Effectiveness of a Nursing Intervention Based on Acceptance Commitment Therapy on Stress, Marital adjustment, Sleep quality, and Fatigue among Patients with Breast Cancer | ||
| Tanta Scientific Nursing Journal | ||
| Volume 28, Issue 1, March 2023, Pages 28-46 PDF (675.41 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/tsnj.2023.291025 | ||
| Authors | ||
| Merfat M. Atia1; Shereen Hussein Deep2; Mawaheb mahmoud zaki3; Lamiaa abdelSalam Elgamasy4; Amoura Soliman Behairy5; Elham Ramzy Elfiky6 | ||
| 1Assistant professor of Psychiatric Mental Health Nursing, Faculty of Nursing, Menoufia University, Egypt | ||
| 25Lecturer of Medical Surgical Nursing, Faculty of Nursing, Menoufia University, Egyp | ||
| 3Assistant professor of Psychiatric Mental Health Nursing, Faculty of Nursing, Banha University, Egypt | ||
| 4Lecturer of Medical Surgical Nursing, Faculty of Nursing, Menoufia University, Egypt | ||
| 5Assistant professor of Medical Surgical Nursing, Faculty of Nursing, Menoufia University, Egypt | ||
| 6lecturer of Psychiatric Mental Health Nursing, Faculty of Nursing, Menoufia University, Egypt | ||
| Abstract | ||
| The most common kind of cancer among Egyptian women is breast cancer. Most patients present at a late stage with subsequent poor outcomes. It ranks as the second-most common malignant tumor in women and the most common cause of cancer-related death. Aim: to evaluate effectiveness of a nursing intervention based on acceptance commitment therapy on stress, marital adjustment, sleep quality, and fatigue among patients with breast cancer. Design: Aquasi- experimental design was utilized. Setting: The study was conducted at the Menoufia University Hospital's oncology outpatient clinic in Egypt's Menoufia Governorate. Sample: Sixty adult breast cancer patients were selected by purposive sample. Tools: Four tools used; (1) Depression, Anxiety and Stress Scale (DASS); stress self-reported subscale(2) Marital adjustment Scale(3) Pittsburg sleep quality index(4) Piper Fatigue Scale. Result: shown that after two months of intervention, When compared to prior intervention, there was a highly significant difference (p = 0.00) between the study and control groups in terms of the total mean score for fatigue, stress, sleep quality, and marital adjustment. When compared to the control group, there was a highly statistically significant negative correlation between the study group's marital adjustment and their overall scores for fatigue, stress, and sleep quality (high scores indicate poor sleep quality).Conclusion: Acceptance commitment therapy-based nursing intervention improves stress, marital adjustment, quality of sleep, and fatigue in breast cancer patients. Recommendation: - Acceptance commitment therapy should be the foundation of non- pharmacological cancer treatment for many malignancie | ||
| Keywords | ||
| Acceptance and commitment therapy; breast cancer, fatigue, marital adjustment, stress, sleep quality | ||
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