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최경옥 ( Choi Kyung-Ok ) - 인산전문대학 간호과
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Abstract
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The purpose of this study was to investigate knowledge, attitudes and practices of nurses toward breast self examination and to identify factors that may influence compliance with breast self examination.
The subjects for this study were 306 nurses in five university hospitals in Seoul.
Data were collected during the period from October 16 to November 4, 1993 by means of a structured questionnaire. The data were analyzed using descriptive statistics, ttest, ANOVA, Pearson Correlation and Stepwise Multiple Regression using SAS program.
The results of study are as follows :
1. The mean knowledge score for the total sample was 18.1. Factors affecting the nurses´ knowledge of breast cancer and BSE were : years of nursing experience:, enlisting the help of significant peers, experience: in learning BSE, the extent to which the nurse asked her clients about BSE, teaching BSE to clients in present area of practice.
2. Elements related to attitude included : (a) perceived feeling of susceptibility to breast cancer, and (b) belief about the effectiveness of´ BSE. The mean perceived susceptibility score was 1.7 and the mean effectiveness score was 4.60. The relation between the nurses´ attitudes and level ofd education was statistically significant. Factors affecting the nurses´ perceived susceptibility to breast cancer were experience with breast disease, and enlisting the help of significant peers.
The relation between the nurses´ belief about effectiveness of BSE and selfpractice, level of confidence in knowledge of technique and practice were statistically significant.
3. The mean selfpractice score for the total sample was 5.7.
The relation between nurses´ selfpractice, andyears of nursing experience and type of position were statistically significant. Results indicated 37. 9016 of the total sample practiced BSE. But only 11. 2% of the total sample practiced BSE monthly. The most frequent reason nurses gave for not performing monthly BSE was "Didn´t think do it". The most frequent reason nurses gave for not asking clients about BSE was "Not related to clients´ diagnosis" and "Didn´t think of it".
Factors affecting the nurses´ practice were exercise for health, experience with breast cancer patients, experience with mammography, experience with examination by physician, enlisting the help of significant peers, level of intention to per-form BSE and to recommended BSE, experience in learning about BSE, confidence in knowldge of BSE technique, asking clients of BSE, teaching BSE to clients in present area of practice.
4. No relation between knowledge and attitudes and practices was found
5. When all the variables were examined for their contribution to the variance it was found that the confidence in knowledge of BSE technique and BSE frequency for six months and family history of breast cancer were significant variables and explained 34. 2% of the variance.
From the results of this study it can be said that nurses need to be taught proper BSE technique so they can become more proficient in detecting breast abnormalities and then they will feel confident to teach BSE to clients.
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KeyWords
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유방자가검진, 지식, 태도, 실천
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원문 및 링크아웃 정보
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등재저널 정보
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