Estrategias para la enseñanza del autoexamen del seno a mujeres en edad reproductiva

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...

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Detalles Bibliográficos
Autores: Doris Ortega, Malaquías López, Lizbeth López
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2000
País:México
Institución:Instituto Nacional de Salud Pública
Repositorio:Redalyc-INSP
OAI Identifier:oai:redalyc.org:10642106
Acceso en línea:https://www.redalyc.org/articulo.oa?id=10642106
Access Level:acceso abierto
Palabra clave:Salud
Mexico
breast self
examination
breast neoplasms
Key words: teaching
id MX_c4371cfb7566d561e97a6feef456932d
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network_acronym_str MX
network_name_str México
repository_id_str
spelling Estrategias para la enseñanza del autoexamen del seno a mujeres en edad reproductivaDoris OrtegaMalaquías LópezLizbeth LópezSaludMexicobreast selfexaminationbreast neoplasmsKey words: teachingObjective. 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 Secretariat’s 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 women’s 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 Student’s t test, variance analysis,McNemar’s c2, Pearson´s c2 and multiple linear regression.Results. With all three strategies, there was an increaseof approximately 30% in women’s 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 women’s 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.Instituto Nacional de Salud Pública2000info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdf0036-3634https://www.redalyc.org/articulo.oa?id=10642106Salud Pública de México (México) Num.1 Vol.42reponame:Redalyc-INSPinstname:Instituto Nacional de Salud Públicainstacron:INSPenhttp://www.redalyc.org/revista.oa?id=106Salud Pública de Méxicoinfo:eu-repo/semantics/openAccessoai:redalyc.org:106421062024-08-23T15:31:17Z
dc.title.none.fl_str_mv Estrategias para la enseñanza del autoexamen del seno a mujeres en edad reproductiva
title Estrategias para la enseñanza del autoexamen del seno a mujeres en edad reproductiva
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
title_short Estrategias para la enseñanza del autoexamen del seno a mujeres en edad reproductiva
title_full Estrategias para la enseñanza del autoexamen del seno a mujeres en edad reproductiva
title_fullStr Estrategias para la enseñanza del autoexamen del seno a mujeres en edad reproductiva
title_full_unstemmed Estrategias para la enseñanza del autoexamen del seno a mujeres en edad reproductiva
title_sort Estrategias para la enseñanza del autoexamen del seno a mujeres en edad reproductiva
dc.creator.none.fl_str_mv Doris Ortega
Malaquías López
Lizbeth López
author Doris Ortega
author_facet Doris Ortega
Malaquías López
Lizbeth López
author_role author
author2 Malaquías López
Lizbeth López
author2_role author
author
dc.subject.none.fl_str_mv Salud
Mexico
breast self
examination
breast neoplasms
Key words: teaching
topic Salud
Mexico
breast self
examination
breast neoplasms
Key words: teaching
description 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 Secretariat’s 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 women’s 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 Student’s t test, variance analysis,McNemar’s c2, Pearson´s c2 and multiple linear regression.Results. With all three strategies, there was an increaseof approximately 30% in women’s 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 women’s 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.
publishDate 2000
dc.date.none.fl_str_mv 2000
dc.type.none.fl_str_mv info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv 0036-3634
https://www.redalyc.org/articulo.oa?id=10642106
identifier_str_mv 0036-3634
url https://www.redalyc.org/articulo.oa?id=10642106
dc.language.none.fl_str_mv en
language_invalid_str_mv en
dc.relation.none.fl_str_mv http://www.redalyc.org/revista.oa?id=106
dc.rights.none.fl_str_mv Salud Pública de México
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Salud Pública de México
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Instituto Nacional de Salud Pública
publisher.none.fl_str_mv Instituto Nacional de Salud Pública
dc.source.none.fl_str_mv Salud Pública de México (México) Num.1 Vol.42
reponame:Redalyc-INSP
instname:Instituto Nacional de Salud Pública
instacron:INSP
instname_str Instituto Nacional de Salud Pública
instacron_str INSP
institution INSP
reponame_str Redalyc-INSP
collection Redalyc-INSP
repository.name.fl_str_mv
repository.mail.fl_str_mv
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