Estrategias para la enseñanza del autoexamen del seno a mujeres en edad reproductiva
Fuente:
Redalyc
Guardado en:
| Autor principal: | |
|---|---|
| Formato: | Artículo científico |
| Lenguaje: | en |
| Publicado: |
Instituto Nacional de Salud Pública
2000
|
| Materias: | |
| Acceso en línea: | |
| Etiquetas: |
Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
| _version_ | 1876464139494227968 |
|---|---|
| author | Doris Ortega |
| author_facet | Doris Ortega |
| contents | Estrategias para la enseñanza del autoexamen del seno a mujeres en edad reproductiva Doris Ortega Malaquías López Lizbeth López Salud Mexico breast self examination breast neoplasms Key words: teaching Objective. To develop an effective strategy to inform Mexicanwomen between 12 and 47 years of age about breastcancer (BC) and train them to perform breast self-examination(BSE). Material and methods. Between April, 1996and July, 1998, two different strategies to teach BSE weredesigned and evaluated in Cuernavaca, State of Morelos,Mexico. These strategies included teaching materials andwere based on opinions of women participating in the firststage of this study. Both strategies consisted of the presentationof a leaflet and a video. The first strategy was deliveredby a public health nurse in charge of leading the session.The second one was presented by a BC survivor. This secondstrategy included slides and silicon breast models. Thesetwo strategies were then compared to a third one, consistingof a primary care nurse handing out a leaflet andshowing a video, based on Health Secretariats guidelines. Intotal, 149 women were trained. They were randomly assignedto any one of these three strategies. The effectivenessof the teaching strategies was determined by assessingthe changes in the womens knowledge of BC and BSE, aswell as in their ability to identify the largest number of lumpson a natural size silicon breast, before and after training.Statistical analysis included Students t test, variance analysis,McNemars c2, Pearson´s c2 and multiple linear regression.Results. With all three strategies, there was an increaseof approximately 30% in womens knowledge of BC andBSE as well as in their ability to detect lumps. Although atthe beginning of the training only one out of every 20 womenwere able to identify more than three lumps in the siliconmodel, by the end between 3 and 4 of every 10 womenwere able to do this, with values of p<0.05. Some factorsdetermine womens learning of both BSE and informationabout BC as well as their ability to identify lumps. Conclusions.Teaching BSE with any of the strategies evaluated couldbe included in an integral program to educate Mexicanwomen on breast cancer prevention and early detection.The appropriate and monthly practice of BSE is linked bothto a decrease in the amount of time elapsing between theidentification of suspect signs and the demand for medicalcare, such as requesting a clinical breast examination, whichentails identifying small tumors when BC is present. 2000 artículo científico 0036-3634 https://www.redalyc.org/articulo.oa?id=10642106 en http://www.redalyc.org/revista.oa?id=106 Salud Pública de México application/pdf Instituto Nacional de Salud Pública Salud Pública de México (México) Num.1 Vol.42 |
| format | Artículo científico |
| id | redalyc_10642106 |
| institution | Redalyc |
| language | en |
| publishDate | 2000 |
| publisher | Instituto Nacional de Salud Pública |
| spellingShingle | Estrategias para la enseñanza del autoexamen del seno a mujeres en edad reproductiva Doris Ortega Salud Mexico breast self examination breast neoplasms Key words: teaching Estrategias para la enseñanza del autoexamen del seno a mujeres en edad reproductiva Doris Ortega Malaquías López Lizbeth López Salud Mexico breast self examination breast neoplasms Key words: teaching Objective. To develop an effective strategy to inform Mexicanwomen between 12 and 47 years of age about breastcancer (BC) and train them to perform breast self-examination(BSE). Material and methods. Between April, 1996and July, 1998, two different strategies to teach BSE weredesigned and evaluated in Cuernavaca, State of Morelos,Mexico. These strategies included teaching materials andwere based on opinions of women participating in the firststage of this study. Both strategies consisted of the presentationof a leaflet and a video. The first strategy was deliveredby a public health nurse in charge of leading the session.The second one was presented by a BC survivor. This secondstrategy included slides and silicon breast models. Thesetwo strategies were then compared to a third one, consistingof a primary care nurse handing out a leaflet andshowing a video, based on Health Secretariats guidelines. Intotal, 149 women were trained. They were randomly assignedto any one of these three strategies. The effectivenessof the teaching strategies was determined by assessingthe changes in the womens knowledge of BC and BSE, aswell as in their ability to identify the largest number of lumpson a natural size silicon breast, before and after training.Statistical analysis included Students t test, variance analysis,McNemars c2, Pearson´s c2 and multiple linear regression.Results. With all three strategies, there was an increaseof approximately 30% in womens knowledge of BC andBSE as well as in their ability to detect lumps. Although atthe beginning of the training only one out of every 20 womenwere able to identify more than three lumps in the siliconmodel, by the end between 3 and 4 of every 10 womenwere able to do this, with values of p<0.05. Some factorsdetermine womens learning of both BSE and informationabout BC as well as their ability to identify lumps. Conclusions.Teaching BSE with any of the strategies evaluated couldbe included in an integral program to educate Mexicanwomen on breast cancer prevention and early detection.The appropriate and monthly practice of BSE is linked bothto a decrease in the amount of time elapsing between theidentification of suspect signs and the demand for medicalcare, such as requesting a clinical breast examination, whichentails identifying small tumors when BC is present. 2000 artículo científico 0036-3634 https://www.redalyc.org/articulo.oa?id=10642106 en http://www.redalyc.org/revista.oa?id=106 Salud Pública de México application/pdf Instituto Nacional de Salud Pública Salud Pública de México (México) Num.1 Vol.42 |
| title | Estrategias para la enseñanza del autoexamen del seno a mujeres en edad reproductiva |
| topic | Salud Mexico breast self examination breast neoplasms Key words: teaching |
| url | https://www.redalyc.org/articulo.oa?id=10642106 |