• Asian Pacific Journal of Cancer Prevention
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• v.15 no.21
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• pp.9499-9503
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• 2014

This study aimed to examine the relationship between body image satisfaction and breast self-screening behaviors and intentions. The sample for this cross-sectional study consisted of 842 female university students who were recruited from a number of public and private universities. Data were obtained between the months of November and December, 2013, using multistage random cluster sampling. Main research variables were breast cancer screening behavior and intentions, demographic factors, and the total scores on each of the Multidimensional Body-Self Relations Questionnaire (MBSRQ-Appearance Scales) subscales. Results of multivariate analysis showed that having higher satisfaction and more positive evaluation of appearance were related to having performed breast self-examination more frequently in the last year and intending to perform breast self-examination more frequently in the next year. Longitudinal research can potentially provide detailed information about overall body image satisfaction and breast cancer screening behavior among various communities.

• Korean Journal of Health Education and Promotion
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• v.26 no.1
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• pp.27-37
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• 2009

Objectives: This study was conducted to identify the relationship among knowledge, self-efficacy and compliance behavior on breast self examination(BSE) of female college students'. Methods: This descriptive study was conducted with a convenient sample of 499 female college student. Surveyed data collected from May to August 2008 were analyzed using descriptive statistics, t-test, pearson correlation coefficients and stepwise multiple regression. Results: The mean score of knowledge and self-efficacy concerning BSE was low, and compliance was high. The levels of knowledge, self-efficacy and compliance were differed significantly by experience of thinking about breast cancer, perceived susceptibility of breast cancer, experience of meeting with breast cancer patient, and educational experience of BSE. Significant correlations were found between knowledge and compliance, knowledge and compliance, knowledge and self-efficacy. Knowledge and self-efficacy were a powerful predictor of compliance. Conclusion: Focus on perceived knowledge, self-efficacy about breast self examination(BSE) of female college students may be beneficial to improve compliance, and should be reflected in the development of effective BSE education program.

• Asian Pacific Journal of Cancer Prevention
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• v.13 no.7
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• pp.3389-3397
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• 2012

Aim: The aim of this study was to analyze studies in Turkey about self-breast examination and produce conclusive, reliable and detailed basis for future studies. Methods: Studies performed between 2000 and 2009 (until the end of September) were retrieved from databases using breast cancer, breast examination, breast cancer screening and risk factors as key words. Fifty-nine studies were identified and 18 of them (15 journal articles and three theses) were used for the meta-analysis. Results: Married women and women with a family history of breast cancer were found to perform self-breast examination more frequently than single women and women without a family history of breast cancer, respectively (OR=1.02 %CI 0.82-1.63; OR=1.16 %CI 0.82-1.63). According to the health belief model scales, women performing self-breast examination were determined to have 1.7 times higher susceptibility (OR=1.70), 1.34 times higher seriousness perception (OR=1.34), 3.32 times higher health motivation (OR=3.32), 5.21 times more self-efficacy/confidence (OR=5.21) and 2.56 times higher self-breast examination benefit perception (OR=2.56). Conclusion: Nursing care models caused an increase in self-breast examination by women, and thus, it may be useful to organize and evaluate such health-related programs and consider women health perceptions.

• Perspectives in Nursing Science
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• v.11 no.1
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• pp.39-48
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• 2014

Purpose: This study investigated the effects of an education program integrating self-efficacy theory and narratives on self-efficacy, knowledge, and resilience in women with breast cancer. Methods: This study employed a nonequivalent control group posttest only design. A 3-day program consisting of sessions in which participants shared their experiences of breast cancer, lectures on breast cancer, and breast self-examinations was implemented. Data were collected using self-reported questionnaires in 2013. Results: The mean age of participants was $50.8{\pm}5.3$; approximately half (52.8%) had Stage II breast cancer at the time of diagnosis. The results showed that the levels of self-efficacy, knowledge, and resilience were significantly higher in the experimental group than in the control group (p<.05). Conclusion: The results of the study suggest that programs integrating self-efficacy theory and narratives would be effective in promoting resilience as well as self-efficacy and knowledge in women with breast cancer. Further studies are needed to identify the effects of such education programs for people with other types of cancer or chronic illnesses.

• Asian Pacific Journal of Cancer Prevention
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• v.14 no.2
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• pp.1141-1145
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• 2013

Delay in seeking treatment for breast cancer is a barrier to the early diagnosis and management of the disease, resulting in a poorer prognosis. We here estimated the prevalence of delayed presentation for breast cancer and identified possible influential sociodemographic factors in a cross-sectional study of 250 patients diagnosed with primary breast cancer at the Radiotherapy and Oncology Clinic in Kuala Lumpur Hospital. Data were collected by face-to-face interview using a structured questionnaire and from medical records. We examined associations between delayed presentation (presenting to a physician more than 3 months after self-discovery of a symptom) and sociodemographic characteristics, practice of breast self examination (BSE), history of benign breast disease, family history of breast cancer and type of symptom, symptom disclosure and advice from others to seek treatment using multiple logistic regression. Time from self-discovery of symptom to presentation ranged from tghe same day to 5 years. Prevalence of delayed presentation was 33.1% (95%CI: 27.4, 39.3). A significantly higher proportion of delayers presented with late stages (stage III/IV) (58.3% vs. 26.9%, p<0.001). Divorced or widowed women (OR: 2.23, 95% CI: 1.11, 4.47) had a higher risk of delayed presentation than married women and women who never performed breast self examination were more likely to delay presentation compared to those who regularly performed BSE (OR: 2.74, 95% CI: 1.33, 5.64). Our findings indicate that delayed presentation for breast cancer symptoms among Malaysian women is high and that marital status and breast self examination play major roles in treatment-seeking for breast cancer symptoms.

• Asian Oncology Nursing
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• v.3 no.2
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• pp.133-144
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• 2003

This study is carrying out a before and after experiment design for the non-equal comparative group to identify the effects of the breast self-examination education on breast self-examination participant education compliance and health promotion in women. The subject of this study was 58 women residing in Chungju. Their age ranged from 20 to 40. These women were not pregnant or did not breast feed, as well as they did not have any breast disease, at the time of survey. They were available for the response to the questionnaires, and understood the purpose of this study. They also agreed to participate in the study, and responded to the 3rd time questionnaires to the end. Thus, brochures and lectures were provided side by side to a group of 19 of those women, and only brochures were provided to another group of 39 of those women. With regard to education, a brochure and a program using a breast model were applied. Then, the frequency of the breast self examination compliance, breast self examination capability and the relations between the breast self examination and activities to promote health were measured, before the education, after 4 weeks of education and after 12 weeks of education. Before education and after 4 weeks of education. I collected the questionnaires myself visiting them, and after 12 weeks of education, the questionnaires were collected by mail. In relation to the study tool, the breast self examination activity was measured by two measuring tools: breast self examination activity frequency and breast self examination compliance capability. As for the frequency, the number of self examination for the period of 3 months, before the questionnaire survey, was measured in the form of self report. In relation to the tool to measure the breast self examination capability, the BSEPRI tool, which was developed by Wood in 1994, was used. Here, as the score was higher, the capability was indicated to be higher. The translated and revised version of Health Promoting Lifestyle Profile II (Walker, Sechrist & Pender. 2002) was used as a tool for health promotion. As the measured score was higher, the health promoting activity was indicated to be higher. The results of this study were as follows: 1. As a result of checking the breast self examination compliance frequency between the experiment group that received the breast self examination participant education and the comparative group that did not receive the education, there was a significant difference in interaction between groups by time, as time passed by. 2. As a result of checking the breast self examination compliance capability between the experiment group and the comparative group, there was a significant difference in interaction between groups by time, as time passed by. 3. As a result of carrying out a repetitive measurement analysis, between the experiment group that received the breast self examination education and the comparative group that did not receive the education, which was carried out to validate the hypothesis that the former would have higher health promoting activities than the latter, there was no significant difference after the breast self examination education was conducted.

• Research in Community and Public Health Nursing
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• v.8 no.1
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• pp.89-101
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• 1997

Breast cancer ranks as one of the major health problems in adult women. The purpose of this study is to determine relationships among the practice of Breast Self-Examination(BSE) and the variables of cancer risk and other genernal factors. This knowledge may be helpful in designing a BSE educational program to promote breast self-examination on a regular basis. The study population included 205 women who live in K city. Personal interviews were conducted to determine the individual's breast self-examination behavior, the level of Breast Cancer Risk according to general factors as well as her reasons for not doing a breast self-examination. The collected data was analyzed with an SAS program The results were summarized as follows : 1. The level of Breast Cancer Risk of the subjects is as follows: high risk(9%), moderate risk(11%), boderline risk(12%), no increased risk (68%). 2. There was no difference in the practice of BSE between women who were at high cancer risk and at no increased cancer risk. 3. BSE practice levels according to general foctors were significantly related to the residence and the level of education of the subjects. The performing of regular breast self-examination in urban areas was 7% and in rural areas was 0%. Regularly practiced breast self-examination in women with a low education was 5% and in college educated women, it was 29%. 4. BSE education was significantly related to the residence and the level of education of the subjects. The majority learned BSE through 'a magazine or journal'. 5. The reason of the majority of women did not perform a regular breast self-examination was, 'Didn't know the BSE technique'. On the basis of this study it can be concluded that the development of a BSE education program is needed to help women perform the examination correctly.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.1
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• pp.155-160
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• 2014

Purpose: This study aimed to analyse female academician health beliefs for breast cancer screening and levels of self-esteem. Materials and Methods: This cross-sectional study was conducted between October 2010 and March 2011, covering female academicians working in all faculties and vocational schools at Ondokuz Mayis University, except for the ones in the field of health (n=141). Data was collected using a questionnaire developed by researchers in the light of the related literature, the Champion's Health Belief Model Scale for Breast Cancer, and the Coopersmith Self-Esteem Inventory. Descriptive statistics, the t-test, Mann-Whitney U and correlation analysis were used to analyze the data with the SPSS 13.0 statistical package. Results: 53.8% of the participants were single, 58.6% did not have children, 80.7% had regular menstrual cycles, 28.3% was taking birth control pills, 17.9% were undergoing hormone therapy, 11% suffered breast problems, 8.3% had relatives with breast cancer, 78,6% knew about breast self-examination (BSE), 68.3% was performing BSE, 16.2% were performing BSE monthly, 17.9% had had mammograms, and 30.3% had undergone breast examinations conductedby physicians. The women who had breast physical examinations done by physicians had higher susceptibility, self-efficacy and health motivation, and fewer barriers to mammography than those who did not have breast physical examinations. Conclusions: There was a relationship between the female academician self-esteem and their perceived seriousness of breast cancer, perceived barriers to BSE and health motivation. Our Turksih female academicians had medium levels of self-esteem.

• Korean Journal of Adult Nursing
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• v.28 no.4
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• pp.378-387
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• 2016

Purpose: The purpose of this study was to describe the impact of fatigue and distress on self-efficacy among breast cancer survivors and to provide a base for development of nursing intervention strategy to improve self-efficacy. Methods: A descriptive research design was used. The subjects were 158 patients who were either being treated or were receiving follow-up care at a university breast center in D City from May 30 to August 30, 2014. Structured questionnaires, Revised Piper Fatigue Scale, Distress Thermometer, and Self-Efficacy Scale for Self-Management of Breast Cancer were used to measure fatigue, distress, and self-efficacy. Data were analyzed using t-test, ANOVA, Pearson's correlation coefficients, and multiple regressions. Results: The mean scores of fatigue, distress, and self-efficacy were 3.83, 4.31, and 3.77, respectively. There were significant differences among participants in terms of educational background, current treatment methods, perceived health status, economic burden for fatigue and perceived health status for distress. Self-efficacy was impacted by age, educational background, marital status, average monthly income, perceived health status, and medical expenses. Fatigue, age, and the burden on medical expense had the most impact on self-efficacy, accounting for 17% of the variance. Conclusion: Fatigue should be managed to improve self-efficacy of breast cancer survivors. Therefore, nursing programs designed to decrease fatigue may be helpful.

• Korean Journal of Adult Nursing
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• v.28 no.4
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• pp.470-481
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• 2016

Purpose: The purpose of this study was to explore self-management support experiences among breast cancer survivors. Methods: Individual in-depth interviews were performed for survivors who had treated breast cancer after completion of chemotherapy and radiation therapy. Data were collected from April 2014 to July 2014 and analyzed using phenomenological method by Colaizzi. Results: Five essential themes were found as follows: 1) Need for continuous help and support to maintain self-management, 2) Need for professional resources to carry out regular exercise, 3) Overcoming psychological difficulties through others rather than health care professionals, 4) Disappointment with time with and circumstances of health care consultation, 5) Dependence on means of media for health related information. Conclusion: The results might contribute to an understanding of self-management support experienced by breast cancer survivors in Korea. It is suggested that evidence-based program for self-management support should be developed and applied to nursing intervention for breast cancer survivors.