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Volume 18, Issue 3 (Iranian Journal of Breast Diseases 2025)                   ijbd 2025, 18(3): 10-25 | Back to browse issues page


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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
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
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.

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Type of Study: Research | Subject: Diagnosis, treatment, rehabilitation
Received: 2024/12/29 | Accepted: 2025/02/25 | Published: 2025/10/2

References
1. Hosseini SM, Musavi M, Rafiey H. The Effect of Social Capital on Quality of Life in Women with Breast Cancer. Social Welfare Quarterly. 2015;14(55):243-69. doi:10.26911/jepublichealth.2020.05.01.06 [DOI:10.26911/jepublichealth.2020.05.01.06]
2. Zhai J, Newton J, Copnell B. Posttraumatic growth experiences and its contextual factors in women with breast cancer: An integrative review. Health Care for Women International. 2019;40(5):554-80. doi:10.1080/07399332.2019.1578360. [DOI:10.1080/07399332.2019.1578360] [PMID]
3. Salehiniya H, Haghighat S, Parsaeian M, Majdzadeh R, Mansournia M, Nedjat S. Iranian breast cancer risk assessment study (IRBCRAS): a case control study protocol. WCRJ. 2018;5:1-5.
4. Latifi M, Karami NA, Beiraghdar M, Maraki F, Farsani LA. Impact of health information prescription on self-care of women with breast cancer. Advanced biomedical research. 2018;7(1):139. doi: 10.4103/abr.abr_142_18 [DOI:10.4103/abr.abr_142_18]
5. Abachizadeh K, Moradi-Kouchi A, Ghanbari-Motlagh A, Kousha A, Shekarriz-Foumani R, Erfani A. Breast cancer in Iran: Levels, variations and correlates. Community Health (Salamat ijtimai). 2018;5(1):11-21. doi:10.22037/ch.v5i1.15856
6. Wayteck L, Breckpot K, Demeester J, De Smedt SC, Raemdonck K. A personalized view on cancer immunotherapy. Cancer letters. 2014;352(1):113-25. doi:org/10.1016/j.canlet.2013.09.016. [DOI:10.1016/j.canlet.2013.09.016] [PMID]
7. CO C. Facts & Figures 2014-2016. 2014.
8. Brunet J, Sabiston CM, Burke S. Surviving breast cancer: women's experiences with their changed bodies. Body image. 2013;10(3):344-51. doi:10.1016/j.bodyim.2013.02.002. [DOI:10.1016/j.bodyim.2013.02.002] [PMID]
9. Kunikata H, Yoshinaga N, Nakajima K. Effect of cognitive behavioral group therapy for recovery of self‐esteem on community‐living individuals with mental illness: Non‐randomized controlled trial. Psychiatry and clinical neurosciences. 2016;70(10):457-68. doi:10.1111/pcn.12418 [DOI:10.1111/pcn.12418] [PMID]
10. Kazemzadeh J, Rabeipour S, Rajabzadeh H. Investigating the status of sexual self-esteem and Its related factors in breast cancer survivors. Nursing and Midwifery Journal. 2022;20(1):85-93. doi:10.52547/unmf.20.1.85 [DOI:10.52547/unmf.20.1.85]
11. Fallahchai R. Mediating Role of Supportive Dyadic Coping in the Association Between Stress and Marital Adjustment in Women Undergoing Treatment for Breast Cancer. Iranian Journal of Breast Diseases. 2018;11(3):21-31. doi: 10.30699/acadpub.ijbd..11.3.21. [DOI:10.30699/acadpub.ijbd..11.3.21]
12. Mahinfar K, Sadooghiasl A, Kazemnejad A. The effect of self-care program on quality of life of women with Breast Cancer having mastectomy. Iranian Journal of Nursing Research. 2021;16(2):11-22.
13. Izadi-Ajirlo A, Bahmani B, Ghanbari-Motlagh A. Effectiveness of cognitive behavioral group intervention on body image improving and increasing self-esteem in women with breast cancer after mastectomy. Archives of Rehabilitation. 2013;13(4):72-83.
14. Ghanbari E, Yektatalab S, Mehrabi M. Effects of psychoeducational interventions using mobile apps and mobile-based online group discussions on anxiety and self-esteem in women with breast cancer: randomized controlled trial. JMIR mHealth and uHealth. 2021;9(5):e19262. doi: 10.2196/19262. [DOI:10.2196/19262] [PMID] []
15. Shahsavari H, Matory P, Zare Z, Taleghani F, Kaji MA. Effect of self-care education on the quality of life in patients with breast cancer. Journal of education and health promotion. 2015;4(1):70. doi: 10.4103/2277-9531.171782. [DOI:10.4103/2277-9531.171782] [PMID] []
16. Morales-Sánchez L, Luque-Ribelles V, Gil-Olarte P, Ruiz-Gonzalez P, Guil R. Enhancing self-esteem and body image of breast cancer women through interventions: a systematic review. International journal of environmental research and public health. 2021;18(4):1640. doi:10.3390/ijerph18041640 [DOI:10.3390/ijerph18041640] [PMID] []
17. Fu MR, Axelrod D, Guth AA, Rampertaap K, El-Shammaa N, Hiotis K, et al. mHealth self-care interventions: managing symptoms following breast cancer treatment. Mhealth. 2016;2. doi:10.21037/mhealth.2016.07.03 [DOI:10.21037/mhealth.2016.07.03] [PMID] []
18. Al Darweesh H, Hadi MA, Al Madani R, Al Mahsen Z. Reviving Nurses' Role as Health Educators; Breast Cancer in a Developing Country. 2016;01(01):001-5.
19. Azizi M, Arsalani N, Mohammadi Shahboulaghi F, Hosseinzadeh S, Rajab A. The effect of self-care education on the control of diabetes complications, medications and HbA1C in adolescents with type 1 diabetes. Hayat. 2017;22(4):350-61.
20. Barandeh M, Mehdizadeh Toorzani Z, Babaei M, Sharifian R. Effect of self-care on quality of life in women with breast cancer undergoing chemotherapy. Nursing And Midwifery Journal. 2017;15(3):199-207.
21. Dehvan F, Roshani D. The effect of Self-Care Training Program on Self-Esteem of cancer patients referring to Tohid Hospital in Sanandaj, 2020. Scientific Journal of Nursing, Midwifery and Paramedical Faculty. 2022;7(4):26-34.
22. Imani E, Khodami A, Jamhiry R, HoseiniTeshnizi S. Comparison the effect of self-care training program in two methods of multi-media education and tele-nursing on social isolation in patients with COVID-19 in Bandar Abbas. Medical Journal of Tabriz University of Medical Sciences. 2023;45(4):337-52. doi: 10.34172/mj.2023.037 [DOI:10.34172/mj.2023.037]
23. Kamei T. Information and communication technology for home care in the future. Japan Journal of Nursing Science. 2013;10(2):154-61. doi:10.1111/jjns.12039 [DOI:10.1111/jjns.12039] [PMID]
24. Afik A, Pandin MGR. Telenursing as a new nursing paradigm in the 21 century: A literature review. 2021. doi: 10.20944/preprints202103.0704.V1 [DOI:10.20944/preprints202103.0704.v1]
25. Seraj B, Alaee Alaee-Karahroudi F, Ashktorab T, Moradian M. The effect of telenursing on adherence to treatment in adolescents undergoing cardiac surgery. Iranian Journal of Cardiovascular Nursing. 2020;9(1):100-10.
26. Sahraee RM, Sajjadi S, Majidi S, Mojiri A. Virtual Persian Language Teaching to Non-Persian Speakers: An Alternative or an Option? Language Science. 2022;9(15):123-56. doi:10.22054/ls.2021.59245.1435
27. Yang S, Jiang Q, Li H. The role of telenursing in the management of diabetes: a systematic review and meta‐analysis. Public Health Nursing. 2019;36(4):575-86. doi:10.1111/phn.12603 [DOI:10.1111/phn.12603] [PMID]
28. Ahmadi babadi s, Sadeghmoghadam L, Delshad Noghabi A. Comparing the effectiveness of telenursing with in-person follow up on the feeling of loneliness among the elderly in community health centers in Ahvaz in 2017. Journal of Gerontology. 2017;2(3):58-65 [DOI:10.29252/joge.2.2.58]
29. Barbosa Ide A, Silva KC, Silva VA, Silva MJ. The communication process in Telenursing: integrative review. Rev Bras Enferm. 2016 Jul-Aug;69(4):765-72. English, Portuguese. doi: 10.1590/0034-7167.2016690421i. [DOI:10.1590/0034-7167.2016690421i] [PMID]
30. Jamehbozorgi L, Farmahini Farahani M, Poorsaadat L, Moslemi A. The effect of education and telephone follow-up (tele-nursing) on self-care and quality of life of patients with multiple sclerosis: A clinical trial study. Iranian Journal of Rehabilitation Research in Nursing 2023; 9(3): 47-54.
31. Jongerius C, Russo S, Mazzocco K, Pravettoni G. Research-Tested Mobile Apps for Breast Cancer Care: Systematic Review. JMIR Mhealth Uhealth. 2019 Feb 11;7(2):e10930. doi: 10.2196/10930. [DOI:10.2196/10930] [PMID] []
32. Chen X, Chaimongkol N, Hengudomsub P. Effects of a Phone-Based Support Program for Women With Breast Cancer Undergoing Chemotherapy: A Pilot Study. SAGE Open Nurs. 2024 Feb 26;10:23779608241231176. doi: 10.1177/23779608241231176. [DOI:10.1177/23779608241231176] [PMID] []
33. Hosseini h, loripoor m, roeintan F. The effect of palliative-care education on quality of life of women with breast cancer. Iranian Journal of Cancer Care. 2022;1(2):31-8. doi:10.1186/s12904-023-01245-x. [DOI:10.1186/s12904-023-01245-x] [PMID] []
34. Montazeri A, Harirchi I, Vahdani M, Khaleghi F, Jarvandi S, Ebrahimi M, Haji-Mahmoodi M. The EORTC breast cancer-specific quality of life questionnaire (EORTC QLQ-BR23): translation and validation study of the Iranian version. Qual Life Res. 2000;9(2):177-84. doi: 10.1023/a:1008918310251. [DOI:10.1023/A:1008918310251] [PMID]
35. Mohammadi N. The preliminary study of validity and reliability of Rosenberg's self-esteem scale. 2005. doi:10.1023/A: 1008918310251.
36. Hinkle J, Cheever K, Overbaugh K. Brunner and Suddarth's Textbook of Medical-Surgical. 2022.
37. Kilbreath S, Refshauge K, Beith J, Lee M. Resistance and stretching shoulder exercises early following axillary surgery for breast cancer. Rehabilitation Oncology. 2006;24(2):9-14. [DOI:10.1097/01893697-200624020-00003]
38. Sheikhzakaryaee n, Dehvan F, Roshani D. The effect of Self-Care Training Program on Self-Esteem of cancer patients referring to Tohid Hospital in Sanandaj. Scientific Journal of Nursing, Midwifery and Paramedical Faculty. 2022;7(4):26-34.

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