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    Colorectal cancer prevention and risk counseling
    (İstanbul Üniversitesi - Cerrahpaşa, 2017) Koç, Şerife; Esin, Melek Nihal; Aysun Ardic
    Colorectal cancer is one of the leading types of cancer around the world in terms of morbidity and mortality. Determining an individual's risks and providing appropriate counseling are important in reducing colorectal cancer mortality and morbidity rates. Individual colorectal cancer risk counseling is conducted to raise awareness about the disease, provide information, encourage and follow up on early diagnostic testing. This process is supervised by adequately trained public health nurses in primary healthcare and by oncology nurses in secondary healthcare centers. The colorectal cancer risk counseling process involves implementation, monitoring and evaluation. Establishing well-implemented counseling programs will contribute to preventing colorectal cancer and keeping the illness under control. The purpose of this review is to provide nurses information about colorectal cancer risk counseling.
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    Öğe
    Colorectal cancer prevention and risk counseling
    (Intech Europe, 2016) Koç, Şerife; Esin, Melek Nihal; Ardıç, Aysun
    Colorectal cancer (CRC) is one of the leading causes of cancer death in the world. Many risk factors have been identified in the development of colorectal cancer. It is necessary to carry out activities related to risk factors in order to implement effective CRC early diagnosis and screening programs and achieve positive outcomes. International screening guidelines have been created and these are being implemented by individual countries according to their own health policies. Colorectal cancer prevention and early training in terms of disease identification, counseling against negative disease perceptions, and changing false beliefs will reduce the fear of CRC and ensure the development of positive health behaviors and acceptance of screening. Among recent developments in cancer prevention, cancer risk counseling has become quite prominent. Individual-specific colorectal cancer risk counseling programs are developed through the assessment of individual risk factors by focusing on a genetic assessment and the development of a risk management plan. This chapter will examine and define colorectal cancer prevention and risk counseling strategies in relation with the relative literature.
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    Screening behaviors, health beliefs, and related factors of first-degree relatives of colorectal cancer patients with ongoing treatment in Turkey
    (Lippincott Williams & Wilkins, 2014) Koç, Şerife; Esin, Melek Nihal
    Background: Colorectal cancer (CRC) is one of the most common cancers. Family history is an important risk factor; first-degree relatives (FDRs) are most at risk. Studies are needed to determine the screening behavior of FDRs and factors affecting their health behaviors. Objective: The purpose of this study was to investigate the screening behaviors, health beliefs, and related factors of FDRs (parent, sibling, or child) of CRC patients undergoing treatment. Methods: A cross-sectional design was used with 400 FDRs of patients undergoing treatment at 2 hospitals in Turkey. Data were collected using the Colorectal Cancer Risk Questionnaire and the Turkish Colorectal Cancer Health Belief Model Scale. Results: A slight majority of the participants were male (51.3%), with a mean of age 37.7 years. The rate of having at least 1 colonoscopy in FDRs was 22.2%. First-degree relatives reported high perceived confidence-benefits scores on average (mean, 48.4 +/- 5.2) and high perceived barrier scores on average (mean, 15.5 +/- 3.8). Health motivation of FDRs was the strongest predictor of their having a colonoscopy (odds ratio, 7.50; 95% confidence interval, 3.40-16.5). Conclusions: First-degree relatives have a low rate of having a colonoscopy but are more likely to have had this procedure if they have strong health motivation. Implications for Practice: Nurses working with CRC patients must develop strategies to increase FDRs' knowledge of, awareness of, and motivation for CRC screening tests. Risk counseling of FDRs during the treatment period might increase screening rates.