Jaspreet Kaur Dullat, Aanchal, Amritpal Kaur, Atinderpal Kaur, Bhupinder Kaur and Chanderkanta
Knowledge, Breast Self Examination, Students
|PUBLISHED DATE||October 2016|
|PUBLISHER||The Author(s) 2016. This article is published with open access at www.chitkara.edu. in/publications|
In India, the incidence of breast cancer is increasing at an alarming rate and Breast Self Examination is an important method to identify it its earliest stage. Therefore, a study to assess the knowledge of Nursing students regarding Breast Self- Examination was conducted in Rayat Bahra University, Mohali, Punjab. Quantitative research approach was used in the study and using purposive sampling technique, data was collected from the sample of 95 students using structured multiple choice questionnaire. The present study exhibited that most of the students had inadequate knowledge and do not perform Breast Self Examination as a routine. Therefore, there is need to encourage the students to practice it as a routine so that the breast cancer can be detected at an early stage.
“An ounce of prevention is better than pound of care”
Breast cancer is a leading cause of the death in many developing countries amongst middle age women. During the year 2007, among developing countries about 5.4 million cases were reported while and 6.7 million were identified in developing countries. 20% of cancer related deaths are accounted for breast cancer .
Breast cancer is the most common site of cancer in the female. It is one among the 5 most common cancers in India according to the population based tumours registry cell of the “Indian council of medical research (I.C.M.R) New Delhi”. In Delhi, breast cancer constitutes about 12% of all cancers and about 24% of all cancers in women.
Current statistics indicate that women lifetime risk to have breast cancer is 1 in 8, but this risk is not the same for all age groups. The risk for developing Breast cancer by age 35 years is 1 in 622 and by the age 60 years is 1 in 23. Approximately 80%of breast cancer is diagnosed after age of 50. A combination of Hormonal, Genetic and Environmental event may contribute to its development. Early diagnosis helps in early treatment and improved survival rate.
A WHO expert committee has recommended BSE for the early identification of Breast cancer. BSE is a primary tool for prevention of Breast cancer. It is as a simple, very low cost, non-invasive screening method. It’s important for early detection of breast lumps and while performing it, the women observe, palpate and feel her breasts that help to identify any deviation from normal. Thus, it is a useful self-care activity for all adult women over age of 20 to perform a regular monthly Breast Self-Examination after the completion of their menstrual cycle to look for any lumps and other changes. Women can detect 95% of cancers by this method.
As it is most suitable and readily available method, experts advise that every woman who has begun to menstruate should know the correct way to perform Breast Self- Examination. Self-palpation of breasts is more sensitive than by physician or nurse palpation as the women being more familiar with her own breasts detect any changes in advance that can be missed out by an infrequently visited health practitioner
The effectiveness of Breast Self-Examination does not depend only on frequency, but also on the accuracy with which Breast Self-Examination is performed. Thus, educating about the Breast Self-Examination can be live saving. Several studies conducted to check the knowledge and practices of Breast Self-Examination among peer group revealed that they have less knowledge regarding Breast Self-Examination.
A set of factors limit the performance of Breast Self-Examination, such as lack of confidence, fear of an abnormality, and lack of time. The most commonly reported barrier was worry about Breast cancer which suggested that worry may interfere with performing Breast Self-Examination thoroughly. So, it is necessary to educate the students that how to practice the Breast SelfExamination, its importance and its effectiveness to investigate the Breast cancer at as early stage.
Competence of performance has been shown to affect the efficacy of the self- examination. A study conducted by Memis S, Balkaya N A (2009) among 244 female student nurses to “determine the effect of nursing and midwifery education on breast self examination and reflected that it has a positive effect on student’s knowledge. The study suggested that nursing students should be thoroughly prepared to perform breast self examination on themselves. So that they can further educate other women about breast self examination.”
|ISSN||Print : 2393-8536, Online : 2393-8544|
The present study concludes that maximum of the Nursing students had average knowledge regarding Breast Self- Examination and most of them do not perform it as a routine. Therefore, there is need to strengthen their knowledge and encourage them to practice. And as they play an important part of the health team, they can further disseminate this information appropriately to the community.