Breast and cervical cancer are the most common causes of cancer mortality among women worldwide, but actually they are largely preventable diseases. There is limited data on breast and cervical cancer knowledge, screening practices and attitudes of nurses in Turkey. A self-administered questionnaire was used to investigate the knowledge and attitude of nurses on risk factors of the breast and cervical cancer as well as screening programmes such as breast self-examination (BSE), clinical breast examination, mammography (MMG) and papanicolaou (pap) smear test. In total, 125 out of 160 nurses participated in the study (overall response rate was 80.6%). The risk factors and symptoms of breast cancer was generally well known, except for early menarche (23.2%) and late menopause (28.8%). For cervical cancer, the correct risk factors mostly indicated by the nurses were early age at first sexual intercourse (56%), smoking (76%), multiple sexual partners (71.2%). As for screening methods, it was believed that BSE was a beneficial method to identify the early breast changes (84.8%) and MMG was able to detect the cancer without a palpable mass (57.6%). Little was known about the fact that women should begin cervical cancer screening approximately 3 years after the onset of sexual intercourse (23.2%) and if repeated pap smear test were normal, it could be done every 2-3 years. Most of the nurses considered that MMG decreases the mortality in breast cancer (65.6%) and also believed that pap smear test decreases the mortality in cervical cancer (75.2%). Despite high level of knowledge of breast cancer risk factors, symptoms and screening methods, inadequate knowledge of cervical cancer screening method were found among nurses.

译文

乳腺癌和宫颈癌是全世界女性癌症死亡的最常见原因,但实际上它们在很大程度上是可以预防的疾病。土耳其有关乳腺癌和宫颈癌知识,筛查实践和护士态度的数据有限。采用自编问卷调查护士对乳腺癌和宫颈癌危险因素的知识和态度,并进行乳房自我检查 (BSE),临床乳房检查,乳房x线检查 (MMG) 和巴氏涂片检查等筛查计划。总共160名护士中有125名参加了研究 (总有效率为80.6%)。除初潮早期 (23.2%) 和绝经晚期 (28.8%) 外,乳腺癌的危险因素和症状通常是众所周知的。对于宫颈癌,护士指出的正确危险因素主要是初次性交年龄早 (56%),吸烟 (76%),多性伴侣 (71.2%)。至于筛选方法,认为BSE是识别早期乳房变化的有益方法 (84.8%),并且MMG能够在没有可触及肿块的情况下检测癌症 (57.6%)。对于女性应在性交开始后大约3年开始进行宫颈癌筛查 (23.2%),并且如果重复的巴氏涂片检查正常,则每2-3年进行一次,这一事实知之甚少。大多数护士认为MMG可以降低乳腺癌的死亡率 (65.6%),并且还认为子宫颈抹片检查可以降低宫颈癌的死亡率 (75.2%)。尽管对乳腺癌危险因素,症状和筛查方法的了解程度很高,但护士对宫颈癌筛查方法的了解不足。

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