Effectiveness of psycho-education intervention program on quality of life, coping strategies and psychological distress among jordanian women diagnosed with breast cancer
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Date
2021-04
Authors
Younis, Murad Abdulraheem Abdelrahman
Journal Title
Journal ISSN
Volume Title
Publisher
Pusat Pengajian Sains Pergigian, Universiti Sains Malaysia
Abstract
The diagnosis of breast cancer is distressing and devastating events that may befall
women. It is considered a major stressful event that threats all aspects of woman's' life
and can regarded as a challenge to women’s basic values, beliefs and goals, life
functions and threatening their sense of identity. At the time of diagnosis, the patients
face unmet knowledge needs and they express the greatest need to speak with someone
who has experienced and overcame the same disease. In this study, related to
knowledge and sharing experience that will be provided to the breast cancer patients
with aim of enhance the reappraisal of stressful situation that reduce the psychological
distress, and promote quality of life through enhance coping strategy. The objective of
this study was to determine the effectiveness of psycho-education intervention
program on quality of life, coping strategies, psychological distress among Jordanian
women diagnosed with breast cancer.A randomized controlled trial, double-blind
study was conducted with 200 participants from Al-Bashir Hospital in Amman city.
The participants include all Jordanian women in aged 20-65 years and had diagnosis
of breast cancer in stage 0, I, II or III. The participants who met the eligibility criteria
was selected randomly after which they were evenly randomized using randomly
generated permuted blocks of equal sizes into one of either the intervention or control
group. The intervention group then underwent two-day health education session on
breast cancer, which was strictly guided by the Fawzy Fawzy module. This comprised
of four components: 1) health education; 2) coping skills training; 3) stress
management; and 4) psychosocial support. The outcomes were measured by using
EORTC QLQ-C30 and QLQ-BR23 questionnaires to assess the quality of life, Brief
COPE scale to assess coping strategy, and Hospital Anxiety Depression Scale (HADS)
to assess the anxiety and depression among Jordanian breast cancer women.
Generalised Linear Mixed Models was conducted to evaluate the effect of the
intervention adjusted for confounding variables. The results showed that the
intervention group was significant in increasing the quality of life: QLQ-C30
(=0.137, P=0.006), QLQ-BR23 (=0.190, P=0.001); adaptive coping skills
(=0.921, P<0.001), and decreasing anxiety score (=-0.378, P<0.001) and depression
score (=-0.525, P<0.001) compared to the control group. The intervention was
effective in positively affecting the QOL, adaptive coping strategies and psychological
distress. It is recommended for adoption as part of routine health education given at
oncology clinics in Jordan.
Description
Keywords
breast cancer