Browse > Article
http://dx.doi.org/10.4040/jkan.2018.48.6.669

Psychoeducational Approach to Distress Management of Newly Diagnosed Patients with Breast Cancer  

Park, Jin-Hee (College of Nursing.Research Institute of Nursing Science, Ajou University)
Chun, Mison (Department of Radiation Oncology, School of Medicine, Ajou University)
Jung, Yong Sik (Department of Surgery, School of Medicine, Ajou University)
Bae, Sun Hyoung (College of Nursing.Research Institute of Nursing Science, Ajou University)
Jung, Young-Mi (Department of Nursing, College of Health Sciences, Cheongju University)
Publication Information
Journal of Korean Academy of Nursing / v.48, no.6, 2018 , pp. 669-678 More about this Journal
Abstract
Purpose: The purpose of this study was to examine the effects of integrated psychoeducational program for distress management of newly diagnosed patients with breast cancer. Methods: A quasi-experimental trial was conducted. The participants consisted of 47 female patients with breast cancer assigned to an intervention group (n=25) and control group (n=22). The intervention group participated in integrated psychoeducational program, consisting of individual face-to-face education and telephone-delivered health-coaching sessions. Data were collected at three time points: pre-intervention (T1), post-intervention (T2), and 6-month follow-up (T3). Study instruments were Distress thermometer, Supportive Care Needs Survey Short Form 34 and Functional Assessment of Cancer Therapy-Breast. Results: Compared with the control group, breast cancer patients in the intervention group reported lower distress and supportive care needs than the control group. The intervention group reported higher quality of life (QOL) overall and higher emotional well-being than the control group. Conclusion: These findings indicate that the integrated psychoeducational program is an effective intervention for reducing distress and supportive care needs and increasing QOL of newly diagnosed patients with breast cancer. Oncology nurses need to provide psychoeducational intervention to support patients with breast cancer in managing their distress and helping them adjust to their life.
Keywords
Breast Neoplasms; Psychological Stress; Self-Management; Quality of Life; Psychosocial Support Systems;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 Korean Breast Cancer Society. Breast cancer facts & figures 2018 [Internet]. Seoul: Korean Breast Cancer Society; c2018 [cited 2018 Nov 01]. Available from: http://www.kbcs.or.kr/journal/file/181030.pdf.
2 Runowicz CD, Leach CR, Henry NL, Henry KS, Mackey HT, Cowens-Alvarado RL, et al. American Cancer Society/American Society of clinical oncology breast cancer survivorship care guideline. CA: A Cancer Journal for Clinicians. 2016;66(1): 43-73. https://doi.org/10.3322/caac.21319   DOI
3 Syrowatka A, Motulsky A, Kurteva S, Hanley JA, Dixon WG, Meguerditchian AN, et al. Predictors of distress in female breast cancer survivors: A systematic review. Breast Cancer Research and Treatment. 2017;165(2):229-245. https://doi.org/10.1007/s10549-017-4290-9   DOI
4 Holland JC, Andersen B, Breitbart WS, Buchmann LO, Compas B, Deshields TL, et al. Distress management. Journal of the National Comprehensive Cancer Network. 2013;11(2):190-209. https://doi.org/10.6004/jnccn.2013.0027   DOI
5 Liao MN, Chen SC, Chen SC, Lin YC, Chen MF, Wang CH, et al. Change and predictors of symptom distress in breast cancer patients following the first 4 months after diagnosis. Journal of the Formosan Medical Association. 2015;114(3):246-253. https://doi.org/10.1016/j.jfma.2013.06.009   DOI
6 Ashing KT, Miller AM. Assessing the utility of a telephonically delivered psychoeducational intervention to improve health-related quality of life in African American breast cancer survivors: A pilot trial. Psycho-Oncology. 2016;25(2):236-238. https://doi.org/10.1002/pon.3823   DOI
7 Milanti A, Metsala E, Hannula L. Reducing psychological distress in patients undergoing chemotherapy. British Journal of Nursing. 2016;25(4):S25-S30. https://doi.org/10.12968/bjon.2016.25.4.s25   DOI
8 Schulman-Green D, Jeon S. Managing cancer care: A psycho-educational intervention to improve knowledge of care options and breast cancer self-management. Psycho-Oncology. 2017;26(2):173-181. https://doi.org/10.1002/pon.4013   DOI
9 Wu PH, Chen SW, Huang WT, Chang SC, Hsu MC. Effects of a psychoeducational intervention in patients with breast cancer undergoing chemotherapy. Journal of Nursing Research. 2018;26(4):266-279. https://doi.org/10.1097/jnr.0000000000000252   DOI
10 Dastan NB, Buzlu S. Psychoeducation intervention to improve adjustment to cancer among Turkish stage I-II breast cancer patients: A randomized controlled trial. Asian Pacific Journal of Cancer Prevention. 2012;13(10):5313-5318. https://doi.org/10.7314/apjcp.2012.13.10.5313   DOI
11 van den Berg SW, Gielissen MFM, Ottevanger PB, Prins JB. Rationale of the BREAst cancer e-healTH [BREATH] multicentre randomised controlled trial: An internet-based self-management intervention to foster adjustment after curative breast cancer by decreasing distress and increasing empowerment. BMC Cancer. 2012;12:394. https://doi.org/10.1186/1471-2407-12-394   DOI
12 Park JH, Chun M, Jung YS, Jung YM. Changes of supportive care needs and quality of life in patients with breast cancer. Asian Oncology Nursing. 2016;16(4):217-225. https://doi.org/10.5388/aon.2016.16.4.217   DOI
13 Park JH, Chun M, Jung YS, Bae SH. Predictors of psychological distress trajectories in the first year after a breast cancer diagnosis. Asian Nursing Research. 2017;11(4):268-275. https://doi.org/10.1016/j.anr.2017.10.003   DOI
14 Liao MN, Chen SC, Chen SC, Lin YC, Hsu YH, Hung HC, et al. Changes and predictors of unmet supportive care needs in Taiwanese women with newly diagnosed breast cancer. Oncology Nursing Forum. 2012;39(5):E380-E389. https://doi.org/10.1188/12.onf.e380-e389   DOI
15 Fiszer C, Dolbeault S, Sultan S, Bredart A. Prevalence, intensity, and predictors of the supportive care needs of women diagnosed with breast cancer: A systematic review. Psycho-Oncology. 2014;23(4):361-374. https://doi.org/10.1002/pon.3432   DOI
16 Fagerlind H, Kettis A, Glimelius B, Ring L. Barriers against psychosocial communication: Oncologists' perceptions. Journal of Clinical Oncology. 2013;31(30):3815-3822. https://doi.org/10.1200/jco.2012.45.1609   DOI
17 Barsevick AM, Sweeney C, Haney E, Chung E. A systematic qualitative analysis of psychoeducational interventions for depression in patients with cancer. Oncology Nursing Forum. 2002;29(1):73-87. https://doi.org/10.1188/02.onf.73-87   DOI
18 D'Egidio V, Sestili C, Mancino M, Sciarra I, Cocchiara R, Backhaus I, et al. Counseling interventions delivered in women with breast cancer to improve health-related quality of life: A systematic review. Quality of Life Research. 2017;26(10):2573-2592. https://doi.org/10.1007/s11136-017-1613-6   DOI
19 Lee KS, Lee R, Kim DM, Kim SH. The effects of a comprehensive education program on knowledge, self-efficacy, and coping style among newly diagnosed patients with breast cancer. Asian Oncology Nursing. 2012;12(1):35-43. https://doi.org/10.5388/aon.2012.12.1.35   DOI
20 Mens MG, Helgeson VS, Lembersky BC, Baum A, Scheier MF. Randomized psychosocial interventions for breast cancer: Impact on life purpose. Psycho-Oncology. 2016;25(6):618-625. https://doi.org/10.1002/pon.3891   DOI
21 Ok ON, Nam MS, Yi MS, Cho SM, Kim EJ, Ham YH, et al. Effects of telephone counseling support on distress, anxiety, depression, and adverse events in cancer patients receiving chemotherapy. Asian Oncology Nursing. 2017;17(1):37-44. https://doi.org/10.5388/aon.2017.17.1.37   DOI
22 National Comprehensive Cancer Network. Distress thermometer screening tool figure (DIS-A), V.2.2013 [Internet]. Plymouth Meeting (PA): National Comprehensive Cancer Network; c2013 [cited 2013 Jun 2]. Available from: https://www.nccn. org/global/international_adaptations.aspx.
23 Boyes A, Girgis A, Lecathelinais C. Brief assessment of adult cancer patients' perceived needs: Development and validation of the 34-item Supportive Care Needs Survey (SCNS-SF34). Journal of Evaluation in Clinical Practice. 2009;15(4):602-606. https://doi.org/10.1111/j.1365-2753.2008.01057.x   DOI
24 Brady MJ, Cella DF, Mo F, Bonomi AE, Tulsky DS, Lloyd SR, et al. Reliability and validity of the functional assessment of cancer therapy-breast quality-of-life instrument. Journal of Clinical Oncology. 1997;15(3):974-986. https://doi.org/10.1200/jco.1997.15.3.974   DOI
25 Yoo HJ, Ahn SH, Eremenco S, Kim H, Kim WK, Kim SB, et al. Korean translation and validation of the functional assessment of cancer therapy-breast (FACT-B) scale version 4. Quality of Life Research. 2005;14(6):1627-1632. https://doi.org/10.1007/s11136-004-7712-1   DOI
26 Ai ZP, Gao XL, Li JF, Zhou JR, Wu YF. Changing trends and influencing factors of the quality of life of chemotherapy patients with breast cancer. Chinese Nursing Research. 2017;4(1):18-23. https://doi.org/10.1016/j.cnre.2017.03.006   DOI
27 Matsuda A, Yamaoka K, Tango T, Matsuda T, Nishimoto H. Effectiveness of psychoeducational support on quality of life in early-stage breast cancer patients: A systematic review and meta-analysis of randomized controlled trials. Quality of Life Research. 2014;23(1):21-30. https://doi.org/10.1007/s11136-013-0460-3   DOI
28 Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale (NJ): Lawrence Erlbaum Associates; 1988. p. 19-66.
29 Schofield P, Ugalde A, Gough K, Reece J, Krishnasamy M, Carey M, et al. A tailored, supportive care intervention using systematic assessment designed for people with inoperable lung cancer: A randomised controlled trial. Psycho-Oncology. 2013;22(11):2445-2453. https://doi.org/10.1002/pon.3306   DOI
30 White VM, Macvean ML, Grogan S, D'Este C, Akkerman D, Ieropoli S, et al. Can a tailored telephone intervention delivered by volunteers reduce the supportive care needs, anxiety and depression of people with colorectal cancer? A randomised controlled trial. Psycho-Oncology. 2012;21(10):1053-1062. https://doi.org/10.1002/pon.2019   DOI