The Effects of a Supportive and Educative Nursing Program on Self-Care Ability and Quality of Life among Breast Cancer Patients Undergoing Chemotherapy
Keywords:
Breast Cancer, Self-care Ability, Quality of LifeAbstract
The purposes of this two group pretest and posttest quasi-experimental research were to evaluate the effects of a nursing support and education program on the self-care ability and the quality of life among breast cancer patients undergoing chemotherapy. Research took place at the chemotherapy unit of Phrae Hospital during July, 2022 and June, 2023. The sample was 30 post- operative breast cancer patients who were receiving chemotherapy, selected by purposive sampling and then were assigned to either the experimental or control group (15 patients per group). The experimental group received a nursing support and education program that was developed based on Orem’s nursing system theory, while the control group received usual nursing care. Data were collected by using a self-care ability and quality of life questionnaire, verified by experts, and analyzed by Wilcoxon signed-rank test as well as independent t-test. Results were as follows.
1. After receiving the nursing support and education program, the experimental group had self-care ability and quality of life scores higher than before, with statistical significance at the .001 level.
2. The control group had no significant level of self-care ability and quality of life both overall and in each aspect between before and after receiving normal nursing care. However the level of quality of life in terms of aspects of emotional and mental well-being and well-being in performing activities were significantly higher than before (p<.01).
3. The difference of levels of self-care ability and quality of life between before and after the intervention in the experimental group was significantly higher than in the control group (p<.001).
The nursing support and education system can be applied to nursing care of postoperative breast cancer patients who are undergoing chemotherapy for promotion of self-care agency and quality of life.
References
Ai, Z. P., Gao, X. L., Li, J. F., Zhou, J. R & Wu, Y. F. (2017). Changing trends and influencing factors of the quality of life of chemotherapy patients with breast cancer. Chinese Nursing Research, 4(1), 18-23. doi.org/10.1016/j.cnre.2017.03.006
Arends, J., Bachmann, P., Baracos, V., Barthelemy, N., Bertz, H., Bozzetti, F., et al. (2017). ESPEN guidelines on nutrition in cancer patients. Clinical Nutrition, 36(1), 11-48. doi:10.1016/ j.clnu.2016.07.015.
Browall, M., Brandberg, Y., Nasic, S., Rydberg, P., Bergh, J., Rydén, A., et al. (2017). A prospective exploration of symptom burden clusters in women with breast cancer during chemotherapy treatment. Support Care Cancer, 25(6), 1017-2017. doi: 10.1007/s00520-016-3527-1
Cancer Research UK. (2023). Chemotherapy for Breast Cancer. Retrieved 12, 2023 from https://www.cancerresearchuk.org/about-cancer/breast-cancer/treatment/chemotherapy.
Chansiri, K., Puthawatana, P. & Kuwathanasamrit, K. (2016). The relationship between basic conditioning factors, self-care behaviors, and quality of life among patients after coronary stent implantation. Vajira Nursing Journal, 18(1), 12-23. (in Thai)
Cicco, P.D., Catani, M.V., Gasperi, V., Sibilano, M., Quaglietta, M. & Savini,I. (2019). Nutrition and breast cancer: a literature review on prevention, treatment and recurrence. Nutrients, 11(7), 1- 28. doi:10.3390/nu11071514.
Faul, F., Erdfelder, E., Lang, A. G. & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175-191.
Jansook, N., Rodprom, P. & Jansook, C. (2014). The development of self-help group program on quality of life among colorectal cancer patients undergoing chemotherapy. KU Journal of Public Health Research, 7(3), 45-50. (in Thai)
Jindakul, P., Namvongprom, A. & Pakdevong, N. (2018). Effectiveness of the educative-supportive program on self care ability, perceived intensity of side effects of chemotherapy and anxiety among patients with early breast cancer undergoing adjuvant chemotherapy. Thai Caner Journal, 38(3), 105-116. (in Thai)
Kaewubon, J. (2563). The Effective of Program Providing Information to Quality of Life among the breast cancer patients receiving breast surgery. Academic Journal of Mahasarakham Provincial Public Health Office, 4(7), 13-26. (in Thai)
Lertpanich,P., Namvongprom, A. & Pakdevong, N. (2017). Symptom experiences and quality of life of patients with advanced cancer receiving chemotherapy. APHIT Journal, 6(1), 45-55. (in Thai)
Lewandowska, A., Rudzki, G., Lewandowski, T., Próchnicki, M., Rudzki, S., Laskowska, B., & Brudniak, J. (2020). Quality of Life of Cancer Patients Treated with Chemotherapy. International Journal of Environmental Research and Public Health, 17(19), 6938. doi.org/10.3390/ijerph17196938
Lortamma, P., Tangkawanich,T., Janepaniss, U. & Prachamban, P. (2015). The Effect of Supportive and Educative Nursing Program on Self Care Agency and Quality of life in Patients Breast Cancer Post Operation with Chemotherapy. Journal of Public Health, 45(1), 13-27. (in Thai)
Mollaoglu, M. & Erdogan, G. (2020). Effect on Symptom Control of Structured Information Given to Patients Receiving Chemotherapy. Retrieved June 1, 2023 from https://www.ncbi.nlm.nih. gov/pubmed/24095215. (in Thai)
National Cancer Institute. (2015). Side Effects of Cancer Treatment. Retrieved June 1, 2023 from https://www.cancer.gov/about-cancer/treatment/side-effects.
Orem, D.E. (2001). Nursing Concepts of Practice (6th ed.). St. Luois:LuNeois Mosby.
Prisutkul, A., Sukuntapan, M., Arundon, T., Dechapunkul, A. & Prupetchkaew, N. (2013). Symptom Experiences, Symptom Management and Outcomes in Patients Undergoing Chemotherapy. Thai Cancer Journal, 33(3), 98-110. (in Thai)
Supasilapa, U. (2019). Quality of Life in Breast Cancer Patients Receiving Chemotherapy in Suratthani Cancer Hospital. Region 11 Medical Journal, 33(3), 462-468. (in Thai)
Suriyan, S., Issaret, w. & Chaimongkol, N. (2015). Factors influencing quality of life of breast cancer patients receiving chemotherapy: A causal model. Journal of Nursing and Health Care, 33(4), 131-140. (in Thai)
Downloads
Published
Issue
Section
License
Copyright (c) 2023 The Southern College Network Journal of Nursing and Public Health
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
1. บทความหรือข้อคิดเห็นใด ๆ ที่ปรากฏในวารสารเครือข่าย วิทยาลัยพยาบาลและการสาธารณสุขภาคใต้ ที่เป็นวรรณกรรมของผู้เขียน บรรณาธิการหรือเครือข่ายวิทยาลัยพยาบาลและวิทยาลัยการสาธารณสุขภาคใต้ ไม่จำเป็นต้องเห็นด้วย
2. บทความที่ได้รับการตีพิมพ์ถือเป็นลิขสิทธิ์ของ วารสารเครือข่ายวิทยาลัยพยาบาลและการสาธารณสุขภาคใต้
