Poster Presentation
Wednesday, July 11, 2007
9:00 AM - 9:45 AM
Wednesday, July 11, 2007
2:45 PM - 3:30 PM
Development of an integrated breast health program according to the levels of breast cancer risk appraisal
Hea Kung Hur, RN, PhD1, Chang Hee Kim, RN, PhD1, SungOh Hwang, MD, PhD2, Gi Yon Kim, RN, PhD1, Jong-Ku Park, MD, PhD3, and Sang Baek Koh, MD, PhD3. (1) Department of Nursing, Wonju College of Medicine, Yonsei University, Wonju, South Korea, (2) Department of Emergency Medicine, Wonju College of Medicine, Yonsei University, Wonju, South Korea, (3) Department of Preventive Medicine, Wonju College of Medicine, Yonsei University, Wonju, South Korea
| Learning Objective #1: recognize that a preventive breast cancer program should deliberate on the levels of breast cancer risk appraisal. |
| Learning Objective #2: understand that the characteristics of an integrated breast health program developed by the levels of breast cancer risk appraisal. |
Purpose: To develop an integrated breast health program using multidisciplinary approach according to the levels of breast cancer risk appraisal. Design: Methodological study to develop an intervention program. Processes: Step 1; survey to identify the distribution of breast cancer risk appraisal and identify women’s knowledge and experiences of preventive behaviors in breast cancer, biomedical parameters concerning nutritional state. Of 300 women registered at the Lifelong Health Care Center, 124 women aged 40-59 were selected, who have been shown relatively high breast cancer incidence in Korea. Step 2; based on the clinical and research experience of the research team, literature review and discussions on survey findings were carried out to develop framework of the program. Findings: The distribution of levels by risk appraisal was ‘normal’, at 54.8%, ‘borderline’, at 37.9%, and ‘risk’, at 7.3%. Only knowledge and meat intake showed significant differences among groups. The integrated breast health program was developed as following; basic, awareness, and alarm type were developed for normal, borderline, and risk group, respectively. The integrated breast health program utilizing multimedia and models consisted of education, practice and counseling on breast cancer, preventive behaviors, and nutrition. Breast Self Examination skill practice session for all participants regardless the level of appraisal was provided. In awareness program, personalized diet counseling by a nutritionist based on the individual nutritional data was arranged. In alarm program, referral to a breast specialist was added. Conclusions and Implications: The result of this study showed a tailored breast health program depending on the level of breast cancer risk appraisal, and multidisciplinary approach by nursing, medicine and nutrition. The further study applying the program by risk groups identified in this study should be done to investigate the effect of this program.