The effect of post-discharge phone counseling on self-care behavior and the quality of life of breast cancer patients in an acute hospital in Hong Kong

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The effect of post-discharge phone counseling on self-care behavior and the quality of life of breast cancer patients in an acute hospital in Hong Kong

 

Author: Or, Yuen-mai Amy
Title: The effect of post-discharge phone counseling on self-care behavior and the quality of life of breast cancer patients in an acute hospital in Hong Kong
Year: 2001
Subject: Breast -- Cancer -- Patients -- Counseling of -- China -- Hong Kong
Self-care, Health -- China -- Hong Kong
Hong Kong Polytechnic University -- Dissertations
Department: Dept. of Nursing and Health Sciences
Pages: vii, 84, [17] leaves : ill. ; 30 cm
Language: English
InnoPac Record: http://library.polyu.edu.hk/record=b1554855
URI: http://theses.lib.polyu.edu.hk/handle/200/3769
Abstract: The number of breast cancer patients is increasing in Hong Kong. The quality of life and self-care of these patients deserve more attention. Studies suggested that the management of the side effects of the treatment of breast cancer was an important focus for nurses in improving the quality of life of patients. The reduction in side effects of treatment was likely to be associated with maintaining of "self-care ability" and "uncertainty management" skills. This study's theoretical framework was based on Braden's Learned Response to Chronic Illness (1991) and Mishel's Uncertainty in illness theory (1990). Through nursing intervention of "post-discharge rehabilitation" to educate the self-care behavior and disease response, and through the uncertainty management of telephone counseling to enhance the self-care ability, patients could cope with the illness better during the early rehabilitation period of cancer treatment. Thus their overall quality of life of would be maintained as much as possible. A experimental study was designed with data collected at week 2 and week 12 to assess the quality of life and the self-care ability between the experimental and control group of patients. Fifty-eight breast cancer patients were recruited in the study with 29 patients in each group. For the experimental group, nursing intervention of telephone counseling was added to the normal post-discharge rehabilitation program for post-operative breast cancer patients in week 4,6,8 and 10 in a local regional hospital. The objective of the telephone counseling (uncertainty management) was to reduce emotional distress, to enhance coping and to improve adjustment of patients. The result demonstrated so significant difference in the quality of life and self-care ability between the 2 groups in the post-operative 3 months rehabilitation period. Nevertheless, a significant number of patients who had participated in the experimental group welcomed the telephone counseling intervention. There were limitations in the study. Points were brought out for discussion and could be referred to in future studies.

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