- Volume 12 Issue 1
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The Effects of a Comprehensive Education Program on Knowledge, Self-Efficacy, and Coping Style among Newly Diagnosed Patients with Breast Cancer
통합적 교육프로그램이 진단 직후 유방암 환자의 지식, 자기효능감 및 대응방식에 미치는 효과
- Lee, Keon-Suk (National Cancer Center) ;
- Lee, Ran (National Cancer Center) ;
- Kim, Dong-Mi (National Cancer Center) ;
- Kim, Soo-Hyun (Department of Nursing, Inha University)
- Received : 2012.01.05
- Accepted : 2012.02.05
- Published : 2012.02.29
Purpose: The purpose of the study was to identify the effect of a comprehensive education program on knowledge, self-efficacy for self-management, and coping style among newly diagnosed patients with breast cancer. Methods: This study used a one group pretest-posttest design. Data were collected from April to September, 2010 at a cancer-specific hospital in Goyang, Korea. One hundred forty three women received a comprehensive education program consisting of 3 sessions composed of 8 themes was conducted by several experts (nurses, doctors, dietitians and clinical psychologists) for 3.5 hours a day for 3 days (1 day before and 2 days after the operation). Results: This study showed that knowledge and self-efficacy for self-management significantly increased after education (p<.001). In terms of coping style, however, only the subscale, 'anxious preoccupation', significantly improved (p=.001) among 5 sub-scales of coping style after education. Conclusion: A comprehensive education program for newly diagnosed patients with breast cancer was effective for increasing the knowledge and self-efficacy for self-management of breast cancer, in addition to decreasing the coping style of 'anxious preoccupation'. However, it did not improve other coping style. Therefore, other strategies for improving coping style are needed.
Supported by : 한국유방건강재단
- National Cancer Information Center. Cancer survival. Available at: http: //www.cancer.go.kr/cms/statics/survival_rate/index.html [accessed on 5 September 2011].
- Leong SP, Shen ZZ, Liu TJ, Aqarwal G, Tajima T, Paik NS, et al. Is breast cancer the same disease in Asian and Western countries? World J Surg 2010;34:2308-24. https://doi.org/10.1007/s00268-010-0683-1
- Hwang SY, Park BW, Lee IS. A psychoeducational group intervention for women with primary breast carcinoma. Korean J Social Welfare 2002;51:93-118.
- Schmid-Büchi S, Halfens RJ, Dassen T, van den Borne B. A review of psycho-social needs of breast-cancer patients and their relatives. J Clin Nurs 2008;17:2895-909. https://doi.org/10.1111/j.1365-2702.2008.02490.x
- Osborn RL, Demoncada AC, Feuerstein M. Psychosocial interventions for depression, anxiety, and quality of life in cancer survivors: Meta-analysis. Int J Psychiat Med 2006;36:13-34. https://doi.org/10.2190/EUFN-RV1K-Y3TR-FK0L
- So HY, Kim HL. The effects of a follow-up program on physical, emotional, and social function after breast cancer surgery. J Korean Acad Adult Nurs 2006;18:416-25.
- Kim CJ, Hur HK, Kang DH, Kim BH. The effects of psychosocial interventions to improve stress and coping in patietns with breast cancer. J Korean Acad Nurs 2006;36:169-78. https://doi.org/10.4040/jkan.2006.36.1.169
- Ko HK, Park GJ. Effects of self-efficacy promotion program on self-efficacy, self-care behaviors, and quality of life in breast cancer patients receiving radiotherapy. J Korean Oncol Nurs 2011;11:136-46. https://doi.org/10.5388/jkon.2011.11.2.136
- Kim JN, Kwon JH. The Efficacy of Group Psychotherapy for Breast Cancer Patients. Korean J Clin Psychol 2005;24:1-17.
- Burgess C, Cornelius V, Love S, Graham J, Richard M, Ramirez A. Depression and anxiety in women with early breast cancer: five year observational cohort study. BMJ 2005;330:702-5. https://doi.org/10.1136/bmj.38343.670868.D3
- Fawzy NW. A psychoeducational nursing intervention to enhance coping and affective state in newly diagnosed malignant melanoma patients. Cancer Nurs 1995;18:427-38.
- Rawl SM, Given BA, Given CW, Champion VL, Kozachik SL, Barton D, et al. Intervention to improve psychological functioning for newly diagnosed patients with cancer. Oncol Nurs Forum 2002;29:967-75. https://doi.org/10.1188/02.ONF.967-975
- Yi MS, Lee EO, Park YS, Choe KJ, Noh DY. A descriptive study on educational and counseling needs of breast cancer patients based on the treatment stages. J Korean Oncol Nurs 2003;3:5-17.
- Lee KS, Lee R, Kim SH. Development and validation of a knowledge scale for patients with breast cancer (KS-Br). J Korean Oncol Nurs 2010; 10:59-67.
- Lee R, Lee KS, Seo MK, Kim SH. Development and validation of Self-Efficacy Scale for Self-Management of Breast Cancer (SESSM-B). J Korean Acad Nurs. In press 2012.
- Watson M, Matthew LM, Maria dos SM, Steven GM, John BM, Judith BM, et al. The Mini-MAC: further development of the mental adjustment to cancer scale. J Psychosoc Oncol 1994;12:33-46. https://doi.org/10.1300/J077V12N03_03
- Kang JI, Chung HC, Kim SJ, Choi HJ, Ahn JB, Jeung HC, et al. Standardization of the Korean version of Mini-Mental Adjustment to Cancer (K-Mini-MAC) scale: factor structure, reliability and validity. Psycho-oncol 2008;17:592-7. https://doi.org/10.1002/pon.1277
- National Cancer Center. 100 Questions and 100 Answers. Goyang: National Cancer Center;2008.
- Cho YS, Ryu EJ, Choi KS. The effects of chemotherapy individualized education relationship with knowledge and promoting self-care for cancer patients. J Korean Oncol Nurs 2002;2:27-35.
- Bae YR, Ku HK, Lee YJ, Kim HR. The effects of educational program for anti-cancer chemotherapy on the patients needs and satisfactions about nursing activities. J Korean Clin Nurs Res 2001;7:61-75.
- Min HS, Hwang WH. The effects of nutritional education program on nausea and vomiting, anorexia, food intake, and nutritional status of GI cancer patients undergoing chemotherapy. J Korean Oncol Nurs 2010; 10:38-47.
- Lee JE, Park MH. The effects of patient and family education guideline on knowledge and attitude toward cancer pain control. J Korean Clin Nurs Res 2009;15:123-32.
- Park KH, Kim JS, Baik HJ, Kim HH, Kang JE, Hong SY. The effect of the structured patient education on self care in ostomate. J Korean Clin Nurs Res 2000;5:31-48.
- Karademas EC, Karvelis S, Argyropoulou K. Stress-related predictors of optimism in breast cancer survivors. Stress Health 2007;23:161-8. https://doi.org/10.1002/smi.1132
- Ju KO, So HY. Effects of the nutrition education program on self-efficacy, diet behavior pattern and cardiovascular risk factors for the patients with cardiovascular disease. J Korean Acad Nurs 2008;38:64-73. https://doi.org/10.4040/jkan.2008.38.1.64
- Choo J, Kim MJ, Hong KP. Effects of TES Program on Exercise Capacity, Self-Efficacy and Patient Compliance in Patients with Myocardial Infarction. J Korean Acad Nurs 2003;33:905-16. https://doi.org/10.4040/jkan.2003.33.7.905
- Bandura A. Self-efficacy mechanism in physiological activation and health promoting behavior. In: M.S. Madden IV & J. Barchas (Eds.) Adaptation, learning, and affect. New York:Raven Publishers;1986.
- Antoni MH, Lechner S, Diaz A, Vargas S, Holley H, Phillips K, et al. Cognitive behavioral stress management effects on psychosocial and physiological adaptation in women undergoing treatment for breast cancer. Brain Behav Immun 2009;23:580-91. https://doi.org/10.1016/j.bbi.2008.09.005
- Tacon AM. Mindfulness: existential, loss, and grief factors in women with breast cancer. J Psychosoc Oncol 2011;29:643-56 https://doi.org/10.1080/07347332.2011.615382
- Boesen EH, Karlsen R, Christensen J, Paaschburg B, Nielsen D, Bloch IS, et al. Psychosocial group intervention for patients with primary breast cancer: a randomised trial. Eur J Cancer 2011;47:1363-72. https://doi.org/10.1016/j.ejca.2011.01.002