• 보건교육건강증진학회지
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• 제20권3호
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• pp.77-90
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• 2003

The purpose of this study was to identify the influencing factors on the compliance of breast self-examination (BSE) among 205 Christian women living in Pusan and U1san areas. Structured self-administered questionnaires were used. Knowledge levels were measured by the instrument developed by Choi(l996). Self- efficacy and health belief were measured by the instruments developed by Champion (1993) and modified by Choi(1996). Women who did BSE more than once within 6 months were categorised as compliant. Data was analyzed by descriptive statistics, t- test, χ² test and logistic regression analysis using SPSS WIN program. The results of this study were summarized as follows； 1. 15.1％ of women performed the BSE at least once during the last 6 months. 2. Non-complier and compliant women showed statistically significant differences in the level of self efficacy and barriers. 3. Predictors of BSE compliance were ‘history of having breast disease’, ‘experience of receiving recommendation for BSE’, ‘barriers’, and ‘experience of meeting with breast cancer patients’ and explained 14.8％ of variance in compliance of BSE. For future clinical practice, health professionals, including nurses, need to actively suggest to women the importance of BSE, and to distribute the information through posters and pamphlets at clinics and public health centers. Including the opportunity to meet patients in health education centers can be another strategy to increase women's motivation for BSE. For future research, it is necessary to recruit women from broader geographic areas utilizing various sources such as community centers to increase generalizability of the findings.

• Asian Pacific Journal of Cancer Prevention
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• 제15권16호
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• pp.6531-6534
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• 2014

Background: In Iran, breast cancer is the most prevalent cancer in women and a major public health problem. Methods: A cross sectional study was carried out to determine knowledge on breast cancer and breast self-examination (BSE) practices of 384 females living in the city of Hamadan, Iran. A purposive sampling method was adopted and data were collected via face-to-face interviews based on a validated questionnaire developed for this study. Results: Among respondents 268 (69.8%) were married and 144 (37.5%) of the respondents reported having a family history of breast cancer. One hundred respondents (26.0%) claimed they practiced BSE. Level of breast cancer knowledge was significantly associated with BSE practice (p=0.000). There was no association with demographic details (p<0.05). Conclusion: The findings showed that Iranian women's knowledge regarding breast cancer and the practice of BSE is inadequate. Targeted education should be implemented to improve early detection of breast cancer.

• 한국융합학회논문지
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• 제7권1호
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• pp.77-87
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• 2016

본 연구의 목적은 문제 기반 학습(PBL) 및 실습을 융합하여 유방 자가 검진 교육 후 여성수도자들의 경험을 포커스 그룹 인터뷰 연구방법을 이용하여 면담, 확인하고 유방 자가 검진 교육을 문제 기반 학습과 실습을 융합하여 새로운 발전적 방향을 모색하고자 하는데 있다. 여성수도자들은 주 1회, 2시간, 4주간 문제 기반 학습 유방 자가 검진 교육을 받고 3개월 간 유방 자가 검진 실천율을 확인하는 프로그램에 참여한 후 '유방암에 대한 인식', '유방 자가 검진 교육에 대한 인식', '유방 자가 검진 교육 경험', '유방 자가 검진을 위한 문제 기반 학습 및 실습 융합 교육경험'과 '교육 후 변화'의 범주가 도출되었다. 대상자들은 교육 후 지식이 증가하고 새로운 실기능력을 습득한 것에 대체적으로 만족하였으나 규칙적으로 수행하지 못하는 개인적, 환경적 요인을 타나냈다. 또한 교육 전 일관되지 않은 인식과 막연하게 안심하고 있던 태도에서 교육 후 오히려 불안감이 증가되어 관심을 더 가지게 되었음을 나타내 유방암과 유방 자가 검진에 대한 동기가 증가된 것으로 판단되어 긍정적 효과로 파악되었다. 추후 수도자의 요구에 맞는 융합적 유방 자가 검진 교육 프로그램의 개발이 필요하다.

• 대한간호학회지
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• 제33권8호
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• pp.1119-1126
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• 2003

Background. Breast cancer is the most common form of cancer among Korean women. Only 14 % of urban women and 10% of rural women in Korea, however, participated in breast cancer screening behavior in 1998 (Korean Ministry of Health & Welfare, 1999). Purpose. The aim of this study was to evaluate the effect of community-based breast self-examination (BSE) education programs in Korea. Methods. First, breast cancer risk appraisals were done with 1,977 rural women. Of the 1,977 women, nearly 30% (n=494) had a higher or equal to borderline risk of developing breast cancer. This quasi-experimental study was conducted to target these women with a high or equal to borderline risk of breast cancer. The risk appraisal feedback and breast self-examination education were used as an intervention for breast cancer prevention and early detection. Results. After a 3-month follow-up, 30.5% of the women in the intervention group performed regular BSE compared to 10.2 % of women in the control group. The mean knowledge score related to breast cancer and BSE was significantly higher for the women in the intervention group than that in the control group.

• 기본간호학회지
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• 제14권2호
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• pp.189-197
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• 2007

Purpose: Breast cancer is a common cancer in women in Korea. Early detection of breast cancer is very important for the protection of a woman's health. The purpose of this quasi-experimental study was to determine the effect of BSE education on knowledge, self efficacy and performance in middle-aged women. Method: The participants were 33 women who agreed to participate in the study. They responded to a questionnaire that included items on knowledge, self-efficacy and performance of BSE. The experimental group was given a 90 minute-session including a lecture and practice with a BSE practice model and their own body. Their knowledge of the BSE was measured using Choi's tool and self-efficacy was measured using the scale by Champion and Scott. Results: Homogeneity for knowledge, self-efficacy and performance of BSE between the experimental and the control groups was confirmed. After 3 months of BSE education, knowledge, self-efficacy and frequency of BSE performance in the experimental group were significantly higher than for the women in the control group. Conclusion: A BSE education program would be helpful to enhance health behavior by early detection of breast cancer in middle-age women.

• 한국콘텐츠학회논문지
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• 제13권6호
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• pp.350-360
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• 2013

본 연구는 일 지역 여대생의 유방자가검진에 대한 지식, 태도 및 실천 정도를 파악하고 제 변수간의 상관관계를 확인하기 위하여 시도되었다. 연구대상자는 U시에 소재한 1개 대학교에 재학 중인 여대생 330명으로 설문 조사하였으며, 연구결과 지식 점수는 6.60점/17점으로 낮았고, 태도 점수는 42.34점/64점으로 중간보다 높게 나타났으며 실천 점수는 13.23점/24점으로 중간정도로 나타났다. 대상자의 제 특성에 따른 유방자가검진에 대한 지식 정도는 연령(t=11.013 p<.001), 학년(t=12.725, p<.001), 유방자가검진에 대해 들어본 경험이 있는 경우(t=6.661, p<.001), 권유자가 있는 경우(t=3.426, p=.001), 교육을 받은 경험이 있는 경우(t=5.825, p<.001), 유방자가검진을 시행하는 경우(t=2.789, p=.005)에서 통계적으로 유의한 차이가 있었다. 대상자의 제 특성에 따른 유방자가검진에 대한 실천 정도는 유방자가검진에 대해 들어본 경험이 있는 경우(t=5.250, p<.001), 교육을 받은 경험이 있는 경우(t=4.493, p<.001), 앞으로 자가검진 계획이 있는 경우(F=3.910, p=.013)에서 통계적으로 유의한 차이가 있었다. 대상자의 유방자가검진에 대한 지식, 태도 및 실천과의 관계를 살펴본 결과 지식과 태도 정도의 관계는 미약한 순 상관관계를 보였고, 지식과 실천 정도의 관계는 약한 순 상관관계로 나타났다. 연구의 결과를 토대로 여대생의 유방자가검진 실천을 향상시킬 수 있는 효과적인 유방자가검진 교육방법 개발이 필요하다.

• Asian Pacific Journal of Cancer Prevention
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• 제17권4호
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• pp.2229-2233
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• 2016

Background: Breast cancer is one of the most common cancers among women in the world. Early detection is necessary to improve outcomes and decrease related costs. The aim of this study was to assess the predictive power of health locus of control as a modifying factor in the Health Belief Model (HBM) for prediction of breast self-examination. Materials and Methods: In this cross- sectional study, 400 women selected through the convenience sampling from health centers. Data were collected using part of the Champion's HBM scale (CHBMS), the Health Locus of Control Scale and a self administered questionnaire. For data analysis by SPSS the independent T test, Chi square test, logistic and linear regression modes were appliedl. Results: The results showed that 10.9% of the participants reported performing BSE regularly. Health locus of control did not act as a predictor of BSE as a modifying factor. In this study, perceived self-efficacy was the strongest predictor of BSE performance (Exp (B) =1.863) with direct effect, while awareness had direct and indirect influence. Conclusions: For increasing BSE, improvement of self-efficacy especially in young women and increasing knowledge about cancer is necessary.

• Asian Pacific Journal of Cancer Prevention
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• 제17권12호
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• pp.5133-5138
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• 2016

Background: Breast cancer is one of the most common cancers and a major public health problem in developing countries. However, early detection and treatment may be achieved by breast self-examination (BSE). Despite the importance of BSE in reducing the incidence of breast cancer and esultant deaths, the disease continues to be the most common cause of cancer death among women in Iran.This study aimed to determine the effects of self-care education on performance of BSE among women referring to health centers in our country. Materials and Methods: This quasi-experimental interventional study with pretest/posttest control group design was conducted on 168 women referred to health centers. The data were collected using a validated researcher-made questionnaire including demographic variables and trans-theoretical model constructs as well as a checklist assessing BSE behavior. The instruments were administered to groups with and without self-care education before, a week after, and 10 weeks after the intervention. Then, the data were entered into the SPSS statistical software (version 19) and analyzed using independent sample t-tests, paired sample t-test, repeated measures ANOVA, Chi-square, and Friedman tests (p<0.05). Results: The results showed an increase in the intervention group's mean scores of trans-theoretical model constructs (stages of change, self-efficacy, decisional balance, and processes of change) and BSE behavior compared to the control group (p<0.001). Conclusion: The study confirmed the effectiveness of aneducational intervention based ona trans-theoretical model in performing BSE. Therefore, designing educational interventions based on this model is recommended to improve women's health and reduce deaths due to breast cancer.

• Asian Pacific Journal of Cancer Prevention
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• 제13권1호
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• pp.123-125
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• 2012

Purpose: The purpose of this study was to identify the current status of the awareness and practice of breast self-examination (BSE) among Korean women. Materials and Methods: The study population was derived from the 2007 Korea National Cancer Screening Survey (KNCSS), an annual cross-sectional survey that uses a nationally representative random sample to investigate cancer-screening rates and related factors. A total of 1,255 Korean women aged ${\geq}30$ years participated in this study. Results: Of all participants, 88.0% reported that they had heard of BSE. The most common source of information on BSE was the media such as TV, radio and newspapers (87.0%). Recommendations from medical staff reached only 17.2%. The overall proportions of regular and irregular BSE were 13.2% and 16.1%, respectively. The main reason for not performing BSE was lack of knowledge about how to conduct the exam (31.7%). Conclusion: Despite a high level of awareness about BSE, only a small minority of women examine their breasts regularly in Korea.

• Asian Pacific Journal of Cancer Prevention
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• 제14권1호
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• pp.57-61
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• 2013

Background: Breast cancer is the most common cancer and the second principal cause of cancer deaths among women worldwide, including Malaysia. Methods: A cross-sectional study was carried out among 262 female undergraduate students in University Putra Malaysia using a validated questionnaire which was developed for this study. Results: The mean age of respondents was $22{\pm}2.3$ years. Most of them were single (83.1%), Malay (42.3%) and 20.7% reported having a family history of breast cancer. Eighty-seven (36.7%) claimed they had practiced BSE. Motivation and self-efficacy of the respondents who performed BSE were significantly higher compared with women who did not (p<0.05).There was no association between BSE practice and demographic details (p<0.05). Logistic regression analysis indicated that women who perceived greater motivation (OR=1.089, 95%CI: 1.016-1.168) and had higher confidence of BSE (OR=1.076, 95%CI: 1.028-1.126) were more likely to perform the screening. Conclusions: The findings show that Malaysian young female's perception regarding breast cancer and the practice of BSE is low. Targeted education should be implemented to improve early detection of breast cancer.