Effect of training based on Orem's self-care deficit theory on breast cancer patients' management of chemotherapy-related side effects and self-care behaviors: A randomized controlled trial

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dc.contributor.authorUrtekin, Dilek
dc.contributor.authorEroglu, Semiha Akin
dc.date.accessioned2024-10-29T17:43:27Z
dc.date.available2024-10-29T17:43:27Z
dc.date.issued2024
dc.departmentTekirdağ Namık Kemal Üniversitesi
dc.description.abstractPurpose: To examine the effects of training based on Orem's self-care deficit theory on breast cancer patient's physical, social, and psychological well-being and self-care behaviors during chemotherapy. Methods: This randomized controlled trial was based on a pretest–posttest experimental design. The study sample consisted of 62 breast cancer patients (n = 31 for each of the intervention and control groups) receiving cyclophosphamide–epirubicin or cyclophosphamide–adriamycin treatment in the medical oncology department of a university hospital in Tekirdağ, Turkey. The breast cancer patients in the intervention group received training based on Orem's self-care deficit theory regarding physical, social, and psychological well-being and self-care behaviors during chemotherapy. The researcher conducted two face-to-face follow-ups (during the second and third chemotherapy cycles, 3 weeks apart) and a posttest assessment. Pretest and posttest symptom scores and self-care survey results were compared for both groups. Results: The Nightingale Symptom Assessment Scale (N-SAS) first follow-up, second follow-up, and posttest scores showed that the intervention group experienced fewer negative changes in quality of life than the control group based on the physical, social, and psychological subdimension and total scale scores (p < .05). The most positive changes in the intervention group's self-care behaviors were observed for items about caring for and protecting hair, using protective gloves when doing chores, monitoring weight, and limiting social meetings when blood values were low to protect against possible infection. Conclusion: Training based on Orem's self-care deficit theory positively influenced breast cancer patients' management of chemotherapy-related side effects and self-care behaviors. Chemotherapy-related side effects should be evaluated frequently. Moreover, patients' needs should be determined, and training should be tailored to their needs. © 2024 Elsevier Ltd
dc.identifier.doi10.1016/j.ejon.2024.102698
dc.identifier.issn1462-3889
dc.identifier.scopus2-s2.0-85205957906
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org/10.1016/j.ejon.2024.102698
dc.identifier.urihttps://hdl.handle.net/20.500.11776/12388
dc.identifier.volume73
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherChurchill Livingstone
dc.relation.ispartofEuropean Journal of Oncology Nursing
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectAdjuvant chemotherapy
dc.subjectBreast cancer
dc.subjectOrem's self-care deficit theory
dc.subjectSide effects
dc.subjectTraining
dc.titleEffect of training based on Orem's self-care deficit theory on breast cancer patients' management of chemotherapy-related side effects and self-care behaviors: A randomized controlled trial
dc.typeArticle

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