The status of testicular self-examination of male students taking health education and the factors affecting

Öz

Aim: Early diagnosis of testicular cancer will reduce the adverse effects of the treatment process reduce the cost of treatment and the need for surgical intervention, prevent problems related to fertility, increase the quality of life, shorten the healing time and may be prevent mortality in patients. It is important to perform a self-testicular examination for the early diagnosis of testicular cancer. This study was conducted to determine the status of self-testicular examination of health-educated male students and the factors that affect them.

Material and Methods: This descriptive study was completed with 107 male students studying at a university's health education departments and voluntarily participating. Numbers, percentages, averages, chi square and Spearsman's correlation tests were used in the analysis of the data. The relevant institution and Ethics Committee approvals and participants' informed consent were taken before the research.

Results: There is a family history of cancer of 10.3% of the participants. 33.6% of the students knew to do testicular self-examination and 21.5% of their had regular it. It was determined that in the undregraduate and nursing education areas (82.6%) were found to be significantly higher than those of the other departments at the testicular self-examination levels and the most important reason for not doing was the lack of information on this subject (51.4%).

Conclusion: It is important be a role-model for the community of students who are candidates for health professional that know how to do testicular self-examination and do it regularly.

Anahtar Kelimeler

• Early diagnosis,men,testicular self examination

Sağlık eğitimi alan erkek öğrencilerin kendi kendine testis muayenesi yapma durumları ve etkileyen faktörler

Öz

Amaç: Testis kanserinin erken teşhisi hastalarda tedavi sürecinin olumsuz etkilerini, tedavi maliyetini ve cerrahi müdahale gerekliliği azaltacak, doğurganlıkla ilgili problemler önlenebilecek, yaşam kalitesi artacak, iyileşme süresi kısalarak, mortalite önlenebilecektir. Testis kanserinin erken teşhisi için kendi kendine testis muayenesi yapılması önemlidir. Bu çalışma, sağlık eğitimi alan erkek öğrencilerin kendi kendine testis muayenesi yapma durumlarını ve etkileyen faktörleri belirlemek amacıyla gerçekleştirilmiştir.

Gereç ve Yöntemler: Bu tanımlayıcı araştırma bir üniversitenin sağlık alanında eğitim veren bölümlerinde okuyan ve gönüllü olarak katılan 107 erkek öğrenci ile tamamlanmıştır. Verilerin analizinde sayı, yüzde, ortalamalar, ki kare ve Spearsman’s korelasyon testleri kullanılmıştır. Araştırma için ilgili kurum, etik kurul ve öğrencilerin onamları alınmıştır.

Bulgular: Öğrencilerin %10,3’ünün ailesinde kanser öyküsü bulunmaktadır. Öğrencilerin %33.6’sı kendi kendine testis muayenesi yapmayı bilmekte ve %21,5’i düzenli yapmaktadır. Lisans düzeyinde ve hemşirelik eğitimi alanların (%82,6) kendi kendine testis muayenesi yapma düzeylerinin diğer bölümlerde eğitim alanlardan anlamlı şekilde yüksek olduğu, muayene yapmamalarının en önemli nedeninin bu konuda bilgilerinin olmaması (%51,4) olduğu saptanmıştır.

Sonuç: Sağlık profesyoneli olmaya aday olan bu öğrencilerin kendi kendine testis muayenesi yapmayı bilmesi ve düzenli yapması topluma rol modeli olmaları açısından önemlidir.  

Anahtar Kelimeler

• Erken teşhis,erkek,kendi kendine testis muayenesi

Kaynakça

1. 1. Cornet CL, Lortet-Tieulent J, Forman D et al. Testicular cancer incidence to rise by 25% by 2025 in Europe? Model-based predictions in 40 countries using population-based registry data. European Journal of Cancer 2014; 50: 831-39
2. 2. Rosen A, Jayram G, Drazer M, Eggener SE. Global trends in testicular cancer incidence and mortality. European Urolog 2011; 60: 374-79 3. Roy RK, Casson K. Attitudes toward testicular cancer and self-examination among Northern Irish males. American Journal of Men’s Health 2017; 11(2): 253–61.
3. 4. Znaor A, Lortet-Tieulenta J, Jemal A, Bray F. International variations and trends in testicular cancer incidence and mortality. European Urology 2014; 65: 1095-106
4. 5. Viatori M. Testicular cancer. Seminars in Oncology Nursing 2012; 28: 180-189
5. 6. United Nations Development Programme. Human Development Reports 2014. http://hdr.undp.org/en (Erişim tarihi: 09 Eylül 2017).
6. 7. Bozdemir N, Özcan S. Cinsellik ve cinsel sağlığa genel bakış. Turkish Journal of Family Medicine and Primary Care 2011; 5: 37-46.
7. 8. Sui W, Morrow DC, Bermejo CE, Hellenthal NJ. Trends in testicular cancer survival: a large population-based analysis. Urology 2015; 85: 1394-98.
8. 9. Casey RG, Grainger R, Butler MR, McDermott TED & Thornhill JA. Public awareness of testis cancer and the prevalence of testicular self-examination changing patterns over 20 years. Urology 2010; 76: 915-18.

9. 10. Stevenson TD, McNeill JA. Surgical management of testicular cancer. Clinical Journal Of Oncology Nursing 2004; 4: 355-60
10. 11. Kuzgunbay B, Yaycıoğlu Ö, Soyupak B, Atay Kayış A, Ayan S, Yavaşcaoğlu İ, Cal C, Beduk Y. Public awareness of testicular cancer and self-examination in Turkey: A multicenter study of Turkish Urooncology Society. Urologic Oncology: Seminars and Original Investigations 2013; 31: 386-391
11. 12. Werk RS, Hill JC, Graber JA. Impact of knowledge, self-efficacy, and perceived importance on steps taken toward cancer prevention among college men and women. J Canc Educ 2017; 32: 148-54
12. 13. Casey RG, Grainger R, Butler M, McDermott TED & Thornhill JA. Scrotal signs and symptoms in the general population, the value of testis self-examination and the pitfalls of a scrotal screening programme: is the two-week rule relevant? World J Urol 2011; 29: 387-391
13. 14. Evans REC, Steptoe A & Wardle J. Testicular self-examination: change in rates of practice in Europe an university students, from 13 countries, over a 10-year period. The Journal of Men's Health&Gender 2006; 3: 368-72.
14. 15. Khadra A, Oakeshott P. Pilot study of testicular cancer awareness and testicular self-examination in men attending two south london general practices. Fam Pract 2002; 19: 294-96.
15. 16. McCullagh J, Lewis G, Warlow C. Promoting awareness and practice of testicular self-examination. Nursing Standard 2005; 19: 41-49.
16. 17. Muliira JK, Nalwanga PB, Muliira RS, Nankinga Z. Knowledge, perceived risk and barriers to testicular self-examination among male university students in Uganda. Journal of Mens Health 2012; 9: 36-44
17. 18. Murray BLS, Wilcox LJ. Testicular self-examination. The American Journal of Nursing 1978; 78: 2074-2075.
18. 19. Özbaş A, Çavdar İ, Yıldız Fındık Ü, Akyüz N. Inadequate knowledge levels of Turkish male university students about testicular self-examination. Asian Pacific Journal of Cancer Prevention 2011; 12: 919-22.
19. 20. Öztürk A, Unalan D, Güleser GN. Knowledge, attitude and practices of technicians working at hospitals towards testicular cancer and self-examination of testicles in Turkey. Asian Pacific Journal of Cancer Prevention 2014; 15: 10095-99.
20. 21. Peltzer K, Pengpid S. Knowledge, attitudes and practice of testicular self-examination among male university students from Bangladesh, Madagascar, Singapore, South Africa and Turkey. Asian Pacific Journal of Cancer Prevention. 2014; 15: 4741-43.
21. 22. Wynd CA. Testicular self-examination in young adult men. Journal of Nursing Scholarship 2002; 34: 251-55.
22. 23. Shepherd L, Watt C, Lowell B. The role of social–cognitive and emotional factors on testicular self examination. Psycho-Oncology 2017; 26: 53-59
23. 24. Shallwani K, Ramji R, Saeed Ali T, Khuwaja AK. Self examination for breast and testicular cancers: a community-based intervention study. Asian Pacific Journal of Cancer Prevention 2010; 11: 383-86.
24. 25. Ward KD, Vander Weg MW, Cocke Read M, Sell MA, Beech BM, Testicular cancer awareness and self-examination among adolescent males in a community-based youth organization KD. Preventive Medicine 2005; 41: 386-98
25. 26. Özbaş A, Çavdar İ. Üriner sistem cerrahisinde bakım. Ed. Eti Aslan F, Cerrahi Bakım Vaka Analizleri ile Birlikte. Akademisyen Tıp Kitabevi. Ankara. 2016. s. 813-871. ISBN: 978-605-9942-58-4.
26. 27. Orşiopeksi operasyonu hasta bilgilendirme ve rıza belgesi. 2012. http://necipfazildh.saglik.gov.tr/kalite/index.php?option=com_jdownloads&Itemid=229&view=finish&cid=1141&catid=53 (Erişim tarihi: 09 Eylül 2017).
27. 28. Rew L, McDougall G, Riesch L, Parker C. Development of the self-efficacy for testicular self-examination scale. J Men's Health Gend 2005; 2: 59-63.
28. 29. King L, Quinn GP, Vadaparampil ST, Gwede CK, Miree CA, Wilson C, Clayton H, Perrin K. Oncology nurses’ perceptions of barriers to discussion of fertility preservation with patients with cancer. Clinical Journal of Oncology Nursing 2008; 12: 467-476
29. 30. Oldenburg J. Hypogonadism and fertility issues following primary treatment for testicular cancer. Urologic Oncology: Seminars and Original Investigations 2015; 33: 407-12
30. 31. Küçük M, Bolaman AZ, Yavaşoğlu İ, Kadıköylü G. Fertility-preserving treatment options in patients with malignant hematological diseases. Turk j Hematol 2012; 29: 207-16
31. 32. CETAD – Cinsel Eğitim Tedavi ve Araştırma Derneği, Cinsel sağlık ve üreme sağlığı alanında ulusal ve yerel medya yoluyla savunuculuk projesi, Bilgilendirme dosyası 1: Cinsel yaşam ve sorunları. Ed: Şahin D, Şimşek F, Seyisoğlu H. http://www.cetad.org.tr/CetadData/Book/5/2692011151611-bilgilendirme_dosyasi_1.pdf (Erişim tarihi: 09 Eylül 2017).
32. 33. Girasole CR, Cookson MS, Smith JA, Ivey BS, Roth BJ & Chang SS. Sperm banking: use and outcomes in patients treated for testicular cancer. BJU Int 2007; 99: 33-39.