Improving Self-Care Management in Patients with Breast Cancer through Health Literacy Promotion

Abstract

BACKGROUND: Self-care is one of the most important principles of life and the successful treatment of patients diagnosed with cancer. Also, the first step and the most effective factor for self-care is health literacy. Thus, the aim of this study is to evaluate the relationship between level of health literacy and self-care ability in patients diagnosed with breast cancer.METHOD: Using an analytical-descriptive approach, the present study was conducted using a random access method among 120 patients diagnosed with breast cancer referring to Imam Reza Hospital of Tabriz University of Medical Sciences, during 2019. The data was gathered using two standard self-care questionnaires in patients diagnosed with breast cancer (SCHFIV6.2) and Health Literacy for Iranian Adults (HELIA). Data analysis was conducted using SPSS v22, through Pearson correlation tests and linear regression analysis.RESULTS: The results indicate a positive and significant relationship among dimensions of health literacy including access, reading, appraisal, decision, and understanding, and dimensions of self-care including self-care maintenance, self-care management, and self-care confidence. Other findings show that reading, access and decisions have a direct and significant effect on self-care ability (P-value ≤0.01).CONCLUSION: With regard to the direct and significant relationship of health literacy and self-care dimensions in patients diagnosed with breast cancer, enhancing their health literacy can result in improved self-care among them. In addition, due to the increasingly high prevalence of this disease among women, improving their health literacy can be effective in the treatment of this disease or in enhancing their quality of life.

Information needs and research priorities in long‐term survivorship of breast cancer: Patients and health professionals' perspectives

“…Other relevant unmet information needs were as follows: (c) the high level of emotional stress due to the impact of the diagnosis the patients have just received (Kessels, 2003); and (d) the variability in the level of health literacy observed in the patients (Ahmadzadeh et al, 2021).…”

“…These findings suggest a need for patients to be provided with specific information that complements what is offered by health care professionals. In the framework of BC care, some key elements need to be taken into account when offering information, such as the following: (a) The amount of information, since the more medical information that is offered, the less information likely to be remembered (McGuire, 1996); (b) the lack of adequacy and clarity of the content provided, as well as written material that enables remembering the verbal explanations in the consultation (Villarreal‐Garza et al, 2019); (c) the high level of emotional stress due to the impact of the diagnosis the patients have just received (Kessels, 2003); and (d) the variability in the level of health literacy observed in the patients (Ahmadzadeh et al, 2021).…”