Factors affecting Adherence to Adjuvant Hormonal Therapy among Women with Breast Cancer | ||||
| Egyptian Journal of Health Care | ||||
| Article 76, Volume 13, Issue 4, December 2022, Page 1033-1049 PDF (1.32 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhc.2022.266528 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Amany Refaat Elmaadawy1; Manal Salah Hassan2; Yosreah Mohamed Mohamed3; Diaa Eldin Moussa Sherif4 | ||||
| 1Demonstrator in Medical Surgical Nursing Department, Faculty of Nursing Ain Shams University | ||||
| 2Professor of Medical Surgical Nursing, Faculty of Nursing, Ain Shams University | ||||
| 3Assistant Professor of Medical Surgical Nursing, Faculty of Nursing, Ain Shams University. | ||||
| 4Lecturer at oncology and nuclear medicine, Faculty of medicine Ain shams university | ||||
| Abstract | ||||
| Background: Breast cancer is the most common cancer in women worldwide. Also, is the leading cause of death in women, Adjuvant endocrine therapy is a treatment that significantly reduces recurrence and mortality in women with hormone receptor-positive breast cancer. Aim of the study: Assess factors affecting adherence to adjuvant hormonal therapy among women with breast cancer. Study Design: A descriptive design was used to achieve the aim of this study. Setting: Oncology center and nuclear medicine affiliated to Ain shams university hospitals. Subjects: A purposive sample of 60 women diagnosed with breast cancer and treated with hormonal therapy. Data Collection: tool І) Structured Interview Questionnaire for Women with Breast Cancer on Hormonal Therapy, which is divided into 3 parts- Part 1: Socio-demographic Data of studied Women. Part 2: Medical Health Profile. Part 3: Knowledge Regarding to Breast Cancer and Hormonal Therapy. Tool ІІ) the morisky medication adherence scale. Tool ІІІ) factors affecting adherence to adjuvant hormonal therapy among women with breast cancer. Result: less than two thirds of the studied women had unsatisfactory level of total knowledge about breast cancer and hormonal therapy. Less than half of them had high level of adherence. Less than three quarters of them had sever physical symptoms and fatigue, more than two thirds of them had sever pain, half of them had sever depression, half of them had low self-efficacy, more than two thirds of them had severe stress and less than three quarters of them had high level of social support. Conclusion: Near two thirds of women had unsatisfactory level of total knowledge about breast cancer and hormonal therapy. Less than half of them had high level of medication adherence. The Study had identified several factors that are associated with non-adherence to adjuvant hormonal therapy; these factors include side-effects of treatment especially musculoskeletal pain, fatigue, knowledge, forgetfulness, beliefs, depressive symptoms, attitudes, and self-efficacy. Recommendations: Educational programs should be planned to encourage women to adhere to medication. Also, Women need a simplified and comprehensive Arabic booklet including information about the medication. In addition, Replication of the current study on a larger probability sample is recommended to achieve generalization of the results. | ||||
| Keywords | ||||
| Breast cancer; Hormonal therapy; Adherence; factors affecting | ||||
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