• 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.

• Asian Pacific Journal of Cancer Prevention
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• 제14권8호
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• pp.4925-4930
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• 2013

Background: The aim of this study was to determine beliefs concerning breast self-examination in first- and second-degree relatives of patients with breast cancer and evaluate their breast self-examination (BSE) application. Materials and Methods: A survey study was conducted in an oncology polyclinic and general surgery clinic of a hospital in Ankara, the capital of Turkey with a sample of 140 women. Results: It was determined that 60.7% of the participants had conducted BSE and 48.1% had undergone a clinical breast examination. Perceived selfefficacy of the women who performed BSE were significantly higher compared with women who did not practice BSE (p<0.001) Furthermore, perceived barriers were lower among those who had performed BSE (p<0.001). Logistic regression analysis indicated that women who perceived higher self-efficacy (OR: 1.119, 95% CI: 1.056-1.185, p<0.001) and had regular CBE (OR: 8.250, 95% CI: 3.140-21.884, p<0.001) and educational status (OR: 5.287, 95% CI: 1.480-18.880, p<0.01) were more likely to perform BSE. Conclusions: Findings from this study indicated that perceived barriers, perceived self-efficacy, and educational status could be predictors of BSE behavior among the first- and second-degree relatives of patients with breast cancer. Therefore, BSE training programs that emphasize self-efficacy and address perceived barriers are recommended.

• 지역사회간호학회지
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• 제16권1호
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• pp.68-76
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• 2005

Purpose: The aims of this study were to evaluate early breast cancer screening rate of occupational health nurses and to analyze factors affecting their behavior. Method: We reviewed and analyzed the structured questionnaires of III respondents from 230 participants in continuing education of occupational health nurses. Result: Breast self examination was performed in 72.1%, clinical breast examination was received in 30.6% and mammography was received in 40.5% significant factors affecting breast self examination were age and the age of menarche. significant factors affecting clinical breast examinations for breast cancers were age and the place of residence, and factors affecting mammography were age, monthly income, alcohol intake, the age of menarche, and attitude about early screening for breast cancers. Conclusion: Early breast cancer screening rate of occupational health nurses was higher than that of general population of women. But the rate of clinical breast examination and mammogaphy were lower of less than 50% of respondents. Therefore occupational health nurses who are responsible for health management of working women need more education for themselves to promote the motivation and to increase the rate of participation in early breast cancer screening.

• 지역사회간호학회지
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• 제21권3호
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• pp.273-281
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• 2010

Purpose: This study was to explore the effects of breast cancer education for college students on their mother's breast cancer screening promotion. Methods: This study used a one-group pretest and posttest design. Data were collected from September to November, 2007 from a sample of 80 college students and their mothers using a survey questionnaire, which asked about demographic variables, concerns over health and breast cancer, communication, stage of change and attitude (pros and cons) related to breast cancer, and confidence in breast self-examination. The college students received education about breast cancer for 50 minutes and then they educated their mothers about breast cancer. Data were analyzed with descriptive statistics and paired t-test. Results: The mean age of the college students was 22.0 years, and that of their mothers 49.4 years with a range from 43 to 58 years. After receiving education on breast cancer, there were significant changes in the mean scores of concerns about health and breast cancer, communication, pros in mammography, and confidence in practicing breast self-examination. Conclusion: This study indicates that education on breast cancer to mothers through their college-age daughters is effective and can be utilized to promote breast cancer screening for women.

• Asian Pacific Journal of Cancer Prevention
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• 제16권15호
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• pp.6231-6235
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• 2015

Background: In Malaysia, breast cancer is the first cancer among females regardness of race. Aim: The purpose of this study was to identify the knowledge and BSE practice among undergraduate female students at four public universities in Klang Valley, Malaysia. Materials and Methods: This cross-sectional study was conducted among 820 undergraduate female students using a self-administered questionnaire covering socio-demographic data, knowledge of breast cancer and BSE practice. Results: The mean age of the respondents was $21.7{\pm}1.2$ years. The majority of them were single (96.8%), Malay (91.9%) and 16.5% of respondents had a family history of breast cancer. This study showed low level of knowledge on breast cancer and breast self-examination among participants. Only 19.6% participants were performing BSE regularly. Knowledge of breast self-examination was significantly associated with BSE practice (p=0.00). Also, there were significant associations between performing BSE with age, marital status and being trained by a doctor for doing BSE (p<0.05). Conclusions: Our findings showed that the rate of BSE practice and knowledge of breast cancer is inadequate among young Malaysian females. A public health education program is essential to improve breast cancer prevention among this group.

• Journal of Preventive Medicine and Public Health
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• 제52권4호
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• pp.224-233
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• 2019

Objectives: In women, breast cancer is the most common cancer and the leading cause of cancer death. Screening tests are the basis for early diagnosis. In Iranian women, the mortality rate of breast cancer is high due to insufficient screening examinations and delayed visits for care. Therefore, this study aimed to determine the factors affecting breast self-examinations among Iranian women employed in medical careers. Methods: This cross-sectional study included 501 women working in the medical professions at Hamadan University of Medical Sciences in western Iran in 2018. The subjects were selected by stratified random sampling. Data were collected using a researcher-developed, self-report questionnaire that contained demographic information and questions based on protection motivation theory and social support theory. Descriptive data analysis was conducted using SPSS version 23 and model fitting with PLS version 2. Results: The mean age of the participants was $37.1{\pm}8.3years$, and most of the women (80.4%) were married. Most women had a bachelor's degree (67.5%). The findings of this study showed that the coping appraisal construct was a predictor of protection motivation (${\beta}=0.380$, p<0.05), and protection motivation (${\beta}=0.604$, p<0.05) was a predictor of breast self-examination behavior. Additionally, social support theory (${\beta}=0.202$, p<0.05) had a significant positive effect on breast self-examination behavior. Conclusions: The frequency of practicing self-examinations among women employees in the medical sector was low; considering the influence of social support as a factor promoting screening, it is necessary to pay attention to influential people in women's lives when designing educational interventions.

• Asian Pacific Journal of Cancer Prevention
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• 제15권20호
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• pp.8637-8640
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• 2014

The aim of this study was to investigate the knowledge, attitude and practice of Breast Self-Examination (BSE) among female university students from 24 low, middle income and emerging economy countries. Using anonymous questionnaires, data were collected from 10,810 female undergraduate university students aged 16-30 (mean age 20.7, SD=2.9) from 25 universities in 24 countries across Asia, Africa and the Americas. Overall, 50.4% of the female students indicated that they knew how to conduct BSE. Among all women, 59.3% had never practiced BSE in the past 12 months, 21.3% 1-2 times, 10.3% 3-10 times, and 9.1% monthly. The proportion of monthly BSE was above 20% in Nigeria and Laos and below 2% in Bangladesh, India, Singapore, Russia, and South Africa. Logistic regression found that BSE importance or positive attitude was highly associated with BSE practice. BSE practices were found to be inadequate and efforts should be made to develop programmes that can increase knowledge related to breast cancer as well as the practice of breast self-examination.

• 동서간호학연구지
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• 제19권1호
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• pp.37-45
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• 2013

Purpose: The purpose of this study was to investigate the level of knowledge, health belief, and self-efficacy affecting on breast self-examination (BSE), and to identify factors influencing the practice of BSE of women in their 30's and 40's. Methods: With a correlation survey design, 194 women in their 30's and 40's were recruited at 4 culture centers in Busan via convenience sampling. Measures were included with knowledge, health belief, and self-efficacy for breast self-examination and level of BSE practice. Results: Level of knowledge, health belief and self-efficacy for BSE were greater than medium level. BSE practice had positive correlations with subscales of health belief, except barrier and self-efficacy, but no relationship with knowledge. Self-efficacy, sensitivity, and benefit among the entered variables were significant factors influencing the practice of BSE, and explanatory power of these variables was 32.8%. Conclusion: Based on this study, studies are required to compare through repeated research according to age, education, occupation, environmental characteristics. In addition, to maximize the educational effect, development of the educational program in conjunction with the local community to increase breast self-examination practice and research about the effectiveness are needed.

• 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.

• Asian Pacific Journal of Cancer Prevention
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• 제13권12호
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• pp.6159-6161
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• 2012

This cross-sectional and descriptive study was aimed to evaluate women breast self-examination (BSE) practice and effects of a planned educational programme for breast cancer and BSE. The samples of the study consisted 266 women. The study data were collected by a questionnaire in six months periods as two times in a month in which the periods were defined and announced to all women. After that all the women were informed about BSE. The statue of performing BSE of women (n=146) was evaluated. They were interviewed on phone after 6 months. The collected data were analyzed by using statistical SPSS program. The average age of women was $35.68{\pm}7.54$. It is also determined that (61.3%) had no knowledge about BSE, (87.6%) had examined clinical breast examination (CBE) in a year and half of them (50.8%) never practiced BSE, (29.0%) had BSE regularly every month. Concerning the status of BSE practice before the education and after the education significant difference is found statistically (p<0.00). The significance of this study is that it is to give education about breast cancer and BSE for raising awareness among women.