Volume 9, Issue 4 (2021)
Health Educ Health Promot 2021, 9(4): 317-324 |
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Hamed Bieyabanie M, Mohammad-Alizadeh Charandabi S, Mirghafourvand M. Effect of Counseling on the Health-Promoting Lifestyle and Quality of Life among Mastectomised Women. Health Educ Health Promot 2021; 9 (4) :317-324
URL: http://hehp.modares.ac.ir/article-5-53055-en.html
URL: http://hehp.modares.ac.ir/article-5-53055-en.html
Effect of Counseling on the Health-Promoting Lifestyle and Quality of Life among Mastectomised Women
1- Midwifery Department, Tabriz University of Medical Sciences, Tabriz, Iran
2- Social Determinants of Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran ,mirghafourvand@gmail.com
2- Social Determinants of Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran ,
Abstract: (1656 Views)
Aim: This study aimed to determine the effect of counseling on the health-promoting lifestyle and among mastectomised women.
Instrument & Methods: This randomized controlled trial was conducted from August 2017 to May 2018 on 76 mastectomised women visiting the Association for the Support of Patients with Breast Cancer and Shahid Ghazi Tabataba'i Hospital in Tabriz, Iran. The eligible women were assigned into intervention and control groups by randomized block design. The intervention group received six 45-90-min counseling sessions on the health-promoting lifestyle and QoL. The health-promoting lifestyle profile (HPLP-II) and Quality of Life Questionnaire-Cancer 30 (QLQ – C30) were completed through interviews with participants before and 4 and 8 weeks after intervention. The data were analyzed using the independent t-test, repeated measures ANOVA, and the Mann-Whitney U test by SPSS 21.
Findings: There was no significant difference between the two groups regarding sociodemographic characteristics and baseline health-promoting lifestyle and QoL (p>0.05). The repeated measure ANOVA indicated that the mean score of the health-promoting lifestyle (adjusted mean difference: 0.50; CI95%: 0.37 to 0.62; p<0.001) and QoL (p<0.001) was significantly higher in the intervention group compared to the control group after the intervention. In addition, the mean score of all subscales of the health-promoting lifestyle and emotional performance, social performance, role-playing, and cognitive performance subscales of QoL in the intervention group was significantly higher than in the control group.
Conclusion: The findings show that counseling can encourage mastectomised women to choose a health-promoting lifestyle and improve their QoL.
Instrument & Methods: This randomized controlled trial was conducted from August 2017 to May 2018 on 76 mastectomised women visiting the Association for the Support of Patients with Breast Cancer and Shahid Ghazi Tabataba'i Hospital in Tabriz, Iran. The eligible women were assigned into intervention and control groups by randomized block design. The intervention group received six 45-90-min counseling sessions on the health-promoting lifestyle and QoL. The health-promoting lifestyle profile (HPLP-II) and Quality of Life Questionnaire-Cancer 30 (QLQ – C30) were completed through interviews with participants before and 4 and 8 weeks after intervention. The data were analyzed using the independent t-test, repeated measures ANOVA, and the Mann-Whitney U test by SPSS 21.
Findings: There was no significant difference between the two groups regarding sociodemographic characteristics and baseline health-promoting lifestyle and QoL (p>0.05). The repeated measure ANOVA indicated that the mean score of the health-promoting lifestyle (adjusted mean difference: 0.50; CI95%: 0.37 to 0.62; p<0.001) and QoL (p<0.001) was significantly higher in the intervention group compared to the control group after the intervention. In addition, the mean score of all subscales of the health-promoting lifestyle and emotional performance, social performance, role-playing, and cognitive performance subscales of QoL in the intervention group was significantly higher than in the control group.
Conclusion: The findings show that counseling can encourage mastectomised women to choose a health-promoting lifestyle and improve their QoL.
Keywords: Counseling [MeSH], Mastectomy [MeSH], Breast Cancer [MeSH], Health Lifestyle [MeSH], Quality of Life [MeSH]
Article Type: Descriptive & Survey |
Subject:
Family Health Education/Promotion
Received: 2021/06/5 | Accepted: 2021/08/26 | Published: 2021/11/6
Received: 2021/06/5 | Accepted: 2021/08/26 | Published: 2021/11/6
References
1. Lodha RS, Nandeshwar S, Pal DK, Shrivastav A, Lodha KM, Bhagat VK, et al. Risk factors for breast cancer among women in Bhopal urban agglomerate: A case-control study. Asian Pac J Cancer Prev. 2011;12(8):2111-5. [Link]
2. De Martel C, Ferlay J, Franceschi S, Vignat J, Bray F, Forman D, et al. Global burden of cancers attributable to infections in 2008: A review and synthetic analysis. Lancet Oncol. 2012;13(6):607-15. [Link] [DOI:10.1016/S1470-2045(12)70137-7]
3. Ferlay J, Soerjomataram I, Dikshit R, Eser S, Mathers C, Rebelo M, et al. Cancer incidence and mortality worldwide: Sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer. 2015;136(5):E359-E386. [Link] [DOI:10.1002/ijc.29210] [PMID]
4. YektaKooshali MH, Esmaeilpour Bandboni M, Sharemi S, Alipour Z. Survival rate and average age of the patients with breast cancer in Iran: Systematic review and meta-analysis. J Babol Univ Med Sci. 2016;18(8):29-40. [Persian] [Link]
5. Jazayeri SB, Saadat S, Ramezani R, Kaviani A. Incidence of primary breast cancer in Iran: Ten-year national cancer registry data report. Cancer Epidemiol. 2015;39(4):519-27. [Link] [DOI:10.1016/j.canep.2015.04.016] [PMID]
6. Smeltzer SC, Bare BG, Hinkle JL, Cheever KH. Brunner & Suddarth's textbook of medical-surgical nursing. 12th ed. Philadelphia: Lippincott Williams & Wilkins; 2009. [Link]
7. Najafi M, Ebrahimi M, Kaviani A, Hashemi E, Montazeri A. Breast conserving surgery versus mastectomy: Cancer practice by general surgeons in Iran. BMC Cancer. 2005;5(35). [Link] [DOI:10.1186/1471-2407-5-35] [PMID] [PMCID]
8. Kunkel EJ, Chen EI, Okunlola TB. Psychosocial concerns of women with breast cancer. Prim Care Update Ob/Gyns. 2002;9(4):129-34. [Link] [DOI:10.1016/S1068-607X(02)00103-8]
9. Guner SI, Kaymakci S. The examination of the relationship between health promotion lifestyle profile and self-care agency of women who underwent mastectomy surgery. East J Med. 2014;19(2):71-8. [Link]
10. Hormes JM, Lytle LA, Gross CR, Ahmed RL, Troxel AB, Schmitz KH. The body image and relationships scale: Development and validation of a measure of body image in female breast cancer survivors. J Clin Oncol. 2008;26(8):1269-74. [Link] [DOI:10.1200/JCO.2007.14.2661] [PMID]
11. Baheiraei A, Mirghafourvand M, Mohammad-Alizadeh Charandabi S, Mohammadi E. Facilitators and inhibitors of health-promoting behaviors: The experience of Iranian women of reproductive age. Int J Prev Med. 2013;4(8):929-39. [Link]
12. Delaune SC, Ladner PK. Fundamentals of nursing: Standards and practice (Fundamentals of nursing (Delaune)). 3rd ed. New York: Delmar Cengage Learning; 2006. [Link]
13. Higgins PG. Biometric outcomes of a geriatric health promotion programme. J Adv Nurs. 1988;13(6):710-5. [Link] [DOI:10.1111/j.1365-2648.1988.tb00561.x] [PMID]
14. Smith BJ, Tang KC, Nutbeam D. WHO health promotion glossary: New terms. Health Promot Int. 2006;21(4):340-5. [Link] [DOI:10.1093/heapro/dal033] [PMID]
15. Quintard B, Lakdja F. Assessing the effect of beauty treatments on psychological distress, body image, and coping: A longitudinal study of patients undergoing surgical procedures for breast cancer. Psychooncology. 2008;17(10):1032-8. [Link] [DOI:10.1002/pon.1321] [PMID]
16. The WHO cross-national study of health behavior in school-aged children from 35 countries: Findings from 2001-2002. J Sch Health. 2004;74(6):204-6. [Link] [DOI:10.1111/j.1746-1561.2004.tb07933.x] [PMID]
17. Shafiabadi A. Educational and vocational guidance and counseling. Tehran: Samt; 2008. [Persian] [Link]
18. Gibson RL, Mitchell M. Introduction to Counseling and Guidance. 7th ed. London: Pearson; 2007. [Link]
19. Baheiraei A, Mirghafourvand M, Mohammodi E, Mohammad-Alizadeh C, Nedjat S. Determining appropriate strategies for improving women's health promoting behaviours: Using the nominal group technique. East Mediterr Health J. 2013;19(5):409-16. [Link] [DOI:10.26719/2013.19.5.409]
20. Mousavi SM, Montazeri A, Mohagheghi MA, Jarrahi AM, Harirchi I, Najafi M, et al. Breast cancer in Iran: An epidemiological review. Breast J. 2007;13(4):383-91. [Link] [DOI:10.1111/j.1524-4741.2007.00446.x] [PMID]
21. Bower JE, Ganz PA, Desmond KA, Bernaards C, Rowland JH, Meyerowitz BE, et al. Fatigue in long‐term breast carcinoma survivors: A longitudinal investigation. Cancer. 2006;106(4):751-8. [Link] [DOI:10.1002/cncr.21671] [PMID]
22. Montazeri A. Health-related quality of life in breast cancer patients: a bibliographic review of the literature from 1974 to 2007. J Exp Clin Cancer Res. 2008;27(1):32. [Link] [DOI:10.1186/1756-9966-27-32] [PMID] [PMCID]
23. Heravi-Karimi M, Poor-Dehghan M. The examining effective of group counseling program to quality of life breast cancer patients. Daneshvar Med: Basic Clin Res J. 2006;13(62):69-78. [Persian] [Link]
24. Walker SN, Sechrist KR, Pender NJ. The health-promoting lifestyle profile: Development and psychometric characteristics. Nurs Res. 1987;36(2):76-81. [Link] [DOI:10.1097/00006199-198703000-00002]
25. Morowatisharifabad MA, Ghofranipour F, Heidarnia A, Ruchi GB, Ehrampoush MH. Self-efficacy and health promotion behaviors of older adults in Iran. Soc Behav Pers. 2006;34(7):759-68. [Link] [DOI:10.2224/sbp.2006.34.7.759]
26. Aaronson NK, Ahmedzai S, Bergman B, Bullinger M, Cull A, Duez NJ, et al. The European organization for research and treatment of cancer QLQ-C30: A quality-of-life instrument for use in international clinical trials in oncology. J Natl Cancer Inst. 1993;85(5):365-76. [Link] [DOI:10.1093/jnci/85.5.365] [PMID]
27. Safaee A, Moghimi Dehkordi B. Validation study of a quality of life (QOL) questionnaire for use in Iran. Asian Pac J Cancer Prev. 2007;8(4):543-6. [Link]
28. Karimlou V, Charandabi SMA, Malakouti J, Mirghafourvand M. Effect of counselling on health-promoting lifestyle and the quality of life in Iranian middle-aged women: A randomised controlled clinical trial. BMC Health Serv Res. 2019;19(350). [Link] [DOI:10.1186/s12913-019-4176-0] [PMID] [PMCID]
29. Mohaddesi H, Razavi SR, Khalkhali HR, Bahadori F, Saeigharenaz M. The effect of counselling on health promotion behaviours in diabetic mothers referred to Motahhari hospital of Urmia at 2015. Nurs Midwifery J. 2016;14(9):757-66. [Persian] [Link]
30. Steptoe A, Doherty S, Rink E, Kerry S, Kendrick T, Hilton S. Behavioural counselling in general practice for the promotion of healthy behaviour among adults at increased risk of coronary heart disease: Randomised trial. BMJ. 1999;319(7215):943-7. [Link] [DOI:10.1136/bmj.319.7215.943] [PMID] [PMCID]
31. Nisbeth O, Klausen K, Andersen LB. Effectiveness of counselling over 1 year on changes in lifestyle and coronary heart disease risk factors. Patient Educ Couns. 2000;40(2):121-31. [Link] [DOI:10.1016/S0738-3991(99)00053-1]
32. Cheng KKF, Lim YTE, Koh ZM, Tam WWS. Home-based multidimensional survivorship programmes for breast cancer survivors. Cochrane Database Syst Rev. 2017; 8(8):CD011152. [Link] [DOI:10.1002/14651858.CD011152.pub2] [PMID] [PMCID]
33. Bahreinian A, Radmehr H, Mohammadi H, Bavadi B, Mousavi MR. The effectiveness of the spiritual treatment groupon improving the quality of life and mental health in women with breast cancer. J Res Relig Health. 2017;3(1). [Link]
34. Jafari N, Farajzadegan Z, Zamani A, Bahrami F, Emami H, Loghmani A, et al. Spiritual therapy to improve the spiritual well-being of Iranian women with breast cancer: a randomized controlled trial. Evid Based Complement Altern Med. 2013;2013:353262. [Link] [DOI:10.1155/2013/353262] [PMID] [PMCID]
35. Murtezani A, Ibraimi Z, Bakalli A, Krasniqi S, Disha ED, Kurtishi I. The effect of aerobic exercise on quality of life among breast cancer survivors: A randomized controlled trial. J Cancer Ther Res 2014;10(3):658-64. [Link] [DOI:10.1016/j.pmrj.2014.08.348]
36. Chen X, Zheng Y, Zheng W, Gu K, Chen Z, Lu W, et al. The effect of regular exercise on quality of life among breast cancer survivors. Am J Epidemiol 2009;170(7):854-62. [Link] [DOI:10.1093/aje/kwp209] [PMID] [PMCID]
37. Quinten C, Coens C, Mauer M, Comte S, Sprangers MA, Cleeland C, Osoba D, Bjordal K, Bottomley A. Baseline quality of life as a prognostic indicator of survival: A meta-analysis of individual patient data from EORTC clinical trials. Lancet Oncol. 2009;10(9):865-71. [Link] [DOI:10.1016/S1470-2045(09)70200-1]
38. Zhang SC, Tao FB, Ueda A, Wei CN, Fang J. The influence of health-promoting lifestyles on the quality of life of retired workers in a medium-sized city of Northeastern China. Environ Health Prev Med. 2013;18(6):458-65. [Link] [DOI:10.1007/s12199-013-0342-x] [PMID] [PMCID]
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