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Volume 18, Issue 3 (Iranian Journal of Breast Diseases 2025)
ijbd 2025, 18(3): 10-25 |
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Yousefi M, Khalilzadeh-Farsangi Z, Robabi H, Fallah-Karimi S. Effects of Self-care Education Through Telenursing on the Quality of Life and Self-Esteem of Women with Breast Cancer and Mastectomy. ijbd 2025; 18 (3) :10-25
URL: http://ijbd.ir/article-1-1160-en.html
URL: http://ijbd.ir/article-1-1160-en.html
1- Department of Internal Nursing, Community Health Nursing Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
2- Department of Community Health Nursing, Community Health Nursing Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
3- Department of Nursing, Faculty of Nursing and Midwifery, Torbat-e Heydariyeh University of Medical Sciences, Torbat-e Heydariyeh, Iran ,sfallah084@gmail.com
2- Department of Community Health Nursing, Community Health Nursing Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
3- Department of Nursing, Faculty of Nursing and Midwifery, Torbat-e Heydariyeh University of Medical Sciences, Torbat-e Heydariyeh, Iran ,
Abstract: (765 Views)
Introduction: Breast cancer and mastectomy can have significant physical and mental consequences on the quality of life and self-esteem of women. This study was designed with the aim of investigating the effect of self-care training using telenursing method on the quality of life and self-esteem of women with breast cancer who underwent mastectomy in order to help better understand the effectiveness of this intervention method in improving the condition of this group of women.
Methods: The present study was a semi-experimental two-group study with a pre-test-post-test design, which was conducted on 80 women with mastectomy breast cancer referred to Ali Ibn Abi Talib Hospital in Zahedan. The samples were randomly (by tossing a coin) in two intervention and control groups. The intervention group received self-care training in six one-hour training sessions on Skyroom platform. The intervention and control groups completed the EORTC QLQ-23 quality of life questionnaire and the Rosenberg self-esteem questionnaire in the pre-test and post-test stages (two months after the intervention). Data were analyzed using SPSS version 27 software and using chi-square, paired t and independent t statistical tests.
Findings: The average age of the intervention group was 44.55 ± 8.65 and in the control, group was 43.40 ± 3.31 years. Most of the women with breast cancer underwent mastectomy in the intervention group (60%) and the control group (77.5 %) were married. The average self-esteem score before the intervention in the intervention and control groups was 1.17 ± 1.27 and 1.30 ± 1.39 respectively, and after the intervention it was 4.50 ± 1.03 in the intervention group and 1.40 ± 1.10 in the control group. In fact, self-care training by telenursing significantly increased self-esteem in the intervention group (p<0/001). Also, the average score of the quality of life of women with mastectomy breast cancer in the intervention group after self-care training by telenursing method increased in the functional areas and decreased in the symptom areas, which difference was statistically significant (P<0/ 001) but no statistically significant difference was observed in the control group (P>0.05).
Conclusion: Self-care training using telenursing method can improve the quality of life and self-esteem of women with mastectomy breast cancer .so, it is recommended to use this helpful method in teaching self-care programs, considering the advantages of the telenursing method, including reducing costs and saving time.
Methods: The present study was a semi-experimental two-group study with a pre-test-post-test design, which was conducted on 80 women with mastectomy breast cancer referred to Ali Ibn Abi Talib Hospital in Zahedan. The samples were randomly (by tossing a coin) in two intervention and control groups. The intervention group received self-care training in six one-hour training sessions on Skyroom platform. The intervention and control groups completed the EORTC QLQ-23 quality of life questionnaire and the Rosenberg self-esteem questionnaire in the pre-test and post-test stages (two months after the intervention). Data were analyzed using SPSS version 27 software and using chi-square, paired t and independent t statistical tests.
Findings: The average age of the intervention group was 44.55 ± 8.65 and in the control, group was 43.40 ± 3.31 years. Most of the women with breast cancer underwent mastectomy in the intervention group (60%) and the control group (77.5 %) were married. The average self-esteem score before the intervention in the intervention and control groups was 1.17 ± 1.27 and 1.30 ± 1.39 respectively, and after the intervention it was 4.50 ± 1.03 in the intervention group and 1.40 ± 1.10 in the control group. In fact, self-care training by telenursing significantly increased self-esteem in the intervention group (p<0/001). Also, the average score of the quality of life of women with mastectomy breast cancer in the intervention group after self-care training by telenursing method increased in the functional areas and decreased in the symptom areas, which difference was statistically significant (P<0/ 001) but no statistically significant difference was observed in the control group (P>0.05).
Conclusion: Self-care training using telenursing method can improve the quality of life and self-esteem of women with mastectomy breast cancer .so, it is recommended to use this helpful method in teaching self-care programs, considering the advantages of the telenursing method, including reducing costs and saving time.
Type of Study: Research |
Subject:
Diagnosis, treatment, rehabilitation
Received: 2024/12/29 | Accepted: 2025/02/25 | Published: 2025/10/2
Received: 2024/12/29 | Accepted: 2025/02/25 | Published: 2025/10/2
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