Changizi Maryam, Ghahremani Leila, Ahmadloo Niloofar, Kaveh Mohammad Hossein
Department of Health Education & Promotion, School of Health, Shiraz university of medical science, Shiraz, Iran.
Department of Radiation Oncology, Namazi Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
Int J Breast Cancer. 2022 Apr 30;2022:1944852. doi: 10.1155/2022/1944852. eCollection 2022.
Providing better care and encouraging behaviors promoting health are effective measures to manage breast cancer patients. The present research was conducted to carry out an intervention based on the PHE model to promote physical activity, distress management, social support, and quality of life in breast cancer patients.
This randomized control trial study was conducted on 123 women with breast cancer and their caregivers (group 1 = 61 and group 2 = 62). Subjects entered the study from the oncology ward of a specialized clinic in Shiraz, Iran. The education was done through clips, pamphlets, and lectures in 8 sessions with a duration of 15 to 25 minutes. A posttest was carried out in the both groups in 2 times (the end and 3 months) after intervention. The SPSS software was used to analyze the data.
The mean and SD of age of group 1 were (45.77 ± 8.84) and control group 2 (45.58 ± 77.64). The fiding showed a significant difference between the mean scores of distress management, social support, physical activity, and cancer self-efficacy in group 1 vs. group 2 after intervention ( < 0.001). Also, the educational intervention improved quality of life ( = 0.003).
Intervention program based on the PHE model may facilitate the cognitive, emotional, and behavioral processes in breast cancer patient. Thus, it appears that the PHE model might promote patients' quality of life.
提供更好的护理并鼓励促进健康的行为是管理乳腺癌患者的有效措施。本研究旨在基于PHE模型进行干预，以促进乳腺癌患者的身体活动、压力管理、社会支持和生活质量。
本随机对照试验研究对123名乳腺癌女性患者及其护理人员进行（第1组 = 61人，第2组 = 62人）。研究对象从伊朗设拉子一家专科医院的肿瘤科病房纳入。通过视频片段、宣传册和讲座进行了8次教育，每次时长15至25分钟。干预后在两组中进行了2次后测（结束时和3个月后）。使用SPSS软件分析数据。
第1组的年龄均值和标准差分别为（45.77 ± 8.84），第2对照组为（45.58 ± 77.64）。结果显示，干预后第1组与第2组在压力管理、社会支持、身体活动和癌症自我效能的平均得分上存在显著差异（<0.001）。此外，教育干预改善了生活质量（=0.003）。
基于PHE模型的干预方案可能有助于乳腺癌患者的认知、情感和行为过程。因此，PHE模型似乎可能提高患者的生活质量。
