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An intervention to increase quality of life and self-care self-efficacy and decrease symptoms in breast cancer
E L Lev1, K M Daley, N E Conner
1Rutgers, College of Nursing, Newark, NJ 07102, USA.
Scholarly Inquiry for Nursing Practice
|March 2, 2002
Summary
This study shows that a nurse-administered self-efficacy intervention can improve quality of life and reduce symptom distress in women undergoing chemotherapy for breast cancer. The intervention significantly enhanced self-care self-efficacy, benefiting patients
Area of Science:
- Oncology Nursing
- Health Psychology
- Patient Self-Management
Background:
- Chemotherapy for breast cancer often leads to decreased quality of life and increased symptom distress.
- Enhancing patients' self-care self-efficacy is crucial for improving treatment outcomes and well-being.
Purpose of the Study:
- To test the effects of a nurse-administered self-efficacy intervention on quality of life, symptom distress, and self-care self-efficacy in women with breast cancer receiving chemotherapy.
- To evaluate the intervention's impact at four and eight months post-intervention.
Main Methods:
- A randomized controlled trial involving 56 women receiving chemotherapy for breast cancer.
- The experimental group received a nurse-administered self-efficacy intervention over five monthly sessions.
- Outcome measures included the Functional Assessment of Cancer Treatment-Breast (FACT-B), Symptom Distress Scale (SDS), and Strategies Used by Patients to Promote Health (SUPPH).
Main Results:
- The intervention group showed significantly higher quality of life scores, particularly in social concerns (eta square = .110).
- Significant reductions in symptom distress were observed (eta square = .140).
- Improvements in self-care self-efficacy were noted, especially in coping (eta square = .089) and decision-making (eta square = .141).
Conclusions:
- Nurse-administered self-efficacy interventions can positively impact quality of life and symptom distress in breast cancer patients undergoing chemotherapy.
- Promoting self-efficacy is a valuable strategy for enhancing patient well-being during cancer treatment.
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