American Journal of Nursing Research
ISSN (Print): 2378-5594 ISSN (Online): 2378-5586 Website: http://www.sciepub.com/journal/ajnr Editor-in-chief: Apply for this position
Open Access
Journal Browser
Go
American Journal of Nursing Research. 2018, 6(5), 273-281
DOI: 10.12691/ajnr-6-5-8
Open AccessArticle

Educational Protocol during Radiotherapy and Its Relation to Skin Toxicity and Self-esteem among Breast Cancer Patients

Hend Elham Mohammed1 and Safaa Mohammed Zaki2,

1Medical Surgical Nursing, Faculty of Nursing, Minia University, Egypt

2Psychiatric and Mental Health Nursing, Faculty of Nursing, Minia University, Egypt

Pub. Date: July 03, 2018

Cite this paper:
Hend Elham Mohammed and Safaa Mohammed Zaki. Educational Protocol during Radiotherapy and Its Relation to Skin Toxicity and Self-esteem among Breast Cancer Patients. American Journal of Nursing Research. 2018; 6(5):273-281. doi: 10.12691/ajnr-6-5-8

Abstract

Background: Acute skin toxicity is one of the most common side effects of breast cancer radiotherapy and these adverse events often negatively affect patient’s self-esteem and willingness to continue the treatment. Aim of the study: assess the breast cancer patient's knowledge in relation to skin care during radiotherapy before the implementation of educational protocol and examine the effect of educational protocol on breast cancer patients' knowledge in relation to reducing skin reaction and improving self-esteem after the implementation of educational protocol. Subject and method: Quasi-experimental research design was utilized to achieve the aim of the study. Subject: A purposeful sample including (40) female adult patients were included in the current study. Setting: This study was carried out at oncology center in Minia city. Tools of data collection: Two scales were standardized and two tools were utilized to collect data: 1- Bio socio-demographic characteristics and structured interview schedule; 2- Educational proshour for instructions to reduce radiotherapy skin toxicity; 3- Common Toxicity Criteria-; 4- Rosenberg Self-Esteem Scale. Results: There were highly statistically significant differences among both study and control groups regarding their self-esteem and skin toxicity after educational protocol, there were a highest strong negative statistical significant correlation was found between skin toxicity and both knowledge and self-esteem scales among the study and the control group. Conclusion: the educational protocol reduced skin toxicity of radiotherapy in the study group and improves their self-esteem than control group. Recommendations: Based on the research findings the patients' health education about care radiation target area for breast cancer had a positive effect on patients' skin toxicity degree, design and implement an in-service training program for nursing staff about protocol that minimize radiotherapy skin toxicity.

Keywords:
breast cancer radiotherapy skin toxicity self-esteem

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  Brito CMM, Lourenção, Saul M, Bazan M, Otsubo PPS, Imamura M, et al. (2012). Breast cancer: rehabilitation. Acta Fisiatr.; 19(2): 66-72.
 
[2]  American Cancer Society. (2017). Cancer Facts and Figures. Atlanta, Ga: American Cancer Society. Available from
 
[3]  https://www.cancer.org/content/dam/cancer-org/research/cancer- facts-and-statistics/annual-cancer-facts-and-figures/2017/cancer-facts-and-figures-2017.pdf.
 
[4]  Zeeneldin A, Mohamed Ramadan, Ayman Abdelsamee Gaber, Fatma Mohamed Taha. (2013). Clinico-pathological features of breast carcinoma in elderly Egyptian patients: A comparison with the non-elderly using population-based data. Journal of the Egyptian National Cancer Institute; 25, 5-11.
 
[5]  World Health Organization (2014): Cancer Country Profiles. Available from
 
[6]  http://www.who.int/cancer/country- profiles/egy_en.pd.
 
[7]  Adam J Kole, Lauren Kole, and Meena S Moran. (2017). Acute radiation dermatitis in breast cancer patients: challenges and solutions Breast Cancer (Dove Med Press).; 9: 313-323. PMCID: PMC5426474.
 
[8]  Arti Parekh, Avani D. Dholakia, Daniel J. Zabranksy, Fariba Asrari, Melissa Camp, Mehran Habibi, Richard Zellars, Jean L. (2018). Wright, Predictors of radiation-induced acute skin toxicity in breast cancer at a single institution: Role of fractionation and treatment volume January–March, Volume 3, Issue 1, Pages 8-15 Advances in Radiation Oncology.
 
[9]  Ozkan B, Mentes S, Ozturk A, Soyuer S. (2014). Effects of Follow-up by Phone Interview and Anger Management Training Provided to Patients with Breast Cancer Undergoing Radiotherapy on Levels of Self-Esteem, Anger and Depression. International Journal of Hematology and Oncology; 4(24): 260-9.
 
[10]  Terra FS. (2010). Avaliação da ansiedade, depressãoe autoestima em docentes de Enfermagem deuniversidade pública e privada [tese]. Ribeirão Preto (SP): Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto.
 
[11]  Nicolussi AC, Sawada NO. (2013). Qualidade de vida de pacientes com câncer de mama em terapia adjuvante. Rev Gaúcha Enferm. 2011 Dez; 32(4):759-66.Nursing: Research and Reviews: 3 47-57.
 
[12]  Sharif F, Abshorshori N, Tahmasebi S, Hazrati M, Zare N and Masoumi S. (2010). The effect of peer-led education on the life quality of mastectomy patients referred to breast cancer-clinics in Shiraz, Iran 2009. Health Qual Life Outcomes. 8: 74. PMID: 20653966.
 
[13]  Lei CP, Har YC, Abdullah KL (2011). Informational needs of breast cancer patients on chemotherapy: differences between patients’ and nurses’ perceptions. Asian Pac J Cancer Prev.; 12(3): 797-802.
 
[14]  Raymond Javan Chan, Joan Webster, Bryan Chung, Louise Marquart, Muhtashimuddin Ahmed, and Stuart Garantziotis. (2014). Prevention and treatment of acute radiation-induced skin reactions: a systematic review and meta-analysis of randomized controlled trials
 
[15]  June, (1999). Common Toxicity Criteria, Version 2.0 National Cancer Institution cancer therapy evaluation program.
 
[16]  Rosenberg SM, Tamimi RM, Gelber S, (2013). Body image in recently diagnosed young women with early breast cancer. Psychooncology. Aug; 22(8): 1849-1855. [PMC free article] [PubMed].
 
[17]  Mamdouh. H, El-Mansy. H, Ibrahim F. Kharboush, Ismail. H, May M. Tawfik, Abdel El-Baky. M, El Sharkawy. O (2014): Barriers to breast cancer screening among a sample of Egyptian females. Journal of Family and Community Medicine. 21(2): 119-124.
 
[18]  Omar Farouk, Mohamed A Ebrahim, Ahmad Senbel, Ziad Emarah, Waleed Abozeed, Mohamed O Seisa, Summer Mackisack, Salah Abdel Jalil, and Safaa Abdelhady (2016). Breast cancer characteristics in very young Egyptian women ≤35 years Breast Cancer (Dove Med Press).; 8: 53-58. Published online 2016 Apr 5.
 
[19]  Howlader N, Noone AM, Krapcho M, Garshell J, Neyman N, Altekruse SF, Kosary CL, Yu M, Ruhl J, Tatalovich Z, Cho H, Mariotto A, Lewis DR, Chen HS, Feuer EJ, Cronin KA. (2010). Cancer Statistics Review, 1975. Bethesda, MD: National Cancer Institute; 2013. http://seer.cancer.gov/csr/1975_2010/.
 
[20]  Patricia Poirier 2013: Nursing Research and Reviews Nursingled management of side effects of radiation: evidence-based recommendations for practice Dovepress submit your manuscript | www.dovepress.com Dovepress 47 Review open access to scientific and medical research.
 
[21]  Maurene Mc. (2006). Evidence-Based Skin Care Management in Radiation Therapy Seminars in Oncology Nursing Volume 22, Issue 3, August, Pages 163-173.
 
[22]  Sven D'haese .Marleen Van Roy, Trees Bate, Paul Bijdekerke, Vincent Vinh-Hung. (2009). Management of skin reactions during radiotherapy in Flanders (Belgium): Management of skin reactions during radiotherapy in Flanders (Belgium): A study of nursing practice before and after the introduction of a skin care protocol A study of nursing practice before and after the introduction of a skin care protocol Volume 14, Issue 5, Pages 367-372.
 
[23]  Jieun Lee, Won Park, Doo Ho Choi, Seung Jae Huh, Im-Ryung Kim, anbee Kang, Juhee Cho. (2017). Patient-reported symptoms of radiation dermatitis during breast cancer radiotherapy: a pilot study July, Volume 26, Issue 7, pp 1713-1719.
 
[24]  Gomes NS, Silva SR. (2013). Avaliação da autoestima de mulheres submetidas à cirurgia oncológica mamária. Texto Contexto Enferm.; 22(3): 509-516.
 
[25]  Bauer, Carole; Laszewski, Pamela; Magnan, Morris: Clinical Journal of Oncology Nursing. Apr2015.
 
[26]  Manne S & Badr H. (2008): Intimacy and relationship processes in couples' psychosocial adaptation to cancer. Cancer. Jun 1; 112(11 Suppl): 2541-2555. [PMC free article] [PubMed].
 
[27]  Moreira H, Canavarro MC. (2013). Psychosocial adjustment and marital intimacy among partners of patients with breast cancer: A comparison study with partners of healthy women. Journal of psychosocial oncology. 31(3): 282-304. [PubMed].
 
[28]  Julia Sebastián, Dimitra Manos, Mª José Bueno and Nuria Mateos. (2008). Autónoma University of Madrid (Spain). BODY IMAGE AND SELF-ESTEEM IN WOMEN WITH BREAST CANCER PARTICIPATING IN A PSYCHOSOCIAL INTERVENTION PROGRAM, Copyright 2008 by the Psychology in Spain, Vol. 12. No 1, 13-25, Colegio Oficial de Psicologos. Spain.
 
[29]  Carver CS, Pozo-Kaderman C, Price A, Noriega.V, Harris S, Derhagopian RP, Robinson. DS, Moffatt F. (1998). Concern about aspects of body image and adjustment to early stage. breast cancer. Psychosom Med; 60:168-74.
 
[30]  Cordova MJ, Cunningham LL, Carlson CR, Andrykowski MA. (2001). Social constraints, cognitive processing and adjustment to breast cancer. J Consul Clin Psychol, 69: 706-11.
 
[31]  Yurek D, Farrar W, Andersen BL. (2000). Breast cancer surgery: ring surgical groups and determining individual differences in postoperative sexuality and body change stress. J Consult Clin Psychol; 68: 697-70.