Effect of a Supportive Educational Program on Stress in Women with Endometrial Cancer

Background: Breast cancer and cervical cancer, the most common forms of cancer in women worldwide, are on a fast and steady rise. Cancer screening tests are an important tool to combat cancer-related morbidity and mortality. Considering the importance of health literacy in promoting community health, this study aimed to investigate the relationship between health literacy and the history of screening behaviors of common cancers in women referred to Bushehr healthcare centers in 2019. Methods: This cross-sectional study was carried out on 380 women referred to urban health centers in Bushehr in 2019. Data were collected by using a questionnaire consisting of three parts: demographic characteristics, breast and cervical cancer screening behavior, and health literacy (HELIA) questionnaire. Data were analyzed via SPSS 21 software using the Chi-square test, an independent t-test, and descriptive statistical methods. Furthermore, P<0.05 was considered statistically significant. Results: The mean age of the subjects was 34.88±9.15 years. Moreover, 3.2% of subjects had inadequate health literacy, 13.9% had health literacy at a border level, and 82.9% had sufficient health literacy. In this study, 46.8% and 88.2% of the women did not undergo Pap tests and mammography, respectively, and 73.9% were never referred to the health centers for clinical examination of breasts. In addition, health literacy had a significant relationship with monthly breast examination and undergoing Pap smear (P<0.001), but health literacy had no significant relationship with undergoing mammography and clinical breast examination (P>0.05). Conclusion: The results of this study indicated that women with higher levels of health literacy are more likely to get in the habit of doing monthly breast self-examination and undergoing the Pap test. Thus, it is suggested that this result be considered in prevention programs (primary and secondary) to increase women’s health.

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The Effect of Supportive Educational Intervention on Perceived Stress and Severity of Chemotherapy-Related Neuropathy in Breast Cancer Patients

Arbabi

Momeni

Sasanpour

et al. 2022

Med Surg Nurs J

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Background: The nature of breast cancer (BC) and its treatment is such that it leads to physical and psychological complications. Objectives: The present study aimed to determine the effect of supportive educational intervention on the perceived stress and severity of chemotherapy-related neuropathy in BC patients. Methods: This quasi-experimental study was carried out on 60 women suffering from BC in Zahedan, Iran, in 2020. The patients were selected using the convenience sampling method and randomly assigned into two groups of intervention and control. The patients in the intervention group received four 45-minute sessions about the common problems of BC on a weekly and individual basis. The control group received only routine ward care. Data collection tools were the Perceived Stress Scale (PSS) developed by Cohen and Leeds Assessment of Neuropathic Symptoms and Signs (LANSS) Pain Scale. Data were collected before the intervention and six weeks after the intervention. Data analysis was performed using SPSS 22 software. Results: The results of independent t-test showed that the mean and standard deviation of perceived stress score in the intervention group decreased from 56.8 ± 5.92 to 50.36 ± 3.89 (P < 0.001), and in the control group decreased from 55.6 ± 3.65 to 54.8 ± 3.53 (P = 0.258). The mean and standard deviation of neuropathy severity score in the intervention group decreased from 12.90 ± 1.66 to 8.43 ± 2.16 (P < 0.001), and in the control group increased from 12.56 ± 2.28 to 13.03 ± 1.93 (P = 0.276). The independent t-test showed that after implementing the supportive educational intervention, there was a significant difference between the two groups in terms of mean and standard deviation of neuropathy severity score (P < 0.001). Conclusions: According to our results, supportive educational intervention reduced the perceived stress and severity of neuropathy. Thus, it is necessary to include these supportive interventions in educational and care programs to improve patients’ psychological status and reduce stress and neuropathy.

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Effect of a Supportive Educational Program on Stress in Women with Endometrial Cancer

Cited by 3 publications

References 8 publications

Effectiveness of mindfulness-based supportive psychotherapy on posttraumatic growth, resilience, and self-compassion in cancer patients

Effectiveness of mindfulness-based supportive psychotherapy on posttraumatic growth, resilience, and self-compassion in cancer patients

Health Literacy and Breast and Cervical Cancer Screening Behaviors in Women

The Effect of Supportive Educational Intervention on Perceived Stress and Severity of Chemotherapy-Related Neuropathy in Breast Cancer Patients

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