The effects of an educational program on knowledge of breast cancer, early detection practices and health beliefs of nurses and midwives
The effects of an educational program on knowledge of breast cancer, early detection practices and health beliefs of nurses and midwives
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DOI：
10.1111/j.1365-2702.2009.03150.x
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发表时间：
2010-08-01
影响因子：
4.2
通讯作者：
Ciceklioglu, Meltem
中科院分区：
文献类型：
--
作者：
Ceber, Esin;Turk, Meral;Ciceklioglu, Meltem
的目标。目的：确定一项关于乳腺癌知识、护士和助产士的早期检测方法和健康信念的教育计划的有效性背景：教育计划在乳腺癌预防行为中起着重要作用设计：该研究被设计为一项仅限试验后的对照组设计。教育计划只适用于实验组。研究组包括实验组和对照组的157134名护士和助产士。方法：实验组的参与者接受有关乳腺癌的教育项目。教育项目实施一年后，使用个人数据表和土耳其版Champion健康信念模型量表收集两组数据。数据分析过程中采用描述性统计、配对样本t检验、卡方检验和Fisher精确检验。结果实验组的平均总知识得分显著高于对照组。实验组乳腺x线摄影和临床乳腺检查的应用比例较高。两组在乳房自检方面差异无统计学意义。实验组的健康信念总分明显高于对照组。结论：教育干预对实验组的乳腺癌知识、乳腺癌相关行为、早期发现和健康信念均有积极影响。与临床实践相关。教育项目，包括提高早期发现乳腺癌的动机和技能的技术，应该在护理和助产中广泛推广。在规划有关乳腺癌的教育项目时应考虑健康观念。干预措施的设计应增强护士和助产士的信心和动力。
Aim.To determine the effectiveness of an educational program concerning knowledge of breast cancer, early detection practices and health beliefs of nurses and midwives.Background.Educational programs play an important role in breast cancer preventive behaviour.Design.The study was designed as an experimental post-test only, control group design. The educational program was applied only to the experimental group. The study group included 157,134 nurses and midwives respectively in the experimental and the control group.Methods.Participants in the experimental group received an educational program on the breast cancer. One year after the educational program was delivered, data were collected from the two groups using a personal data form and the Turkish version of Champion's Health Belief Model Scale. Descriptive statistics, paired samples t-test, chi-square test and Fisher's exact test were conducted in the course of the data analyses.Results.The mean total knowledge score was significantly higher in the experimental group than in the control group. The application percentage of mammography and clinical breast examination was higher in the experimental group. There were no significant differences between two groups in performing breast self-examination. The experimental group was significantly more likely to feel confident and motivated, and their total score on the health belief scale was much better than that of the control group.Conclusions.The results of this study showed that educational intervention had a positive impact on knowledge of breast cancer, on practices related to breast cancer, on early detection and on the health beliefs in the experimental group.Relevance to clinical practice.The educational programs, including techniques to increase the motivation and skills for early detection of breast cancer, should be made widespread in nursing and midwifery. Health beliefs should be considered in planning educational programs about breast cancer. Interventions should be designed to enhance nurses' and midwives' confidence and motivation.