Effectiveness of nursing intervention designing protocol in Improving knowledge and adherence of women with breast cancer regarding oral hormonal therapy

نعمه وليم, S. Abozead, Zienab Mohammad, A. Abd-Almageed
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Abstract

: Background: Oral hormonal medication is an essential part of the management of breast cancer patients. Nurse intervention is important in the improvement of knowledge and the self-reported level of adherence to hormonal therapy among women with breast cancer. Aim: To evaluate the Effectiveness of nursing intervention designing protocol in Improving knowledge and adherence among women with breast cancer regarding oral hormonal therapy. Subjects and Method: Quasi-experimental single-group pre-post-test design was utilized. A convenient number of 200 adult women with the diagnosis of metastatic breast cancer were included in this study, there are ranged from (18-65) years, new receiving oral hormonal therapy, from the inpatient department and outpatients' clinic at South Egypt Cancer Institute of Assiut University hospitals. A structured interviewing questionnaire included demographic, medical data, Knowledge assessment, and an adherence scale was used. Nursing intervention protocol was carried out over 2 months for patients at follow-up. Results: All of them (100%) were females, the majority of them (98%) were married, all studied patients (100%) achieve good knowledge, and 90% of studied patients achieved medium to high scores regarding compliance for oral hormonal therapy, protocol after applying of nursing intervention designing protocol Conclusion: There were improvement regarding patients` knowledge, and adherence level after applying nursing intervention protocol. Recommendations: Nurses should counsel cancer patients about oral hormonal therapy, addressing the reasons for non-adherence and handling them.
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护理干预设计方案在提高乳腺癌妇女对口服激素治疗的认识和依从性方面的效果
:背景:口服激素药物是乳腺癌患者治疗的重要组成部分。护士的干预对于提高乳腺癌妇女对激素治疗的认识和自我报告的依从性水平非常重要。目的:评估护理干预设计方案在提高乳腺癌女性患者对口服激素治疗的认识和依从性方面的效果。研究对象和方法:采用单组前-后试验的准实验设计。研究对象包括 200 名确诊为转移性乳腺癌的成年女性,年龄在(18-65)岁之间,刚开始接受口服激素治疗,来自阿苏厄特大学医院南埃及癌症研究所的住院部和门诊部。采用的结构化访谈问卷包括人口统计学、医疗数据、知识评估和依从性量表。对随访患者实施了为期 2 个月的护理干预方案。结果:所有研究对象(100%)均为女性,其中大部分(98%)已婚,所有研究对象(100%)均获得了良好的知识,90%的研究对象在应用护理干预设计方案后,在口服激素治疗依从性方面获得了中高分:应用护理干预方案后,患者的知识水平和依从性均有所提高。建议:护士应向癌症患者提供有关口服激素治疗的咨询,解决不坚持治疗的原因并处理这些原因。
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