Effects of an Integrated Breast Health Program according to Stages of Breast Cancer Risk Appraisal

유방암 위험평가 단계에 따른 통합적 유방건강관리 프로그램의 효과

  • Hur, Hea-Kung (Department of Nursing, Yonsei University Wonju College of Medicine) ;
  • Kim, Gi-Yon (Department of Nursing, Yonsei University Wonju College of Medicine) ;
  • Kim, Chang-Hee (Department of Nursing, Hyejeon College) ;
  • Park, Jong-Ku (Department of Preventive Medicine, Yonsei University Wonju College of Medicine) ;
  • Koh, Sang-Baek (Department of Preventive Medicine, Yonsei University Wonju College of Medicine) ;
  • Park, So-Mi (Department of Nursing, Yonsei University Wonju College of Medicine)
  • 허혜경 (연세대학교 원주의과대학 간호학과) ;
  • 김기연 (연세대학교 원주의과대학 간호학과) ;
  • 김창희 (혜전대학 간호과) ;
  • 박종구 (연세대학교 원주의과대학 예방의학교실) ;
  • 고상백 (연세대학교 원주의과대학 예방의학교실) ;
  • 박소미 (연세대학교 원주의과대학 간호학과)
  • Published : 2009.03.30

Abstract

Objectives: The current study evaluated the effects of an integrated breast health program according to levels of breast cancer risk appraisal on knowledge on breast cancer, early detection behaviors, and diet patterns and attitudes in Korean healthy women. Method: A nonequivalent control group pre-posttest design was used. A total of 413 women aged 40-59, registering at the Life Long Health Center in two cities, were classified into intervention groups of 179 women and control groups of 234 women. The integrated breast health program included education, counseling on breast cancer, early detection behaviors, and appropriate diet with multimedia and individual practice session using breast models, reflecting characteristics of each level according to levels of risk appraisal. The knowledge on breast cancer, early detection behaviors, and diet were investigated using questionnaires at baseline and three months after intervention. Results: In both normal and borderline-risk group, intervention groups reported significantly higher scores of knowledge on breast cancer and higher stages of BSE behaviors than control groups. Conclusion: The results showed positive effects on knowledge and early detection behaviors of breast cancer in normal and borderline-risk groups. Further studies should investigate longitudinal effects of the intervention program on dietary change.

Keywords

References

  1. 국가암정보센터. 한국 암 통계.http://www.cancer.go.kr/cms/index.html. 2008
  2. 김선호 외 5명. 한국여성 유방암의 개인별 발생위험도 예측. 대한외과학회지 2008;74(6):405-411
  3. 김영복. 일부 중년여성의 유방암 수검행동 변화단계와 인지-행동적 요인간의 관련성 분석. 보건교육·건강증진학회지 2006;23(2):77-89
  4. 김옥수, 김정희. 여성의 유방암에 대한 두려움, 유방촬영술 유익성과 유방촬영이행에 관한 연구. 간호과학-이화여자대학교 2006;18(1):1-8
  5. 박소미. 한국 여성의 Pap 도말검사 지속적 참여행위에 관한 설명모델. [박사학위논문]. 서울: 연세대학교 대학원, 1999
  6. 박소미, 허혜경, 김기연, 송희영. 규칙적 유방자가검진 이행 증진 프로그램 개발을 위한 조사 연구. 여성건강간호학회지 2007;13(2):88-97
  7. 안세현. 한국인 유방암의 인구학적 및 식이발병요인에 관한 환자대조군 연구. 보건복지부보고서 1999;한국인 유방암위험요인 규명과 병인률 확립 및 조기진단법 개발 중에서:1-7
  8. 양영희. 중년 여성의 유방암 위험 정도와 유방자가검진 지식 및수행 여부와의 관계. [석사 학위논문]. 천안: 단국대학교대학원, 2004
  9. 이채형, 노주원. 유방암 선별검사의 최신지견. 대한산부회지2008;51(9):933-942
  10. 장명철. 컴퓨터 프로그램을 이용한 한국여성 유방암의 상대적위험도 예측. 2004;7(4):294-298
  11. 장희정 외 5명. 한국 중년여성들의 유방자가검진에 관한 지식태도 및 실천정도. 지역사회간호학회지 2002;13(4):719-731
  12. 정인숙, 김성희, 김정순. 유방암 조기검진 수검 및 반복수검 실태와 관련요인. 대한간호학회지 2004;34(5):791-800
  13. 최경옥. 유방자가검진 교육 프로그램 유형에 따른 교육의 효과. [박사학위논문]. 서울: 경희대학교 대학원, 1996
  14. 허혜경, 박소미, 김기연. 기혼 여성의 유방조영술 검진행위에대한 영향요인. 성인간호학회지 2004;16(1):72-81
  15. Ceber E, Soyer MT, Ciceklioglu M, Cimat S. Breast cancer risk assessment and risk perception on nurses and midwives in Bornova Health District in Turkey. Cancer Nurs 2006;29(3):244-249 https://doi.org/10.1097/00002820-200605000-00013
  16. Claus EB, Risch N, Thompson WD. Autosomal dominant inheritance of early-onset breast cancer : Implications for risk prediction. Cancer 1994;73:643-651 https://doi.org/10.1002/1097-0142(19940201)73:3<643::AID-CNCR2820730323>3.0.CO;2-5
  17. Fowler BA, Rodney M, Roberts S, Broadus L. Collaborative breast health intervention for African American women of lower socioeconomic status. Oncol Nurs Forum 2005;32:1207-1216 https://doi.org/10.1188/05.ONF.1207-1216
  18. Gail MH, et al. Projecting individualized probabilities of developing breast cancer for white females who are being examined annually. J Natl Cancer Inst 1989;81: 1879-1886 https://doi.org/10.1093/jnci/81.24.1879
  19. Gasalberti D. Early detection of breast cancer by self-examination: The influence of perceived barriers and health conception. Oncol Nurs Forum, 2002;29(9):1341-1347 https://doi.org/10.1188/02.ONF.1341-1347
  20. Hollingsworth AB, et al. Current comprehensive assessment and management of women at increased risk for breast cancer. Am J Surg 2004;187:349-362 https://doi.org/10.1016/j.amjsurg.2003.12.025
  21. Katapodi MC, Lee KA, Facione NC, Dodd MJ. Predictors of perceived breast cancer risk and the relation between perceived risk and breast cancer screening : A meta-analytic review. Prev Med 2004;38:388-402 https://doi.org/10.1016/j.ypmed.2003.11.012
  22. Lee CY, Kim HS, Ko IS, Ham OK. Evaluation of a community-based program for breast self-examination offered by the community health nurse practitioners in Korea. J Korean Acad Nurs 2003;33(8):1119-1126
  23. Lu ZJ. Variables associated with breast self-examination among Chinese women. Cancer Nurs 1995;18:29-34
  24. Luszczynska A, Schwarzer R. Planning and self-efficacy in the adoption and maintenance of breast self-examination : A longitudinal study on self-regulatory cognitions. Psychol Health 2008;18:93-108 https://doi.org/10.1080/0887044021000019358
  25. Pasick R, Hiatt RA, Paskett ED. Lessons learned from communitybased cancer screening intervention research. Cancer 2004; 101(5):Suppl:1146-1164 https://doi.org/10.1002/cncr.20508
  26. Paskett E, et al. Randomized trial of an intervention to improve mammography utilization among a triracial rural population of women. J Natl Cancer Inst 2006;98(17):1226-1237 https://doi.org/10.1093/jnci/djj333
  27. Prochaska JO, DiClemente CC. Stages and processes of self-change of smoking : Toward an integrative model of change. J Consult Clin Psychol 1983;51:390-395 https://doi.org/10.1037/0022-006X.51.3.390
  28. Quillin JM, et al. Duration of an intervention's impact on perceived breast cancer risk. Health Educ Behav 2008;35(6):855-865 https://doi.org/10.1177/1090198108325912
  29. Rothstein WG. Dietary fat, coronary heart disease, and cancer: a historical review. Prev Med 2006;43:356-360 https://doi.org/10.1016/j.ypmed.2006.07.013
  30. Rutledge DN, Barsevick A, Knobf MT, Bookbinder M. Breast cancer detection: knowledge, attitudes, and behaviors of women from Pennsylvania. Oncol Nurs Forum 2001;28(6):1032-1040
  31. Sherwood P, et al. A cognitive behavioral intervention for symptom management in patients with advanced cancer. Oncol Nurs Forum 2005;32(6): 1190-1198 https://doi.org/10.1188/05.ONF.1190-1198
  32. Skinner CS, Arfken CL, Sykes RK. Knowledge, perceptions, and mammography stage of adoption among older urban women. Am J Prev Med 1998;14(1):54-63 https://doi.org/10.1016/S0749-3797(97)00008-1