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Hur, Park, Kim, Park, Koh, and Kim: Development of an Integrated Breast Health Program for Prevention of Breast Cancer among Middle-aged Women
Original Article
Korean Journal of Women Health Nursing

Korean Journal of Women Health Nursing 2009; 15(1): 54-63.

Published online: 31 March 2009

DOI: https://doi.org/10.4069/kjwhn.2009.15.1.54

Development of an Integrated Breast Health Program for Prevention of Breast Cancer among Middle-aged Women

Hea Kung Hur1, So Mi Park2, Chang Hee Kim3, Jong-Ku Park4, Sang Baek Koh5, Gi Yon Kim2

1Professor, Department of Nursing, Yonsei University Wonju College of Medicine, Korea.

2Associate professor, Department of Nursing, Yonsei University Wonju College of Medicine, Korea.

3Full-time Instructor, Department of Nursing, Hyejeon College, Korea.

4Professor, Department of Preventive Medicine, Yonsei University Wonju College of Medicine, Korea.

5Associate professor, Department of Preventive Medicine, Yonsei University Wonju College of Medicine, Korea.

Address reprint requests to: Kim, GiYon (Corresponding Author). Department of Nursing, Yonsei University Wonju College of Medicine 162 Il San Dong, Wonju, Gang Won Do 220-701, Korea. Tel: 82-33-741-0390, Fax: 82-33-743-9490, gykim@yonsei.ac.kr

Received 15 December 2008       Accepted 28 February 2009

Copyright © 2009 Korean Academy of Women's Health Nursing

Abstract

Purpose

This study was done to develop an integrated breast health program for prevention and early detection of breast cancer, integrating primary and secondary prevention factors using cognitive-behavioral strategies.

Methods

This methodological study conducted as follows; Selection of components for the program through a literature review, survey to identify women's knowledge and risk perception of breast cancer and diet, and building prototype for the program using discussion based on findings. Using structured questionnaires, interviews were done with 130 women aged 40-59 who lived in a rural area.

Results

Primary prevention (diet pattern, knowledge about breast cancer, and risk perception) and secondary prevention (early detection behaviors) factors were identified through the literature review. The survey showed that women lack knowledge and awareness about the risks of breast cancer, and have a low compliance rate for early detection behavior. Based on these results, a program was developed utilizing counseling and models to provide education and practice related to diet, breast cancer, and early detection behaviors.

Conclusion

Use of this integrated and tailored breast health program with women at risk will contribute to better breast health, but further study is needed to verify the effects.

Keywords: Breast neoplasm, Prevention, Program development

Figures and Tables

Figure 1
Framework of an integrated breast health program
kjwhn-15-54-g001
Table 1
Characteristics related to breast cancer (N=130)
kjwhn-15-54-i001
Table 2
Knowledge on breast cancer
kjwhn-15-54-i002
Table 3
Draft of an integrated breast health program
kjwhn-15-54-i003

BSE: Breast self-examination

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