemlidir.

Kaynakça

  • World Health Organization. Breast cancer. Available at: https://www.who.int/news-room/fact-sheets/detail/breast-cancer. Accessed August 11, 2023.
  • American Cancer Society. Global Cancer Facts & Figures 5th Edition. Atlanta: American Cancer Society; 2024 Available at: https://www.cancer.org/research/cancer-facts-statistics/global-cancer-facts-and-figures.html. Accessed August 05, 2024
  • Ferlay J, Ervik M, Lam F, Laversanne M, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. 2024. Available at: https://gco.iarc.who.int/today. Accessed August 05, 2024.
  • Turkish Public Health Institution. Breast cancer screening program national standards. Available at: https://hsgm.saglik.gov.tr/tr/kanser-tarama-standartlari/listesi/485-meme-kanseri-tarama-programı-ulusal-standartlarıhtml. Accessed August 05, 2023
  • Koç G, Gülen-Savaş H, Ergöl S, Yıldırım-Çetinkaya M, & Aydın N. Female university students’ knowledge and practice of breast self-examination in Turkey. Niger J Clin Pract, 2019;22(3):410–5. https://doi.org/10.4103/njcp.njcp_341_18
  • Nde FP, Assob JC, Kwenti TE, Njunda AL, Tainenbe TR. Knowledge, attitude and practice of breast self-examination among female undergraduate students in the University of Buea. BMC Res Notes. 2015 Feb 15;8:43. doi: 10.1186/s13104-015-1004-4. PMID: 25889644; PMCID: PMC4414436.
  • Aydın A, Koçan S & Gürsoy A. Turkish women breast self-examination knowledge and practices: A systematic review. International Anatolia Academic Online Journal Health Sciences, 2021;7(3):99-114. Retrieved from: https://dergipark.org.tr/tr/pub/iaaojh/issue/67239/989998
  • Zare Marzouni H, Lavasani Z, Shalilian M, Najibpour R, Saadat Fakhr M, Nazarzadeh R, Farshad A, Bahrami N. Women’s awareness and attitude toward breast self-examination in Dezful City, Iran, 2013. Iran Red Crescent Med J. 2014 Dec 30;17(1):e17829. doi: 10.5812/ircmj.17829. PMID: 25763260; PMCID: PMC4341502.
  • Mohanmmed Wali Shakhman L, Arulappan J. Prediction of breast self-examination behavior among Omani undergraduate students using Champion’s Health Belief Model. SAGE Open Nurs. 2023 Jun 6;9:23779608231179531. doi: 10.1177/23779608231179531. PMID: 37324570; PMCID: PMC10262672.
  • Karaca PP, Koyucu RG. Sağlık hizmetleri öğrencilerinin meme kanseri konusunda bilgilerinin değerlendirilmesi. Evaluation of health care students’ knowledge on breast cancer. Androl Bul 2020; 22:94−102 https://doi.org/10.24898/tandro.2020.72325
  • Didarloo A, Akhgar M, Moghaddam-Tabrizi F, Gharaaghaji R, Sheikhi S. Psychometric properties of the Iranian version of Champion’s Revised Health Belief Model Scale for breast cancer screening. Iranian Journal of Nursing and Midwifery Research, 2020;25(2):146–53. https://doi.org/10.4103/ijnmr.IJNMR_220_18
  • Champion VL. Instrument development for health belief model constructs. ANS. Advances in Nursing Science, 1984;6(3):73–85. https://doi.org/10.1097/00012272-198404000-00011
  • Gözüm S, Karayurt Ö Aydın İ. The results of Turkish adaptations of Champion’s Health Belief Model Scale at breast cancer screening. Hemşirelikte Araştırma Geliştirme Dergisi, 2004;6(1):71-85. Retrieved from https://dergipark.org.tr/tr/pub/hemarge/issue/52686/694691
  • Noroozi A, Jomand T, Tahmasebi R. Determinants of breast self-examination performance among Iranian women: An application of the health belief model. Journal of Cancer Education The Official Journal of the American Association for Cancer Education, 2011;26(2):365–74. https://doi.org/10.1007/s13187-010-0158-y
  • Pak N, Eliş Yıldız S. Investigation of the health beliefs of women living in Kars/Sarikamis regarding the self-breast examination. J Midwifery Health Sci. 2020;3(3):151–7. https://midwifery-ataunipress.org/en/the-living-in-kars-sarikamis-district-health-beliefs-on-breast-cancer-breast-self-examination-and-mammography-1646
  • Abolfotouh MA, BaniMustafa AA, Mahfouz AA, Al-Assiri MH, Al-Juhani AF, Alaskar AS. Using the health belief model to predict breast self examination among Saudi women. BMC Public Health. 2015 Nov 23;15:1163. doi: 10.1186/s12889-015-2510-y. PMID: 26596507; PMCID: PMC4657230.
  • Altunkurek ŞZ, Hassan Mohamed S. Determine knowledge and belief of Somalian young women about breast cancer and breast self-examination with champion health belief model: A cross-sectional study. BMC Medical Informatics and Decision Making, 2022;22(1):326. https://doi.org/10.1186/s12911-022-02065-4
  • Kirag N, Kızılkaya M. Application of the Champion Health Belief Model to determine beliefs and behaviors of Turkish women academicians regarding breast cancer screening: A cross sectional descriptive study. BMC Women’s Health, 2019;19(1):132. https://doi.org/10.1186/s12905-019-0828-9
  • Ameer K, Abdulie S, Pal S, Arebo K, Kassa G. Breast cancer awareness and practice of breast self-examination among female medical students in Haramaya University, Harar, Ethiopia. International Journal of Interdisciplinary and Multidisciplinary Studies (IJIMS), 2014;2 (2):109-19 http://www.ijims.com/uploads/8ba63277d8a1a7c04a02D19.pdf
  • Akpo E, Akpo M, Akhator A. Breast cancer knowledge and screening practices among Nigerian medical students. ISPUB–The Internet Journal of Health. 2009;11(2):1-8. https://print.ispub.com/api/0/ispub-article/5445
  • Ünlü U, Yıldız Çeltek N, Erdoğdu Ceylan E, Kırlanğıç R, Göğüş F. Psychoeducation sessions with caregivers of patients with terminal stage cancer, a qualitative study. J Contemp Med, 2022;12(1):71-5. https://doi.org/10.16899/jcm.980302
  • Dewi TK, Massar K, Ruiter RAC, Leonardi T. Determinants of breast self-examination practice among women in Surabaya, Indonesia: An application of the health belief model. BMC Public Health, 2019;19(1):1581. https://doi.org/10.1186/s12889-019-7951-2
  • Çelik S, Taşdemir N, Sancak H, Demirel M, Akman O, Kara M. Breast cancer awareness among Turkish nursing students. Asian Pacific Journal of Cancer Prevention: APJCP, 2014;15(20):8941–6. https://doi.org/10.7314/apjcp.2014.15.20.8941
  • Erbil N, Bölükbaş N. Beliefs, attitudes, and behavior of Turkish women about breast cancer and breast self-examination according to a Turkish version of the Champion Health Belief Model Scale. Asian Pacific Journal of Cancer Prevention: APJCP, 2012;13(11):5823–8.
  • Al-Naggar RA, Al-Naggar DH, Bobryshev YV, Chen R, Assabri A. Practice and barriers toward breast self-examination among young Malaysian women. Asian Pacific Journal of Cancer Prevention: APJCP, 2011;12(5):1173–8.
  • Boulos DN, Ghali RR. Awareness of breast cancer among female students at Ain Shams University, Egypt. Global Journal of Health Science, 2013;6(1):154–61. https://doi.org/10.5539/gjhs.v6n1p154
  • Gürsoy AA, Mumcu HK, Çalik KY, Bulut HK, Nural N, Kahriman IL, Hintistan S, Erdöl H, Yiğitbaş Ç, Yılmaz F. Attitudes and health beliefs associated with breast cancer screening behaviors among Turkish women. Journal of Transcultural Nursing: Official Journal of the Transcultural Nursing Society, 2011;22(4):368–75. https://doi.org/10.1177/1043659611414137
  • Foxall MJ, Barron CR, Houfek J. Ethnic differences in breast self-examination practice and health beliefs. Journal of Advanced Nursing, 1998;27(2):419–28. https://doi.org/10.1046/j.1365-2648.1998.00540.x

Investigation of Beliefs and Practices of University Students Regarding Breast Self-Examination

Yıl 2024, Cilt: 33 Sayı: 4, 290 - 306, 09.12.2024
https://doi.org/10.17942/sted.1384382

Öz

Objective: Aim of this study was to investigate university students' knowledge, behaviour and awareness of breast self-examination and health beliefs about early detection of breast cancer.
Method: A descriptive and cross-sectional study was conducted with 610 university students. Data were collected between November 2022 and April 2023 using “Personal Information Form” and “Champion Breast Cancer Health Belief Model Scale”.
Results: Students had knowledge about breast cancer (72.0%), knew how to perform breast self-examination (62.8%) and learnt it from internet (46.9%). Students performed breast self-examination once a month (36.8%) and whenever they remembered (74.2%). The familial risk factors significantly increased the sensitivity levels of students. The region where they came from increased the level of taking the disease seriously (p<0.05). The sensitivity, motivation, benefits, barriers, self-efficacy subscale scores and total scale scores were significantly higher (p<0.05) among students who had information about breast cancer and who performed breast self-examination monthly or annually, on the first day of each month or whenever they thought of it were found to be statistically significant higher (p<0.05).
Conclusion: It was concluded that increasing awareness could increase health beliefs about breast cancer screening. Also, students' health beliefs were dependent on variables such as geographical region of residence, faculty of study, family history of cancer, knowledge level, use and frequency breast self-examination and reasons for doing and not doing breast self-examination. There is a need for intensive and comprehensive breast cancer education and breast self-examination awareness. It is important to include demographic variables and individual experience characteristics in the training curriculum.

Etik Beyan

Ethical approach To conduct the study, the approval for ethical compliance was obtained from the Non-Interventional Clinical Research Ethics Committee of University (dated 01.11.2022 and numbered 2022/12-01), and institutional permission was obtained from the University. An informed consent from the students was obtained for participation in research. All study procedures were performed in accordance with the Helsinki Declaration and ethical standards.

Teşekkür

The authors would like to thank the students for participating in this study

Kaynakça

  • World Health Organization. Breast cancer. Available at: https://www.who.int/news-room/fact-sheets/detail/breast-cancer. Accessed August 11, 2023.
  • American Cancer Society. Global Cancer Facts & Figures 5th Edition. Atlanta: American Cancer Society; 2024 Available at: https://www.cancer.org/research/cancer-facts-statistics/global-cancer-facts-and-figures.html. Accessed August 05, 2024
  • Ferlay J, Ervik M, Lam F, Laversanne M, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. 2024. Available at: https://gco.iarc.who.int/today. Accessed August 05, 2024.
  • Turkish Public Health Institution. Breast cancer screening program national standards. Available at: https://hsgm.saglik.gov.tr/tr/kanser-tarama-standartlari/listesi/485-meme-kanseri-tarama-programı-ulusal-standartlarıhtml. Accessed August 05, 2023
  • Koç G, Gülen-Savaş H, Ergöl S, Yıldırım-Çetinkaya M, & Aydın N. Female university students’ knowledge and practice of breast self-examination in Turkey. Niger J Clin Pract, 2019;22(3):410–5. https://doi.org/10.4103/njcp.njcp_341_18
  • Nde FP, Assob JC, Kwenti TE, Njunda AL, Tainenbe TR. Knowledge, attitude and practice of breast self-examination among female undergraduate students in the University of Buea. BMC Res Notes. 2015 Feb 15;8:43. doi: 10.1186/s13104-015-1004-4. PMID: 25889644; PMCID: PMC4414436.
  • Aydın A, Koçan S & Gürsoy A. Turkish women breast self-examination knowledge and practices: A systematic review. International Anatolia Academic Online Journal Health Sciences, 2021;7(3):99-114. Retrieved from: https://dergipark.org.tr/tr/pub/iaaojh/issue/67239/989998
  • Zare Marzouni H, Lavasani Z, Shalilian M, Najibpour R, Saadat Fakhr M, Nazarzadeh R, Farshad A, Bahrami N. Women’s awareness and attitude toward breast self-examination in Dezful City, Iran, 2013. Iran Red Crescent Med J. 2014 Dec 30;17(1):e17829. doi: 10.5812/ircmj.17829. PMID: 25763260; PMCID: PMC4341502.
  • Mohanmmed Wali Shakhman L, Arulappan J. Prediction of breast self-examination behavior among Omani undergraduate students using Champion’s Health Belief Model. SAGE Open Nurs. 2023 Jun 6;9:23779608231179531. doi: 10.1177/23779608231179531. PMID: 37324570; PMCID: PMC10262672.
  • Karaca PP, Koyucu RG. Sağlık hizmetleri öğrencilerinin meme kanseri konusunda bilgilerinin değerlendirilmesi. Evaluation of health care students’ knowledge on breast cancer. Androl Bul 2020; 22:94−102 https://doi.org/10.24898/tandro.2020.72325
  • Didarloo A, Akhgar M, Moghaddam-Tabrizi F, Gharaaghaji R, Sheikhi S. Psychometric properties of the Iranian version of Champion’s Revised Health Belief Model Scale for breast cancer screening. Iranian Journal of Nursing and Midwifery Research, 2020;25(2):146–53. https://doi.org/10.4103/ijnmr.IJNMR_220_18
  • Champion VL. Instrument development for health belief model constructs. ANS. Advances in Nursing Science, 1984;6(3):73–85. https://doi.org/10.1097/00012272-198404000-00011
  • Gözüm S, Karayurt Ö Aydın İ. The results of Turkish adaptations of Champion’s Health Belief Model Scale at breast cancer screening. Hemşirelikte Araştırma Geliştirme Dergisi, 2004;6(1):71-85. Retrieved from https://dergipark.org.tr/tr/pub/hemarge/issue/52686/694691
  • Noroozi A, Jomand T, Tahmasebi R. Determinants of breast self-examination performance among Iranian women: An application of the health belief model. Journal of Cancer Education The Official Journal of the American Association for Cancer Education, 2011;26(2):365–74. https://doi.org/10.1007/s13187-010-0158-y
  • Pak N, Eliş Yıldız S. Investigation of the health beliefs of women living in Kars/Sarikamis regarding the self-breast examination. J Midwifery Health Sci. 2020;3(3):151–7. https://midwifery-ataunipress.org/en/the-living-in-kars-sarikamis-district-health-beliefs-on-breast-cancer-breast-self-examination-and-mammography-1646
  • Abolfotouh MA, BaniMustafa AA, Mahfouz AA, Al-Assiri MH, Al-Juhani AF, Alaskar AS. Using the health belief model to predict breast self examination among Saudi women. BMC Public Health. 2015 Nov 23;15:1163. doi: 10.1186/s12889-015-2510-y. PMID: 26596507; PMCID: PMC4657230.
  • Altunkurek ŞZ, Hassan Mohamed S. Determine knowledge and belief of Somalian young women about breast cancer and breast self-examination with champion health belief model: A cross-sectional study. BMC Medical Informatics and Decision Making, 2022;22(1):326. https://doi.org/10.1186/s12911-022-02065-4
  • Kirag N, Kızılkaya M. Application of the Champion Health Belief Model to determine beliefs and behaviors of Turkish women academicians regarding breast cancer screening: A cross sectional descriptive study. BMC Women’s Health, 2019;19(1):132. https://doi.org/10.1186/s12905-019-0828-9
  • Ameer K, Abdulie S, Pal S, Arebo K, Kassa G. Breast cancer awareness and practice of breast self-examination among female medical students in Haramaya University, Harar, Ethiopia. International Journal of Interdisciplinary and Multidisciplinary Studies (IJIMS), 2014;2 (2):109-19 http://www.ijims.com/uploads/8ba63277d8a1a7c04a02D19.pdf
  • Akpo E, Akpo M, Akhator A. Breast cancer knowledge and screening practices among Nigerian medical students. ISPUB–The Internet Journal of Health. 2009;11(2):1-8. https://print.ispub.com/api/0/ispub-article/5445
  • Ünlü U, Yıldız Çeltek N, Erdoğdu Ceylan E, Kırlanğıç R, Göğüş F. Psychoeducation sessions with caregivers of patients with terminal stage cancer, a qualitative study. J Contemp Med, 2022;12(1):71-5. https://doi.org/10.16899/jcm.980302
  • Dewi TK, Massar K, Ruiter RAC, Leonardi T. Determinants of breast self-examination practice among women in Surabaya, Indonesia: An application of the health belief model. BMC Public Health, 2019;19(1):1581. https://doi.org/10.1186/s12889-019-7951-2
  • Çelik S, Taşdemir N, Sancak H, Demirel M, Akman O, Kara M. Breast cancer awareness among Turkish nursing students. Asian Pacific Journal of Cancer Prevention: APJCP, 2014;15(20):8941–6. https://doi.org/10.7314/apjcp.2014.15.20.8941
  • Erbil N, Bölükbaş N. Beliefs, attitudes, and behavior of Turkish women about breast cancer and breast self-examination according to a Turkish version of the Champion Health Belief Model Scale. Asian Pacific Journal of Cancer Prevention: APJCP, 2012;13(11):5823–8.
  • Al-Naggar RA, Al-Naggar DH, Bobryshev YV, Chen R, Assabri A. Practice and barriers toward breast self-examination among young Malaysian women. Asian Pacific Journal of Cancer Prevention: APJCP, 2011;12(5):1173–8.
  • Boulos DN, Ghali RR. Awareness of breast cancer among female students at Ain Shams University, Egypt. Global Journal of Health Science, 2013;6(1):154–61. https://doi.org/10.5539/gjhs.v6n1p154
  • Gürsoy AA, Mumcu HK, Çalik KY, Bulut HK, Nural N, Kahriman IL, Hintistan S, Erdöl H, Yiğitbaş Ç, Yılmaz F. Attitudes and health beliefs associated with breast cancer screening behaviors among Turkish women. Journal of Transcultural Nursing: Official Journal of the Transcultural Nursing Society, 2011;22(4):368–75. https://doi.org/10.1177/1043659611414137
  • Foxall MJ, Barron CR, Houfek J. Ethnic differences in breast self-examination practice and health beliefs. Journal of Advanced Nursing, 1998;27(2):419–28. https://doi.org/10.1046/j.1365-2648.1998.00540.x
Toplam 28 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Hemşirelik (Diğer), Birinci Basamak Sağlık Hizmetleri
Bölüm Araştırma Makalesi
Yazarlar

Semra Eyi 0000-0003-0680-1063

Aylin Can 0000-0003-3496-9939

Melike Pehlivan 0000-0001-6320-0753

Yayımlanma Tarihi 9 Aralık 2024
Gönderilme Tarihi 1 Kasım 2023
Kabul Tarihi 6 Aralık 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 33 Sayı: 4

Kaynak Göster

Vancouver Eyi S, Can A, Pehlivan M. Investigation of Beliefs and Practices of University Students Regarding Breast Self-Examination. STED. 2024;33(4):290-306.