Effect of Social Media-Based Instructional Guidelines on Quality of Life and Emotional Status for Women undergoing Mastectomy

Zamzam Ahmed Ahmed, Manal Ahmed Mohamed Ismail, Shaimaa Mohamed Elghareeb Allam, A. Gomaa, Ebtsam Salah shalaby salama
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Abstract

Background : Surgery such as mastectomy is frequently used to treat breast cancer in women, which has an impact on their quality of life. Both the physical and psychological needs of the women having mastectomy should be met, and their families must be involved in this care. However, psychological treatment is frequently neglected, including the giving of competent guidance, emotional support, and knowledge. Aim: To determine the effect of social media-based instructional guidelines on emotional status and quality of life for women undergoing mastectomy. Design : Pre& post-test using a quasi-experimental study design was used. Settings : The study was carried out in Egypt at Sohag City. Sample : From Facebook and WhatsApp groups, a purposeful sample of all available (300) women who had undergone mastectomy was collected in 2023. The online Google form spreadsheet was open from February 4 until February 25-2023. Tools : (I): A self-administered questionnaire (pre and post-test format) to assess post-mastectomy women's demographic characteristics and medical history; post-mastectomy women's knowledge about mastectomy (II): Depression, Anxiety, and Stress Scale (DASS); and (III): Quality of Life (QoL) scale. Results: showed that there was (85%) of women had an unsatisfactory level of knowledge pre-implementation compared to (90%) of them had a satisfactory level of knowledge post-implementation of social media-based instructional guidelines. Also were highly statistically significant variations in the knowledge of mastectomy among women and their levels of stress, anxiety, and depression before and after the adoption of the social media-based instructional guidelines. Additionally, after the social media-based educational guidelines were implemented, there were significant QoL increases (p<0.001). Conclusion: The study concluded that social media-based instructional guidelines implementation generated significant gains in the post-mastectomy women's knowledge has a good impact on reducing emotional disturbance such as depression, anxiety, and stress, and quality of life among women having a mastectomy. Recommendations: As a new teaching strategy for demonstrating health issues, the social media-based instructional guidelines should be carefully developed and implemented for all women having mastectomy.
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基于社交媒体的指导指南对乳房切除术妇女生活质量和情绪状态的影响
背景:乳房切除术等手术是治疗女性乳腺癌的常用方法,对她们的生活质量有影响。乳房切除术妇女的生理和心理需求都应该得到满足,她们的家人必须参与到这种护理中来。然而,心理治疗经常被忽视,包括给予有能力的指导、情感支持和知识。目的:探讨基于社交媒体的指导指南对乳房切除术妇女情绪状态和生活质量的影响。设计:采用准实验研究设计进行前后测试。环境:该研究在埃及Sohag市进行。样本:从Facebook和WhatsApp群中,有目的地收集了2023年所有可用的(300)接受乳房切除术的女性样本。在线谷歌表格电子表格从2月4日开放到2023年2月25日。工具:(I):一份自我填写的问卷(测试前后格式),评估乳房切除术后妇女的人口特征和病史;乳房切除术后女性对乳房切除术的认知(II):抑郁、焦虑和压力量表(DASS);(三)生活质量(QoL)量表。结果显示:85%的女性在实施前的知识水平不满意,而90%的女性在实施基于社交媒体的教学指南后的知识水平满意。此外,在采用基于社交媒体的指导方针前后,女性对乳房切除术的了解以及她们的压力、焦虑和抑郁水平也有高度统计学意义的差异。此外,实施基于社交媒体的教育指南后,生活质量显著提高(p<0.001)。结论:本研究得出结论,基于社交媒体的教学指南的实施使乳房切除术后妇女的知识显著增加,对减少乳房切除术妇女的抑郁、焦虑、压力等情绪障碍和生活质量有很好的影响。建议:作为展示健康问题的一种新的教学策略,应仔细制定和实施基于社交媒体的教学指南,适用于所有接受乳房切除术的妇女。
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