Effects of Follow-up by Phone Interview and Anger Management Training Provided to Patients with Breast Cancer Undergoing Radiotherapy on Levels of Self-Esteem, Anger and Depression
Abstract:Although surgery, medical oncology and radiation oncology are of importance in the management of breast cancers, psychiatry and supporting care such as psych-oncology nursing have an important role in the breast cancer. The present study aimed to measure the effect of follow-up by phone interviews and anger management training provided to patients with breast cancer on the levels of, anger, self-esteem and depression. The present study was conducted as a randomized-controlled experimental study between Februar… Show more
“…Finally, 20 RCTs with a total of 2190 participants were included in this meta-analysis. 5–7,11–14,18–30 The process of study selection is shown in Figure 1. Figure 1.PRISMA flow diagram of study selection.…”
Section: Resultsmentioning
confidence: 99%
“…The types of technology used for telehealth intervention were not consistent among included studies. Ten studies adopted internet-based interventions, 7,[12][13][14]18,[22][23][24]26,29 seven studies adopted telephonebased interventions, 5,11,[19][20][21]25,27 and three studies combined internet with telephone for interventions. 6,28,30 Also, there are various scales used for outcome measures, and the intervention duration ranged from 2 weeks to 24 months.…”
Section: Search Process Study Characteristics and Quality Assessmentmentioning
Introduction Telehealth intervention has been proposed as an innovative intervention approach to breast cancer patients, but there are still conflicting results in the literature about its effect. Methods PubMed, EMBASE, CENTRAL and China National Knowledge Infrastructure (CNKI) were searched from inception to 3 October 2016 for randomized controlled trials (RCTs) which assessed the effect of telehealth intervention versus usual care in breast cancer patients. No language restrictions were used. Standardized mean difference (SMD) with corresponding 95% confidence interval (95% CI) was pooled when needed. Subgroup and sensitivity analyses were conducted if necessary and feasible. Results Twenty RCTs with a total of 2190 participants were included into this meta-analysis. Compared with usual care, telehealth intervention was associated with higher quality of life (SMD = 0.60, 95% CI 0.18-1.01, p = 0.005) and self-efficacy (SMD = 0.59, 95% CI 0.19-0.98, p = 0.003), with less depression (SMD = -1.29, 95% CI -2.28 to -0.30, p = 0.01), distress (SMD = -0.25, 95% CI -0.40 to -0.10, p = 0.001) and perceived stress (SMD = -0.30, 95% CI, -0.59 to -0.02, p = 0.04). However, anxiety score did not differ significantly between the two groups (SMD = -0.09, 95% CI -0.22 to 0.04, p = 0.17). Discussion Telehealth intervention is superior to usual care in breast cancer patients for improved quality of life, higher self-efficacy and less depression, distress, and perceived stress. However, these results should be recognized cautiously due to between-study heterogeneity, indicating that further well-designed RCTs are warranted.
“…Finally, 20 RCTs with a total of 2190 participants were included in this meta-analysis. 5–7,11–14,18–30 The process of study selection is shown in Figure 1. Figure 1.PRISMA flow diagram of study selection.…”
Section: Resultsmentioning
confidence: 99%
“…The types of technology used for telehealth intervention were not consistent among included studies. Ten studies adopted internet-based interventions, 7,[12][13][14]18,[22][23][24]26,29 seven studies adopted telephonebased interventions, 5,11,[19][20][21]25,27 and three studies combined internet with telephone for interventions. 6,28,30 Also, there are various scales used for outcome measures, and the intervention duration ranged from 2 weeks to 24 months.…”
Section: Search Process Study Characteristics and Quality Assessmentmentioning
Introduction Telehealth intervention has been proposed as an innovative intervention approach to breast cancer patients, but there are still conflicting results in the literature about its effect. Methods PubMed, EMBASE, CENTRAL and China National Knowledge Infrastructure (CNKI) were searched from inception to 3 October 2016 for randomized controlled trials (RCTs) which assessed the effect of telehealth intervention versus usual care in breast cancer patients. No language restrictions were used. Standardized mean difference (SMD) with corresponding 95% confidence interval (95% CI) was pooled when needed. Subgroup and sensitivity analyses were conducted if necessary and feasible. Results Twenty RCTs with a total of 2190 participants were included into this meta-analysis. Compared with usual care, telehealth intervention was associated with higher quality of life (SMD = 0.60, 95% CI 0.18-1.01, p = 0.005) and self-efficacy (SMD = 0.59, 95% CI 0.19-0.98, p = 0.003), with less depression (SMD = -1.29, 95% CI -2.28 to -0.30, p = 0.01), distress (SMD = -0.25, 95% CI -0.40 to -0.10, p = 0.001) and perceived stress (SMD = -0.30, 95% CI, -0.59 to -0.02, p = 0.04). However, anxiety score did not differ significantly between the two groups (SMD = -0.09, 95% CI -0.22 to 0.04, p = 0.17). Discussion Telehealth intervention is superior to usual care in breast cancer patients for improved quality of life, higher self-efficacy and less depression, distress, and perceived stress. However, these results should be recognized cautiously due to between-study heterogeneity, indicating that further well-designed RCTs are warranted.
“…By considering that previous studies regarded the cut-off point as 65 22,28 and that the maximum possible score is 100, self-esteem can be suggested to decrease in patients with gynecological cancers, as suggested in previous studies on cancer patients 14 …”
Section: Resultsmentioning
confidence: 95%
“…Self-esteem is defined as the respect of a person for herself/himself because of self-value and confidence. The decreased self-esteem found in the cancer patients possesses a significant problem for these patients 14,15 . Individuals caring and recognizing their bodies are concerned in their health and vice versa.…”
“…Self-esteem is defined as the respect of a person feel for herself/himself because of self-value and confidence. Cancer patients are characterized by low self-esteem, which is considered as a significant problem for these patients [7].…”
Background: Acute skin toxicity is one of the most common side effects of breast cancer radiotherapy and these adverse events often negatively affect patient's self-esteem and willingness to continue the treatment. Aim of the study: assess the breast cancer patient's knowledge in relation to skin care during radiotherapy before the implementation of educational protocol and examine the effect of educational protocol on breast cancer patients' knowledge in relation to reducing skin reaction and improving self-esteem after the implementation of educational protocol. Subject and method: Quasi-experimental research design was utilized to achieve the aim of the study. Subject: A purposeful sample including (40) female adult patients were included in the current study. Setting: This study was carried out at oncology center in Minia city. Tools of data collection: Two scales were standardized and two tools were utilized to collect data: 1-Bio socio-demographic characteristics and structured interview schedule; 2-Educational proshour for instructions to reduce radiotherapy skin toxicity; 3-Common Toxicity Criteria-; 4-Rosenberg Self-Esteem Scale. Results: There were highly statistically significant differences among both study and control groups regarding their self-esteem and skin toxicity after educational protocol, there were a highest strong negative statistical significant correlation was found between skin toxicity and both knowledge and self-esteem scales among the study and the control group. Conclusion: the educational protocol reduced skin toxicity of radiotherapy in the study group and improves their self-esteem than control group. Recommendations: Based on the research findings the patients' health education about care radiation target area for breast cancer had a positive effect on patients' skin toxicity degree, design and implement an in-service training program for nursing staff about protocol that minimize radiotherapy skin toxicity.
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