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The Effects of Breast Self-examination Program Enriched Environmentally among Healthy Women

환경보강 유방자가검진 프로그램의 효과

  • Park, Kyung-Yeon (Department of Nursing, College of Medical and Life Science, Silla University) ;
  • Kim, So-Hee (Department of Nursing, College of Medicine, Dong A University)
  • Received : 2010.03.11
  • Accepted : 2010.04.12
  • Published : 2010.06.20

Abstract

Purpose: The purpose of this study was to determine the effects of an environmental enrichment program on barrier, benefit, confidence, and compliance of breast self-examination in women at 3 months after instruction. Methods: Nonequivalent control group pretest-posttest design was conducted among 62 healthy women. Data were collected through the self-reported questionnaires from December 2008 to March 2009. Women were assigned to one of two treatment groups: (a) no-support of environmental enrichment with the instruction control group; (b) the support of environmental enrichment with the instruction experimental group. All women received the same instruction on breast self-examination once a week for two weeks. Data were analyzed with paired t-test, McNemar test and ANCOVAs of controlling for age run using SPSS/WIN 17.0. Results: The experimental group was significantly lower than control group on perceived barrier (F=5.91, p=.02) and higher than control group on compliance of breast self-examination (F=4.57, p=.04) after environmental enrichment program. However the environmental enrichment program did not make significant differences on benefit (F=0.01, p=.91) and confidence (F=0.77, p=.38). Conclusion: Findings suggest that the environmental enrichment should be needed to support women's breast self-examination and expanded for compliance of breast self-examination to promote the secondary prevention of women breast cancer.

Keywords

References

  1. Bener, A., Honein, G., & Anne, O. (2002). The determinants of breast cancer screening behavior: A focus group study of women in the United Arab Emirates. Oncology Nursing Forum, 29(9), E91-E98. https://doi.org/10.1188/02.ONF.E91-E98
  2. Champion, V. L., & Menon, U. (1997). Predicting mammography and breast self-examination in African American women. Cancer Nursing, 20(5), 315-322. https://doi.org/10.1097/00002820-199710000-00002
  3. Choe, M. A., Hah, Y. S., Kim, K. S., Yi, M. S., & Choi, J. A. (2008). A study on exercise behavior, exercise environment and social support of middle-aged women. Journal of Korean Academy of Nursing, 38(1), 101-110. https://doi.org/10.4040/jkan.2008.38.1.101
  4. Choi, K. O. (1996). Effectiveness of teaching in accordance with the teaching program types for the breast self-examination. Unpublished doctoral dissertation, Kyung Hee University, Seoul.
  5. Clark, V. A., & Savage, S. A. (1999). Breast self-examination training: A brief review. Cancer Nursing, 22(4), 320-326. https://doi.org/10.1097/00002820-199908000-00010
  6. Cohen, M. (2006). Breast cancer early detection, health beliefs, and cancer worries in randomly selected women with and without a family history of breast cancer. Psychooncology, 15(10), 873-883. https://doi.org/10.1002/pon.1018
  7. Dundar, P. E., Ozmen, D., Oxturk, B., Hasploat, G., Akyildiz, F., Coban, S., et al. (2006). The knowledge and attitudes of breast self-examination and mammography in a group of women in a rural area in western Turkey. BioMed Central Cancer, 24, 6-43.
  8. Elmore, J. G., Armstrong, K., Lehman, C. D., & Fletcher, S. W. (2005). Screening for breast cancer. Journal of the American Medical Association, 293(10), 1245-1256. https://doi.org/10.1001/jama.293.10.1245
  9. Hur, H. K., Park, S. M., & Kim, G. Y. (2004). Factors related to the stage of mammography screening in married Korean women. Journal of Korean Adult Academy Nursing, 16(1), 72-81.
  10. Janda, M., Stanek, C., Newman, B., Obermair, A., & Trimmel, M. (2002). Impact of videotaped information on frequency and confidence of breast self-examination. Breast Cancer Research Treatment, 73(1), 37-43. https://doi.org/10.1023/A:1015264103561
  11. Jirojwong, S., & MacLennan, R. (2003). Health beliefs, perceived self-efficacy, and breast self-examination among Thai migrants in Brisbane. Journal of Advanced Nursing, 41(3), 241-249. https://doi.org/10.1046/j.1365-2648.2003.02552.x
  12. Korean Breast Cancer Society (2009). Common knowledge for breast cancer. Retrieved July 17, 2009, from http://www.kbcs.or.kr.
  13. Lee, E. H., Kim, J. S., & Song, M. S. (2002). Translation and validation of Champion's health belief model scale with Korean women. Cancer Nursing, 25(5), 391-395. https://doi.org/10.1097/00002820-200210000-00010
  14. Lee, E. O., Lim, N. Y., & Park, H. A. (1998). Nursing.medical research & statistical analysis. Seoul: Soomoonsa.
  15. Lee, Y. W., & Lee, E. H. (2001). Predicting factors of breast self-examination among middle-aged women. Journal of Korean Adult Academy of Nursing, 13(4), 551-559.
  16. Lierman, L. M., Young, H. M., Powell-Cope, G. Georgiadou, F., & Benoliel, J. Q. (1994). Effects of education and support on breast self-examination in older women. Nursing Research, 43(3), 158-163.
  17. Ludwick, R., & Gaczowski, T. (2001). Breast self exams by teenagers: Outcome of a teaching program. Cancer Nursing, 24(4), 315-319. https://doi.org/10.1097/00002820-200108000-00013
  18. Malotte, C. K., Jarvis, B., Fishbein, M., Kamb, M., Iatesta, M., Hoxworth, T., et al. (1986). Assessing breast self-examination compliance in the natural environment. Journal of Beha vioral Medicine, 9(4), 363-371. https://doi.org/10.1007/BF00845120
  19. Ministry for Health, Welfare and Family Affairs (2009). The analysis of patient with cancer on National Health Insurance (2007). Retrieved March 15, 2009, from http://stat.mw.go.kr
  20. Nahcivan, N. O., & Secginli, S. (2007). Health beliefs related to breast self-examination in a sample of Turkish women. Oncology Nursing Forum, 34(2), 425-432. https://doi.org/10.1188/07.ONF.425-432
  21. Nekhlyudov, L., & Fletcher, S. (2001). Is it time to stop teaching breast self-examination? Canadian Medical Association Journal, 164(13), 1851-1854.
  22. Park, S. M., Hur, H. K., Kim, G. Y., & Song, H. Y. (2007). A descriptive study for developing a program to promote compliance with regular breast self-examination (BSE). Korean Journal of Women Health Nursing, 13(2), 88-97.
  23. Pender, N. J. (1997). Health promotion in health practice (M. A. Choi, & I. S. Lee, Trans.) Seoul: Hyunmoonsa (Original work published 1996).
  24. Rosenstock, I. M., Strecher, V. J., & Becker, M. H. (1988). Social learning theory and the health belief model. Health Education Quartely, 15(2), 175-183. https://doi.org/10.1177/109019818801500203
  25. Salazar, M. K., & Carter, W. B. (1993). Evaluation of breast self examination beliefs using a decision model. Western Journal Nursing Research, 15, 403-21. https://doi.org/10.1177/019394599301500402
  26. Seo, Y. O. (2003). The difference of women's knowledge, attitudes and practice education after education for breast self-examination. Journal of Korean Adult Academy of Nursing, 15(1), 5-13.
  27. Stamler, L. L., Thomas, B., & Lafreniere, K. (2000). Working women identify influences and obstacles to breast health practices. Oncology Nursing Forum, 27(5), 835-842.
  28. Tennessen, C., & Cimprich, B. (1995). Views to nature: Effects on attention. Journal of Environmental Psychology, 15, 77-85. https://doi.org/10.1016/0272-4944(95)90016-0
  29. Thomas, B., Stamler, L. L., Lafreniere, K. D., & Delahunt, T. D. (2002). Breast health educational interventions: Changes in beliefs and practice of working women. Journal of the American Association of the Occupational Health Nurses, 50(10), 460-467.
  30. van Praag, H., Kempermann, G., & Gage, F. H. (2000). Neural consequences of environmental enrichment. Nature Reviews Neuroscience, 1(3), 191-198.
  31. Yang, Y. H. (2007). The effect of BSE education with practice on knowledge, self-efficacy and performance in middle-aged women. Journal of Korean Academy of Fundamentals of Nurs, 14(2), 189-197.

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