Effectiveness of nursing intervention designing protocol in improving knowledge and adherence among women with breastcancer regarding oral hormonal therapy

Document Type : Original Research

Authors

1 Mastar Degree of Medical Surgical Nursing, Faculty of Nursing, at Assiut University Egypt,

2 Professor of Medical Surgical Nursing, Faculty of Nursing, Assiut University Egypt,

3 Assistant Professor of Medical Oncology and Hematological Oncology South Egypt Cancer Institute, Assiut, Egypt

4 Assistant Professor of Medical Surgical Nursing, Faculty of Nursing, Assiut University, Egypt

Abstract

Background: Oral hormonal medication is an essential part of the management of breast cancer patients. Nurse intervention is important in the improvement of knowledge and the self-reported level of adherence to hormonal therapy among women with breast cancer. Aim: To evaluate the Effectiveness of nursing intervention designing protocol in Improving knowledge and adherence among women with breast cancer regarding oral hormonal therapy. Subjects and Method: Quasi-experimental single-group pre-post-test design was utilized. A convenient number of 200 adult women with the diagnosis of metastatic breast cancer were included in this study, there are ranged from (18-65) years, new receiving oral hormonal therapy, from the inpatient department and outpatients' clinic at South Egypt Cancer Institute of Assiut University hospitals. A structured interviewing questionnaire included demographic, medical data, Knowledge assessment, and an adherence scale was used. Nursing intervention protocol was carried out over 2 months for patients at follow-up. Results: All of them (100%) were females, the majority of them (98%) were married, all studied patients (100%) achieve good knowledge, and 90% of studied patients achieved medium to high scores regarding compliance for oral hormonal therapy, protocol after applying of nursing intervention designing protocol Conclusion: There were improvement regarding patients` knowledge, and adherence level after applying nursing intervention protocol. Recommendations: Nurses should counsel cancer patients about oral hormonal therapy, addressing the reasons for non-adherence and handling them.

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