Background Breast cancer risk increases by 80% in the presence of BRCA1 and BRCA2 gene mutations in the same family. In particular, a woman whose sister or mother has breast cancer has a 2- to 5-fold higher risk of developing breast cancer compared with other women. For this reason, recommendations should have been made regarding breast cancer prevention and/or early detection for women with first-degree family history of breast cancer. Aim The aim of this study was to evaluate the effect of health education, which was provided to first-degree female relatives of breast cancer patients, on their health beliefs and behaviors. Study Design and Methods The study sample included 50 women with a first-degree relative being treated for breast cancer in the chemotherapy and radiotherapy unit of a university hospital. A one-group pretest-posttest design was used. The pretest consisted of the health belief model scale and a questionnaire regarding the women’s sociodemographic information and breast cancer screening behaviors. After the pretest, the patients received health education regarding breast cancer risk factors and screening methods. The posttest was conducted 3 weeks after the education using the same assessment tools. Results After education, there were statistically significant increases in rates of practicing breast self-examination, having clinical breast examinations, and undergoing breast ultrasound/mammography compared with pretest results. Conclusions Health workers should possess knowledge and experience about breast cancer which will enable them to effectively undertake an educational role, especially for high-risk groups such as women with first-degree family history of breast cancer.
BackgroundIn the pre‐operative process, patients who will undergo cardiovascular surgery and their families require planned education and education materials. Education given to patients plays a key role in reducing anxiety, overcoming stress, and accelerating discharge.AimsThis study was conducted to determine the effect of an education booklet in addition to training by nurses on efficacy expectation, pain and anxiety levels in coronary artery bypass grafting (CABG) surgery patients.Study DesignThis quasi‐experimental study was conducted in the cardiovascular surgery service of a university hospital in Izmir, Turkey, between June and October 2018 and involved 60 patients. The patients were divided into two groups: control (n = 30) and intervention (n = 30). The intervention group was patients educated before surgery by using the booklet, but the control group only received routine care by nurses. The data were collected using the Mini‐Mental Test, Patient Information Form, Visual Analogue Pain Scale, Spielberger State‐Trait Anxiety Scale, Barnason Efficacy Expectation Scale, and Education Evaluation Form.ResultsAfter the intervention at discharge, there was a significant difference between the mean scores of anxiety, pain, and efficacy expectation among the intervention group which received booklet education with the control group which received routine care (p < .05).ConclusionThe booklet education given to patients before CABG surgery was found to have potential effects on patients' post‐operative pain levels, the efficacy expectation, and satisfaction.Relevance to Clinical PracticeIn the pre‐operative process, the use of booklet education in addition to routine care increases the level of efficacy expectation and decreases pain and anxiety in CABG surgery patients. Therefore, nurses can use booklet education to improve self‐efficacy and reduce pain and anxiety in patients who have CABG surgery.
Amaç: Araştırmada; yoğun bakım ünitelerinde yatan hastaların basınç yarası gelişimini etkileyen faktörlerin belirlenmesi amaçlanmıştır. Materyal ve Metot: Tanımlayıcı türde olan ve verilerinin retrospektif olarak toplandığı bu araştırmada özel bir hastanenin yoğun bakımlarında yatan ve araştırma kriterlerine uyan 199 hastasının 6 aylık hasta verileri 15 gün içerisinde toplanmıştır. Literatür bilgilerinden yararlanılarak oluşturulan veri toplama formunda hastaların cinsiyet, yaş gibi sosyo demografik özellikleri ile birlikte bası gelişimini doğrudan ya da dolaylı olarak etkileyebilecek bazı önemli faktörler sorgulanmıştır. Veri toplama formu 24 sorudan ve sırasıyla şu başlıklardan oluşmaktadır: Bulgular: Yoğun bakım hastalarının 3. haftadaki; kan albumin düzeyleri ve CRP düzeyleri ile bası yarası oluşma derecesi karşılaştırılmıştır. Yapılan karşılaştırmada istatistiksel olarak anlamlı bir farklılık olduğu belirlenmiştir. Hastaların 3. haftadaki enfeksiyon üreme ve sedasyon kullanım durumu ile bası yarası oluşma derecesi karşılaştırılmış ve istatistiksel olarak anlamlı bir farklılık olduğu belirlenmiştir. Sonuç: Araştırma sonucumuzda literatürle benzerlik gösterecek şekilde yetersiz beslenmenin basınç yaralanması riskini arttıracağı sonucuna varılmıştır. Bu bilgiden yola çıkılarak oral, enteral veya parenteral beslenen hastalarda yeterli besin alımının değerlendirilmesi ve düzenli aralıklarla kilo takibinin yapılması önerilmektedir.
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