Volume 20, Issue 10 (January 2023)
Nursing and Midwifery Journal 2023, 20(10): 819-829 |
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Eghtedar S, Rostamzadeh S, Parizad N, Ahmadzadeh J. INVESTIGATING THE EFFECT OF DISTANCE SELF-CARE EDUCATION THROUGH WHATSAPP APPLICATION ON THE QUALITY OF LIFE OF STOMACH CANCER SURVIVORS. Nursing and Midwifery Journal 2023; 20 (10) :819-829
URL: http://unmf.umsu.ac.ir/article-1-4693-en.html
URL: http://unmf.umsu.ac.ir/article-1-4693-en.html
1- Assistant Professor in Nursing, Patient Safety Research Center, Clinical Research Institute, School of Nursing & Midwifery, Urmia University of Medical Sciences, Urmia, Iran
2- MSc Student of medical-surgical nursing, Urmia University of Medical Sciences, Urmia, Iran (Corresponding Author) , sherrostamzadeh74@gmail.com
3- Assistant Professor in Nursing, Patient Safety Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran.
4- MSc of Epidemiology, Urmia University of Medical Sciences, Urmia, Iran
2- MSc Student of medical-surgical nursing, Urmia University of Medical Sciences, Urmia, Iran (Corresponding Author) , sherrostamzadeh74@gmail.com
3- Assistant Professor in Nursing, Patient Safety Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran.
4- MSc of Epidemiology, Urmia University of Medical Sciences, Urmia, Iran
Abstract: (532 Views)
Background & Aims: Today, due to the advances in early diagnosis and treatment of malignancies, the number of stomach cancer survivors is increasing, and these survivors experience significant changes in their lives. Adapting to these changes requires appropriate interventions to improve their quality of life. So this study was conducted to determine the effect of remote self-care training through the WhatsApp application on the quality of life of stomach cancer survivors in Urmia in 2020-2021.
Materials & Methods: In this semi-experimental study, 54 gastric cancer survivors were selected with convenience sampling method and randomly divided into two experimental and control groups. A demographic information questionnaire and a standard questionnaire on the quality of life of gastric cancer patients (QLQ-STO22) were used to collect data. In the intervention group, the self-care program was educated remotely using the WhatsApp application in 8 sessions. Patients of the control group only received routine trainings. Data were analyzed with descriptive and inferential statistical methods (independent t-test, paired t-test and, chi-square) using SPSS version 16 software. A significance level of less than 0.5 was considered for all statistical tests.
Results: The study results showed that the two groups were homogeneous regarding demographic variables and had no significant difference in them (p<0.05). Also, the results showed that, unlike the stage before the intervention, the mean score of the quality of life and its dimensions after the intervention had a statistically significant difference between the control and intervention groups; as after the self-care training, the quality of life in the intervention group improved significantly (p < 0.05).
Conclusion: Remote self-care training through the WhatsApp application would improve the quality of life of cancer survivors. Therefore, considering the ease of access to the training method through social networks without space and time limitations, using this training method by healthcare workers is recommended.
Materials & Methods: In this semi-experimental study, 54 gastric cancer survivors were selected with convenience sampling method and randomly divided into two experimental and control groups. A demographic information questionnaire and a standard questionnaire on the quality of life of gastric cancer patients (QLQ-STO22) were used to collect data. In the intervention group, the self-care program was educated remotely using the WhatsApp application in 8 sessions. Patients of the control group only received routine trainings. Data were analyzed with descriptive and inferential statistical methods (independent t-test, paired t-test and, chi-square) using SPSS version 16 software. A significance level of less than 0.5 was considered for all statistical tests.
Results: The study results showed that the two groups were homogeneous regarding demographic variables and had no significant difference in them (p<0.05). Also, the results showed that, unlike the stage before the intervention, the mean score of the quality of life and its dimensions after the intervention had a statistically significant difference between the control and intervention groups; as after the self-care training, the quality of life in the intervention group improved significantly (p < 0.05).
Conclusion: Remote self-care training through the WhatsApp application would improve the quality of life of cancer survivors. Therefore, considering the ease of access to the training method through social networks without space and time limitations, using this training method by healthcare workers is recommended.
References
1. Thrift AP, El-Serag HB. Burden of gastric cancer. Clin Gastroenterol Hepatol 2020;18(3):534-42.DOI: 10.1016/j.cgh.2019.07.045. [DOI:10.1016/j.cgh.2019.07.045] [PMID] [PMCID]
2. Hesami R, Mahdi R, Khalkhali HR, Asnaashari O. Five-year survival rate in gastric cancer patients and its related factors in West Azerbijan Province, Iran during the period 2011-2013. J Public Health Res 2019;17(1):95-109. [Google Scholar]
3. Rostami C, Asadollahi K, Sayehmiri K, Cheraghi M. Incidence rate of gastric cancer and its relationship with geographical factors using GIS in Khuzestan Province between 2009 and 2013. Sci J Kurdistan Univ Medical Sci 2017;22(2):129-39. Doi: 10.22102/22.2.129. [Google Scholar]
4. Choi J, Kim S, Choi M, Hyung WJ. Factors affecting the quality of life of gastric cancer survivors. Support Care Cancer 2022;30(4):3215-24. [DOI:10.1007/s00520-021-06683-y] [PMID] [PMCID]
5. Brinkman TM, Recklitis CJ, Michel G, Grootenhuis MA, Klosky JL. Psychological symptoms, social outcomes, socioeconomic attainment, and health behaviors among survivors of childhood cancer: current state of the literature. J Clin Oncol 2018;36(21):2190-7. Doi: 10.1200/JCO.2017.76.5552. [DOI:10.1200/JCO.2017.76.5552] [PMID] [PMCID]
6. Yamauchi H, Nakagawa C, Fukuda T. Social impacts of the work loss in cancer survivors. Breast Cancer 2017;24(5):694-701.DOI: 10.1007/s12282-017-0759-y. [DOI:10.1007/s12282-017-0759-y] [PMID]
7. Lim C-H, Kim SW, Kim WC, Kim JS, Cho YK, Park JM, et al. Anemia after gastrectomy for early gastric cancer: long-term follow-up observational study. World J Gastroenterol 2012;18(42):6114-9. Doi: 10.3748/wjg.v18.i42.6114. [DOI:10.3748/wjg.v18.i42.6114] [PMID] [PMCID]
8. Cable CT, Colbert CY, Showalter T, Ahluwalia R, Song J, Whitfield P, et al. Prevalence of anemia after Roux-en-Y gastric bypass surgery: what is the right number? Surg Obes Relat Dis 2011;7(2):134-9. Doi: 10.1016/j.soard.2010.10.013. [DOI:10.1016/j.soard.2010.10.013] [PMID]
9. Naus MJ, Ishler MD, Parrott CE, Kovacs SA. Cancer survivor adaptation model: conceptualizing cancer as a chronic illness. J Clin Psychol 2009;65(12):1350-9. DOI: 10.1002/jclp.20622. [DOI:10.1002/jclp.20622] [PMID]
10. Soivong P. The effects of supportive-educative nursing intervention on self-care and quality of life among breast cancer survivors: Chiang Mai: Graduate School, Chiang Mai University, 2004; 2004. [Google Scholar]
11. Alligood MR. Nursing theory-E-book: Utilization & application: Else Health Sci; 2013. [URL]
12. Ridner SH, Dietrich MS, Kidd N. Breast cancer treatment-related lymphedema self-care: education, practices, symptoms, and quality of life. Support Care Cancer 2011;19(5):631-7. DOI: 10.1007/s00520-010-0870-5. [DOI:10.1007/s00520-010-0870-5] [PMID]
13. Manouchehri-Monzeh F, Banai-Yazdipour A, editors. The role of social networks in educating patients to receive remote health care: A review. The Second Congress of the Iranian Telemedicine Association; 2018.
14. Shahmoradi M, Tajrishi H, Nazari E, Delaram Z, Zarei Z, Zeinali N, et al. The role of social networks in healthcare: applications and limitations. J Biomed Health Inform 2015;2(2):124-128.
15. Delavar A, Akbar Farhangi A, Karimi B. WhatsApp and the lived experience of its users (Case study: Adult youth of Tehran) Rasaneh. 2019;30(3):5-25. [URL]
16. Atashi V, Sheikhi abumasoudi R, Moghimian M, M.S. H, Karimi T, Kashani F, et al. The Effect of E-Learning on the Quality of Life of Patients with Stroke. J Health Care 2017;19(1):30-8. [Google Scholar]
17. Vickery C, Blazeby J, Conroy T, Arraras J, Sezer O, Koller M, et al. Development of an EORTC disease-specific quality of life module for use in patients with gastric cancer. Eur J Cancer 2001;37(8):966-71. DOI: 10.1016/s0959-8049(00)00417-2. [DOI:10.1016/S0959-8049(00)00417-2] [PMID]
18. Sadighi S, Montazeri A, Sedighi Z, Mohagheghi MA, Froutan H. Quality of life in patients with gastric cancer: translation and psychometric evaluation of the Iranian version of EORTC QLQ-STO22. BMC Cancer 2009;9(28):305-15. Doi: 10.1186/1471-2407-9-305. [DOI:10.1186/1471-2407-9-305] [PMID] [PMCID]
19. Australia CC. Understanding Stomach and Oesophageal Cancers: Cancer Council Australia; 2021.
20. Tian J, Chen Z-C, Wu B, Meng X. Comparison of quality of life between urban and rural gastric cancer patients and analysis of influencing factors. World J Gastroenterol 2004;10(20):2940-3. DOI: 10.3748/wjg.v10.i20.2940. [DOI:10.3748/wjg.v10.i20.2940] [PMID] [PMCID]
21. Esmailnasab N, Taymoori P, Darabi F. Comparison of quality of life 3 and 9 months after surgery in patients with gastrointestinal cancer. Stu Med Sci 2013;24(4):226-34. [Google Scholar]
22. Saroukhani D, Omidi K, Norouzi R, Zali H, Sayehmiri K, Forozeshfard M. The quality of life in cancer patients in Iran: A systematic review by using meta-analysis. Koomesh 2016;18(1):1-12. [Google Scholar]
23. Wang Z, Yin G, Jia R. Impacts of self-care education on adverse events and mental health related quality of life in breast cancer patients under chemotherapy. Complement Ther Med 2019;43(1):165-9. DOI: 10.1016/j.ctim.2019.01.027. [DOI:10.1016/j.ctim.2019.01.027] [PMID]
24. Kohansal S. The effect of self-care video education on quality of life and anxiety in patients with upper GI cancer undergoing chemotherapy. Tehran: Tehran University of Medical Sciences; 2020. [URL]
25. Fahim N, Sadouni Z, Hatami A, Abiyavi H. The effect of self-care education on quality of life in patients with gastric cancer in Shafa Hospital in Ahvaz in 2018. Fifth Student Research Congress in the southwestern region of the country: undefined; 2018. [URL]
26. Imani E, Karimi Haji Khademi MA, Hosseini Tasnizi S, Shafizad A. The effect of self-care education program on self-efficacy and quality of life of patients with colorectal cancer undergoing chemotherapy. J Prev Med 2021;8(2):72-82. Doi: 10.52547/jpm.8.2.82. [Google Scholar]
27. Barandeh M, Babaei M, Mehdizadeh Torzani Z, Sharifiyan R. Effect of self-care on quality of life in women with breast cancer undergoing chemotherapy. J Urmia Nurs Midwifery Fac 2017;15(3):199-207. [Google Scholar]
28. Davoodi A, Rezazadeh H, Somi MH, Rahmani A, Dizaji SL, Bakhshian AA. Effect of educating self-care program on quality of life in patients with gastric cancer after gastrectomy in Tabriz Hospitals. Med J Tabriz Univ Med Sci 2012;34(1):48-55. [Google Scholar]
29. Gao Q, Li H, Zou Y, Hou B, Liu L. Effectiveness of a comprehensive post-operative health education program in improving quality of life after gastric cancer surgery. Ann Palliat Med 2020;9(3):921-6. DOI: 10.210/apm.2020.04.14. [DOI:10.21037/apm.2020.04.14] [PMID]
30. Abd ElKareem Moghazy N, El-Sayed Hafez G, Ahmed Mohammed Ibrahim A. Effectiveness of Self-Care Practices Education Program on Enhancing Chemotherapy Adverse Effects and Quality of Life for Patients with Gastric Cancer. Egypt J Health Care 2020;11(2):867-89. [DOI:10.21608/ejhc.2020.219044]
31. Baab S, Azarbarzin M, Moghimian M. Evaluation of the effectiveness of distance self-care training on self-efficacy and quality of life of patients with intestinal ostomy. Iran J Nurs 2022;35(135):2-15. [DOI:10.32598/ijn.35.135.7.7]
32. Rouzfarakh M, Deldar K, Froutan R, Ahmadabadi A, Mazlom SR. The effect of rehabilitation education through social media on the quality of life in burn patients: a randomized, controlled, clinical trial. BMC Medical Informatics and Decision Making. 2021;BMC Medical Inform Decis Mak 2021;21(1):1-11. Doi: 10.11/s12911-021-01421-0. [DOI:10.1186/s12911-021-01421-0] [PMID] [PMCID]
33. Fitriadi Y, Josef HK, Danawati CW. Impact of Foot Care Education Program Using WhatsApp Group on Knowledge and Foot Care Practice in Diabetic Patients. Rev Prim Care Pra Edu 2021;4(2):15-21. [DOI:10.22146/rpcpe.65439]
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