Cent Eur J Public Health 2017, 25(4):287-292 | DOI: 10.21101/cejph.a4975

A Nurse-Led School-Based Sun Protection Programme in Turkey

Özüm Erkin, Ayla Bayik Temel
Department of Public Health Nursing, Faculty of Nursing, Ege University, Bornova-İzmir, Turkey

Objective: The aim of this study was to determine the effects of a nurse-led school-based sun protection programme in Turkey.

Methods: A randomized controlled trial was performed at two public schools between February and October 2014. Children with written consent from their parents were screened by nurses for skin type, and 80 children at moderate to high risk for skin cancer were included in the study. The sample was randomized by age, gender and skin type. Stratified and block randomizations were used. The participants were separated into an intervention group (n = 40) and control group (n = 40). Data were collected using a personal information form and two scales for sun protection behaviour and self-efficacy.

Results: In the intervention group, the pretest mean score for sun protection behaviour was 19.25 ± 5.44 and increased significantly in the posttest assessment (33.05 ± 4.23, p < 0.001). Self-efficacy scores also increased significantly after the intervention (pretest 20.50 ± 6.68, post-test 35.85 ± 4.70, p < 0.001). However, there were no significant increases in mean sun protection behaviour or self-efficacy scores in the control group (p > 0.05).

Conclusion: A nurse-led school-based sun protection programme effectively promoted children's self-efficacy and sun protection behaviour.

Klíčová slova: nurse, children, sun protection, skin cancer, school-based, Turkey

Vloženo: 9. listopad 2016; Revidováno: 30. listopad 2017; Zveřejněno: 30. prosinec 2017  Zobrazit citaci

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Erkin Ö, Bayik Temel A. A Nurse-Led School-Based Sun Protection Programme in Turkey. Cent Eur J Public Health. 2017;25(4):287-292. doi: 10.21101/cejph.a4975. PubMed PMID: 29346851.
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Reference

  1. Erdmann F, Lortet-Tieulent J, Schüz J, Zeeb H, Greinert R, Breitbart EW, et al. International trends in the incidence of malignant melanoma 1953-2008 are recent generations at higher or lower risk? Int J Cancer. 2013 Jan 15;132(2):385-400. Přejít k původnímu zdroji... Přejít na PubMed...
  2. Gültekin M, Boztaş G, editors. Turkey cancer statistics [Internet]. Ankara: Ministry of Health of Turkey, Turkish National Public Health Agency; 2009 [cited 2016 Oct 22]. Available from: http://kanser.gov.tr/Dosya/ca_istatistik/2009kanseraporu.pdf. (In Turkish.)
  3. Balk SJ; Council on Environmental Health; Section on Dermatology. Ultraviolet radiation: a hazard to children and adolescents. Pediatrics. 2011 Mar;127(3):e791-817. Přejít k původnímu zdroji... Přejít na PubMed...
  4. Saraiya M, Glanz K, Briss PA, Nichols P, White C, Das D, et al. Interventions to prevent skin cancer by reducing exposure to ultraviolet radiation: a systematic review. Am J Prev Med. 2004 Dec;27(5):422-66. Přejít k původnímu zdroji... Přejít na PubMed...
  5. Lovatt TJ, Lear JT, Bastrilles J, Wong C, Griffiths CE, Samarasinghe V, Roebuck J, at al. Associations between ultraviolet radiation, basal cell carcinoma site and histology, host characteristics, and rate of development of further tumors. J Am Acad Dermatol. 2005 Mar;52(3 Pt 1):468-73. Přejít k původnímu zdroji... Přejít na PubMed...
  6. Maguire-Eisen M, Rothman K, Demierre MF. The ABCs of sun protection for children. Dermatol Nurs. 2005 Dec;17(6):419-22, 431-3; quiz 434. Přejít na PubMed...
  7. McWhirter JM, Collins M, Bryant I, Wetton NM, Newton Bishop J. Evaluating 'Safe in the sun', a curriculum programme for primary schools. Health Educ Res. 2000 Apr;15(2):203-17. Přejít k původnímu zdroji... Přejít na PubMed...
  8. NCCN Clinical practice guidelines in oncology. Basal cell and squamous cell skin cancers [Internet]. Fort Washington (PA): National Comprehensive Cancer Network; 2012 [cited 2016 Oct 22]. Available from: http://pic2.cmt.com.cn/WebImages/Res/20130528/20130528_44232c3f-7105-48a1-8e30-b49a4cdca3e6.pdf.
  9. SunSmart program [Internet]. Melbourne: Cancer Council Victoria; 2016 [cited 2016 Oct 22]. Available from: http://www.sunsmart.com.au.
  10. Kirsner RS, Parker DF, Brathwaite N, Thomas A, Tejada F, Trapido EJ. Sun protection policies in Miami-Dade County public schools: opportunities for skin cancer prevention. Pediatr Dermatol. 2005 Nov-Dec;22(6):513-9. Přejít k původnímu zdroji... Přejít na PubMed...
  11. Glanz K, Saraiya M, Wechsler H; Centers for Disease Control and Prevention. Guidelines for school programs to prevent skin cancer. MMWR Recomm Rep. 2002 Apr 26;51(RR-4):1-18.
  12. Uysal A, Özsoy SA, Ergül Ş. Evaluating the skin cancer risks and sun protection practices of students. Ege J Med. 2004 May-Aug;43(2):95-9. (In Turkish.)
  13. Geller AC, Rutsch L, Kenausis K, Selzer P, Zhang Z. Can an hour or two of sun protection education keep the sunburn away? Evaluation of the Environmental Protection Agency's Sunwise School Program. Environ Health. 2003 Nov 3;2(1):13. Přejít k původnímu zdroji... Přejít na PubMed...
  14. Geller A, Rutsch L, Kenausis K, Zhang Z. Evaluation of the SunWise School Program. J Sch Nurs. 2003 Apr;19(2):93-9. Přejít k původnímu zdroji... Přejít na PubMed...
  15. Balyaci OE, Kostu N, Temel AB. Training program to raise consciousness among adolescents for protection against skin cancer through performance of skin self examination. Asian Pac J Cancer Prev. 2012;13(10):5011-7. Přejít k původnímu zdroji... Přejít na PubMed...
  16. Buller DB, Buller MK, Beach B, Ertl G. Sunny days, healthy ways: evaluation of a skin cancer prevention curriculum for elementary school-aged children. J Am Acad Dermatol. 1996 Dec;35(6):911-22. Přejít k původnímu zdroji... Přejít na PubMed...
  17. Açar Y, Ekici M, Yagan S. Data analysis of ozone and ultraviolet radiation [Internet]. Ankara: Turkish State Meterological Service; 2012 [cited 2016 Oct 22]. Available from: http://www.mgm.gov.tr/FILES/arastirma/ozonuv/OveUveri-analizi.pdf. (In Turkish.)
  18. Fiztpatrick TB. The validity and practicality of sun-reactive skin types I through VI. Arch Dermatol. 1988 Jun;124(6):869-71. Přejít k původnímu zdroji... Přejít na PubMed...
  19. Polit DF. Statistics and data analysis for nursing research. 2nd ed. New Jersey: Pearson; 2010.
  20. Prochaska JO, Velicer WF. The transtheoretical model of health behavior change. Am J Health Promot. 1997 Sep-Oct;12(1):38-48. Přejít k původnímu zdroji... Přejít na PubMed...
  21. Aygün Ö, Ergün A. Sun protection behaviors of adolescents: transtheoretical model study. Doctoral thesis. Istanbul: Marmara University; 2012. (In Turkish.)
  22. Aygün Ö, Ergün A. Decisional balance and self-efficacy for sun protection: measurement among Turkish adolescents. Nurs Res. 2014 Sep-Oct;63(5):309-19. Přejít k původnímu zdroji... Přejít na PubMed...
  23. Maddock JE, Redding CA, Meier KS, Velicer WF, Prochaska JO. Development of transtheoretical model constructs for sun protection behaviors among adolescents. Ann Behav Med. 1998;20:Poster 208.
  24. Erkin Ö. Sun protection novel book. 2nd ed. İstanbul: Özlem Publisher; 2015. (In Turkish.)
  25. Erkin Ö. Sun protection activity book. 2nd ed. İstanbul: Özlem Publisher; 2015. (In Turkish.)
  26. Sun Safety [Internet]. Washington, DC: United States Environmental Protection Agency; 2016 [cited 2016 Oct 22]. SunWise. Available from: http://www2.epa.gov/sunwise.
  27. Aygün Ö, Ergün A. Validity and reliability of sun protection behavior scale among Turkish adolescent population. Asian Nurs Res (Korean Soc Nurs Sci). 2015 Sep;9(3):235-42. Přejít k původnímu zdroji... Přejít na PubMed...
  28. Milne E, Jacoby P, Giles-Corti B, Cross D, Johnston R, English DR. The impact of the kidskin sun protection intervention on summer suntan and reported sun exposure: was it sustained? Prev Med. 2006 Jan;42(1):14-20. Přejít k původnímu zdroji... Přejít na PubMed...
  29. Gilaberte Y, Alonso JP, Teruel MP, Granizo C, Gállego J. Evaluation of a health promotion intervention for skin cancer prevention in Spain: the SalSano program. Health Promot Int. 2008 Sep;23(3):209-19. Přejít k původnímu zdroji... Přejít na PubMed...
  30. Norman GJ, Adams MA, Calfas KJ, Covin J, Sallis JF, Rossi JS, et al. A randomized trial of a multicomponent intervention for adolescent sun protection behaviors. Arch Pediatr Adolesc Med. 2007 Feb;161(2):146-52. Přejít k původnímu zdroji... Přejít na PubMed...
  31. Mays D, Black JD, Mosher RB, Heinly A, Shad AT, Tercyak KP. Efficacy of the Survivor Health and Resilience Education (SHARE) program to improve bone health behaviors among adolescent's survivors of childhood cancer. Ann Behav Med. 2011 Aug;42(1):91-8. Přejít k původnímu zdroji... Přejít na PubMed...
  32. De Vries H, Willems KD, Mesters I, Reubsaet A. Skin cancer prevention behaviours during summer holidays in 14 and 18-year-old Belgian adolescents. Eur J Cancer Prev. 2006 Oct;15(5):431-8. Přejít k původnímu zdroji...
  33. Buller DB, Reynolds K, Yaroch A, Cutter GR, Hines JM, Geno CR, et al. Effects of the Sunny Days, Healthy Ways curriculum on students in grades 6 to 8. Am J Prev Med. 2006 Jan;30(1):13-22. Přejít k původnímu zdroji... Přejít na PubMed...