EFFECT OF TESTICULAR SELF EXAMINATION EDUCATIONALBOOKLET ON EARLY DETECTION OF TESTICULARCANCER AMONG NURSING STUDENTS.
* Randa Mohamed, * Eman Moustafa, * Nevin Samir ** Mahmoud Abd Allah
*Maternal & Neonatal Nursing - Faculty of Nursing – Ain Shams University**Dermatology and Andrology - Faculty of Medicine -Ain Shams University
Testicular self examination (TSE) empowers men to exert control over their own health, through creation of awareness and empowerment. Men may not perform TSE accurately, leaving the chance that testicular disorders may go undetected. This paper discusses the benefits of testicular self-examination as a strategy to promote early detection with emphasis on nurses' role as health educator for promoting self examination and offering health promotion package. An intervention study conducted at Faculty of Nursing Ain Shams University from the beginning of May 2009 until end of May 2010. This study aimed at evaluating the effect of testicular self examination educational booklet on early detection of testicular cancer (TC). A convenient sample technique was used, (212 out of 248) male students were enrolled in the study throughout four grades at academic year 2009 - 2010. Four tools of data collection were used, first was structured questionnaire sheet concerning with socio-demographic characteristics, medical history related to genital organs, and knowledge regarding TSE and testicular cancer. Second was Likert scale to assess nursing students attitude toward TSE. Third was observation check list to assess nursing students accuracy of practicing TSE. Fourth was nursing students follow up card used by them to report abnormal finding detected by themselves through TSE and their reaction towards this, in addition to the result of referral to medical consultation. Finally, there was a supportive material as educational booklet. Results revealed that total complete correct knowledge scores were limited to 4.7% among nursing students, while regular self examination represent 1.9%. Meanwhile, positive attitude toward TSE was limited to 29.7% pre utilization of educational booklet. However; these percentages reached to 94.2% for complete correct knowledge score and 72.5% for regular practice, while positive attitude toward TSE reached to 81.6% post utilization of educational booklet. Finally, there were highly statistical significant improvements on nursing students knowledge, practice and attitude post utilization of educational booklet. The researchers concluded that nursing students have a general lack of knowledge regarding TC and TSE reflected on their practices and attitude regarding TSE. The educational booklet was positively effective on improvement of nursing students knowledge, practice and attitude regarding TSE for early detection of testicular cancer. So, the researchers team recommended that improvement of young men awareness regarding TSE through design educational program for them at school through adolescence period. Also integrate the concept of TSE as screening procedures for early detection of testicular cancer into undergraduate nursing curriculum. Further studies are required to determine factors influencing lack of TSE practice in young adult men.