Effect of Psycho-educational Program on Depressive Symptoms, Anxiety and Stress Coping Strategies among Women with Breast Cancer | ||||
| Egyptian Journal of Health Care | ||||
| Article 91, Volume 13, Issue 4, December 2022, Page 1220-1240 PDF (292.6 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhc.2022.268464 | ||||
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| Authors | ||||
| Neamat Mohamed Ali1; Shimaa Saied Adam2 | ||||
| 1Lecturer of psychiatric/ Mental Health Nursing, Faculty of Nursing, Ain Shams University | ||||
| 2Assistant Professor of Psychiatric Mental Health Nursing, Faculty of Nursing-Ain Shams university. | ||||
| Abstract | ||||
| Background Women with breast cancer are commonly suffers from anxiety and depression due to disturbed body image and low self-esteem that negatively impairs their coping strategies and recovery process. So, implementation of psycho-educational program to improve the patient’s coping skills was highly needed. Aim: This study aimed to examine the effect of the psycho- educational program on depressive symptoms, anxiety, generalized anxiety disorder and stress coping strategies among women with breast cancer. Research design: A quasi-experimental research (one group pre/posttest) design was used in this study. Subjects. The study subjects consisted of (113) women with breast cancer. Setting: This study was conducted in the breast clinics, oncology center at Ain shams University Hospital. Sample: A purposive sample was obtained from all available patients with breast cancer during the study period, and approved to participate in the program for six successive months. Tools for data collection; the data was collected using; 1) Women’s Interview Questionnaire; to assess what the socio-demographic characteristics and medical history of women understudy. 2) Mini-Mental Adjustment Scale for Cancer Patients (Mini-MAC), and 3) Hospital Anxiety and Depression Scale (HADS). Results: This study showed a highly statistically significant difference regarding minimizing the total anxiety & depression, generalized anxiety disorder in the post program phase (p<0.01) as compared to the pre-program phase. This study also revealed that there was a highly statistically significant improvement in positive stress coping strategies in the post-program implementation phase (p<0.01) compared to the pre-program phase, includes; fighting spirit, self-control & emotional control, and seeking social support representing 88%, 86%, 77% respectively. Moreover, the current study showed that negative coping strategies have been minimized in the post program implementation phase compared to the pre- program phase includes anxiety & anxious preoccupation, in-active stotic acceptance, distancing & escaping, and denial representing 37%34%, 38%, and 53% respectively. Conclusions: Women with breast cancer reported minimized symptoms of depression, anxiety, and generalized anxiety disorder post program implementation compared to the pre-program level. Also, this study revealed that women understudy reported improvement in utilization of positive stress coping strategies and minimized utilization of negative coping strategies post program implementation compared to the pre-program level. Recommendations: This study recommends establishment of a counseling clinic to provide psycho-educational training about stress coping strategies for women with breast cancer and their partners or family caregivers to enhance their recovery, and well-being. | ||||
| Keywords | ||||
| Breast Cancer; Women; Depressive symptoms; Anxiety; generalized anxiety disorder; Stress Coping strategies; Psychoeducational program | ||||
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