Factors Related to Breast Self-Examination Behaviors of Nursing Students
Main Article Content
Abstract
The study was aimed to determine the status of perceived benefits, perceived barrier, perceived self-efficacy, and breast self-examination behavior among nursing students and also correlate these factors. Stratified random sampling was used and a total of 127 female nursing students studying in their 3rd and 4th years at Boromrajonani College of Nursing, Uttaradit in 2021 were enrolled in this study. After a written or verbal consent from the participants, a standard structured questionnaire was used to collect data, breast self-examination awareness, and breast self-examination behavior. The data were analyzed by SPSS using descriptive statistics and Pearson's correlation statistics. The p-value below .05 was considered significant. Cronbach's alpha coefficient was .82 - .98.
The results showed that;
1) The perceived benefit was at a high level (X=3.67, SD = .06); however, the perceived barrier (X= 2.34, SD = .10)and the perceived self-efficacy (X= 3.35, SD = .05) were at a moderate level and the breast self-examination behavior among the nursing students was observed at a good level (X = 3.10, SD = .09)
2) The correlation between these factors showed that the perceived benefit was not related to the breast self-examination behavior, the perceived barrier was negatively associated with breast self-examination behavior (r = -.18, p < .05) and the perceived self-efficacy was positively associated with breast self-examination behavior (r = .43, p <.01).
In conclusion, a learning model should be developed and emphasizes students' perception of their competence in breast self-examination behavior, by providing students to practice breast examination skills. It is also reduce barriers to breast self-examination behavior. To make students believe in the ability to breast self-examination behavior. Moreover, when the breast self-examination behavior is correct, students will be to right advise patients and close people.
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Journal of Nursing and Health Science Research attribution-non-commercial 4.0 international (CC BY-NC 4.0). For more detail please visit https://creativecommons.org/licenses/by-nc/4.0/ . The ideas and opinions expressed in the Journal of Nursing and Health Science Research are those of the authors and not necessarily those of the editor .
References
Ahmadian, M., Carmack, S., Hamah, A. A., Kreps, G. & Saidu, M. B. (2016). Phychosocial predictors of breast self examination among female students in Malaysia: A study to Assess the roles of body image, Self efficiency and perceived barriers. The Asian Pacific Journal of Cancer Prevention, 17(3), 1277-84.
American Cancer Society. (2020). Breast cancer survival rates. Retrieved (2020, November 2) from https://bit.ly/2J6iQpy
Bandura, A. (1977). Social learning theory. New Jersey: Prentice Hall.
Bloom, B.S. (1975). Taxonomy of education. David McKay Company Inc., New York.
Boromarajonani college of Nursing Uttaradit. (2017). Bachelor of nursing science program revised edition 2017. (in Thai).
Chinpatanapongsa, E. & Suwanpatikorn, K. (2014). The study of relationship between perceived benefit, perceived barrier, perceived self-efficacy and breast self examination Behavior in nursing students. Journal of Public Health Nursing, 28(3), 14-29. (in Thai).
Dewi, T. K., Massar, K., Ruiter, R. A. C. & Leonardi, T. (2019). Determinants of breast self- examination practice among women in Surabaya, Indonesia: an application of the health belief model. BMC Public Health 19, 1581
Gencturk, N., Demirezen, E. & Ay, F. (2017). Health beliefs of midwifery students at Istanbul university about breast cancer and breast self-examination acknowledgements. Journal of Cancer Education, 32(4), 784-789.
Jaihow, S., Klayvised, J., Sangprajong, K. & Petsirasan, R. (2018). Health belief and breast self – exmination behavior among female students at a university in Nakhon si Thammarat. Journal of the police Nurses, 10(1), 154-163. (in Thai).
Kissal, A., Kartal, B., & Cetin, O. (2017). The determination of knowledge, applications and health beliefs of third- and fourth-grade nursing students regarding breast self-exam. The Journal of Breast Health, 13, 10-15.
Koc, G., Gulen-Savas, H., Ergol, S., Yildirim-Cetinkaya, M. & Aydin, N. (2019). Female university students' knowledge and practice of breast self-examination in Turkey. Nigerian Journal of Clinical Practice, 22(3), 410-415.
Komonwipast, N. & Pakdevong, N. (2018). Comparison of knowledge, health belief, and perceived self-efficacy between female students who performed and did not perform breast self-examination. Songklanagarind Journal of Nursing, 38(4), 68-78. (in Thai).
Mayr, S., Erdfelder, E., Buchner, A., & Faul, F. (2007). A short tutorial of G Power. Tutorials in Quantitative Methods for Psychology, 3(2), 51-59.
Nanatakaew, K., Kamkhieo, W., Sutti, P. & Sasang, U. (2016). Impact of a Promoting and educating programme on the university of Phayao’s nursing student breast self-exam knowledge and behavior. Thai Journal of Nursing Council, 31(2), 69-80. (in Thai).
National Cancer Instutitute. (2017). Cancer screening. Retrieved (2020, November 24) from
http://bit.ly/3615UdE. (in Thai).
National Cancer Instutitute. (2019). Cancer registry. Retrieved (2020, November 24) from http:// bit.ly/3615UdE. (in Thai)
National Cancer Instutitute Department of medical services ministry of public Health Thailand. (2020). Hospital-based cancer registry 2020. Bangkok: Medical Record and Data based Cancer Unit, Medical Digital Division National Cancer in stutitute. (in Thai).
Praboromarajchanok Institute. (2019). Bachelor of nursing science Program. Retrieved (2020, November 24) from www.pi.ac.th. (in Thai).
Pender, Nola J. (2015). Health promotion in nursing practice. Boston: Pearson.
Powwattana, A., Kalampakorn, S., Lagampan, S. & Rawiworrakul, T. (2018). Health promotion and disease prevention in community: anapplication of concepts and theories to practice. Bangkok: MN Comput offset Company Limited. (in Thai).
Rahaman, S. A., Marzouki, A. A., Otim, M., Khayat, N. E. H. K., Yousef, R. & Rahman, P. (2019). Awareness about Breast cancer and Breast Self Examination among Female students at the University of Sharjah: A Cross-Sectional Study (UAE). Asian Pacific Journal of Cancer Prevention, 20(6), 1901-1908.
Tesamut, L., Suangwan, P., Ranron, T. & Sutti, P. (2021). The effect of self-efficacy promoting program on breast self-examination behaviors. Journal of Vongchavalitkul University, 34(2), 56-70. (in Thai).
Zurick, P. (2017). Health promotion concepts, theory and innovation. Bangkok: Green life Printing Company Limited. (in Thai)