Skip to main content

Advertisement

SpringerLink
Log in

An Evaluation of the Influence of Web-Based Patient Education on the Anxiety and Life Quality of Patients Who Have Undergone Mammaplasty: a Randomized Controlled Study

  • Published:
Journal of Cancer Education Aims and scope Submit manuscript

Abstract

The aim of this study is to evaluate the influence of web-based education on the anxiety and quality of life of patients who were hospitalized and underwent breast surgery (modified radical mastectomy or breast-conserving surgery) with axilla lymph node dissection. The patients were divided into three groups by the block randomization method as follows: web-based education group, brochure group, and control group (total N = 75). To obtain the study data, the Risk Factors for Breast Cancer and Data Collection Form for the Disease, SF 36 Quality of Life Scale, State-Trait Anxiety Inventory, and Website Usability Scale were used. The learning content was patient education associated with the pre-operative and post-operative periods. The differences in the state of anxiety scores 1 day before surgery, the 2nd day after surgery, and 1 month after surgery were statistically lower in the web-based education group than in the other two groups. The mean difference in the trait anxiety scores after 1 month was higher in the control group than in the other two groups. Web-based patient education was identified as a more effective method than the brochure and control groups in terms of patients’ physical and emotional well-being, vitality/fatigue, and role limitations emotional and general health perception. Web-based patient education is effective in decreasing the anxiety of patients and improving their quality of life.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Can G (2015) Onkoloji Hemşireliği. İstanbul: Nobel Tıp Kitabevleri

  2. WHO (2015) https://www.who.int/mediacentre/factsheets/fs297/en/. Accessed 25 March 2018

  3. Sağlık İstatistikleri Y (2015) https://www.saglikistatistikleri.gov.tr/dosyalar/SIY_ 2015.pdf. Accessed 3July 2018

  4. Andreu Y, Galdon MJ, Dura E, Martinez P, Perez S, Murgui S (2012) A longitudinal study of psychosocialdistress in breastcancer: prevalence and risk factors. Psychol Health 7:872–875. https://doi.org/10.1080/08870446.2010.542814

    Article  Google Scholar 

  5. Howard-Anderson J, Ganz PA, Bower JE, Stanton AL (2012) Quality of life, fertility concerns, and behavioral health outcomes in younger breast cancer survivors: a systematic. J Natl Cancer Inst 104:386–405. https://doi.org/10.1093/jnci/djr541

    Article  PubMed  Google Scholar 

  6. Fangel LMV, Panobianco MS, Kebbe LM, Almeida AMD, Gozzo TDO (2013) Quality of life and daily activities performance after breast cancer treatment. Acta Paulista de Enfermagem 26(1):93–100. https://doi.org/10.1590/S0103-21002013000100015

    Article  Google Scholar 

  7. Hinkle JL, Cheever KH (2014) Brunner & Suddarth’s textbook of medical-surgical nursing. China: 13.Press, Wolters Kluwer, Lippincott Williams&Wilkins

  8. Avci IA, Kumcagiz H (2011) Marital adjustment and loneliness status of women with mastectomy and husbands reactions. Asian Pac J Cancer Prev 12(2):453–459

    PubMed  Google Scholar 

  9. Öztekin D (2006) Meme Kanserinde Tanı ve Tedavi Sürecinde Karşılaşılan Sorunlarla Mücadele Yolları. Meme Sağlığı Dergisi 2(2):67–70

    Google Scholar 

  10. Mitchell M (2008) Conscious surgery: influence of the environment on patient anxiety. J Adv Nurs 64:261–271. https://doi.org/10.1111/j.1365-2648.2008.04769.x

    Article  PubMed  Google Scholar 

  11. Zhang CY, Jiang Y, Yin QY, Chen FJ, Ma LL, Wang LX (2012) Impact of nurse-initiated preoperative education on postoperative anxiety symptoms and complications after coronary artery bypass grafting. J Cardiovasc Nurs 27(1):84–88. https://doi.org/10.1097/JCN.0b013e3182189c4d

    Article  CAS  PubMed  Google Scholar 

  12. Lee MA, Shin CN, An K (2018) Trustworthiness, readability, and suitability of web-based information for stroke prevention and self-management for Korean Americans: critical evaluation. Interactive journal of medical research 7(2):e10440. https://doi.org/10.2196/10440

    Article  PubMed  PubMed Central  Google Scholar 

  13. Sbaffi L, Rowley J. Trust and credibility in web-based health information: a review and agenda for future research. J Med Int Res. 2017;19(6). https://doi.org/10.2196/10440

  14. Lauckner C (2016) The effects of viewing and preferences for online cancer information among patients’loved ones. Computers Informatics Nursing 34(1):37–46. https://doi.org/10.1097/CIN.0000000000000204

  15. Keulers BJ, Welters CF, Spauwen PH, Houpt P (2007) Can face-to-face patient education be replaced by computer-based patient education? A randomised trial. Patient Educ Couns 67(1):176–182. https://doi.org/10.1016/j.pec.2007.03.012

    Article  PubMed  Google Scholar 

  16. Oral B, Kenanoğlu R (2012) Web Tabanlı Uzaktan Eğitim Sistemlerinin Öğrenci Başarısına ve BilgisayaraYönelik Tutumlarına Etkisi. Eğitim Bilimleri Dergisi 1(2):58–67

    Google Scholar 

  17. Gustafson DH, McTavish FM, Stengle W, Ballard D, Hawkins R, Shaw BR et al (2005) Use and impact of eHealth system by low-income women with breast cancer. J Health Commun 10:195–218. https://doi.org/10.1080/10810730500263257

    Article  PubMed  Google Scholar 

  18. Lieberman MA, Goldstein BA (2005) Self-help on-line: an outcome evaluation of breast cancer bulletinboards. J Health Psychol 10:855–862. https://doi.org/10.1177/1359105305057319

    Article  PubMed  Google Scholar 

  19. Gupta S, Wan FT, Newton D, Bhattacharyya OK, Chignell MH, Straus SE (2011) A new online collaboration process for multistakeholder tool development and consensus building. J Med Internet Res 13(4):e108. https://doi.org/10.2196/jmir.1833

    Article  PubMed  PubMed Central  Google Scholar 

  20. Owen JE, Klapow JC, Roth DL, ShusterJr JL, Bellis J, Meredith R, Tucker DC (2005) Randomized pilot of a self-guided internet coping group for women with early-stage breast cancer. Ann Behav Med 30(1):54–64. https://doi.org/10.1207/s15324796abm3001_7

  21. Yi M, Kim J, Noh DY, Lee JL, Yoo KY, Hwang KT, Chung HD (2008) Evaluation of the satisfaction and usefulness of a web-based educational program for breast cancer patients. Open Med Inform J 2:129. https://doi.org/10.2174/1874431100802010129

    Article  PubMed  PubMed Central  Google Scholar 

  22. Vargas CR, Chuang DJ, Ganor O, Lee BT (2014) Readability of online patient resources for the operativetreatment of breast cancer. Surgery 156(2):311–318. https://doi.org/10.1016/j.surg.2014.03.004

    Article  PubMed  Google Scholar 

  23. Elbaş NÖ (2016) Cerrahi Hastalıkları Hemşireliği Akıl Notları. Güneş Tıp Kitabevleri

  24. Karadakovan A, Aslan FE (2017) Dahili ve cerrahi hastalıklarda bakım. Nobel Kitabevi

  25. Aydın S, Akça T (2008) Meme Kanseri Gerçeği. Nobel Tıp Kitabevi

  26. American Cancer Society 2018. https://www.cancer.org/cancer/breastcancer/ more information/exercisesafter-breast-surgery. Accessed 3 March 2017

  27. Harmer, V (2011) Breast cancer nursing care and management. A John Wiley&Sons

  28. Centers for Disease Control and Prevention (2018) https://www.cdc.gov/cancer /breast/basic_info/risk _ factors.htm. Accessed 15 July 2018

  29. American Cancer Society (2018) https://www.cancer.org/cancer/breast-cancer/risk-and-prevention/ disprovenor-controversial-breast-cancer-risk-factors.html. Accessed 10 Jan 2017

  30. Pınar R (2005) Reliability and construct validity of the SF-36 in Turkish cancer patients. Qual Life Res 14(1):259–264. https://doi.org/10.1007/s11136-004-2393-3

    Article  PubMed  Google Scholar 

  31. Büyüköztürk Ş (1997) Araştırmaya yönelik kaygı ölçeğinin geliştirilmesi. Kuram ve Uygulamada EğitimYönetimi Dergisi 3(4):453–464

    Google Scholar 

  32. Çakmak E, Güneş E, Çiftçi S, Üstündağ MT (2011) Web Sitesi Kullanılabilirlik Ölçeğinin Geliştirilmesi: Geçerlilik, Güvenirlilik Analizi ve Uygulama Sonuçları. Pegem Eğitim ve Öğretim Dergisi 1(2):31–40

    Article  Google Scholar 

  33. Yun YH, Lee KS, Kim YW, Park SY, Lee ES, Noh DY (2012) Web based tailored education program for disease-free cancer survivors with cancer-related fatigue: a randomized controlled trial. Proc Am Soc Clin Oncol 30(12):1296–1303. https://doi.org/10.1200/JCO.2011.37.2979

    Article  Google Scholar 

  34. Valero-Aguilera B, Bermúdez-Tamayo C, García-Gutiérrez JF, Jiménez-Pernett J, Cózar-Olmo JM, Guerrero-Tejada R, Alba-Ruiz R (2014) Information needs and internet use in urological and breast cancerpatients. Support Care Cancer 22(2):545–552. https://doi.org/10.1007/s00520-013-2009-y

    Article  PubMed  Google Scholar 

  35. Schneider CM, Hsieh CC, Sprod LK, Carter SD, Hayward R (2007) Cancer treatment induced alterations in muscular fitnessand quality of life: the role of exercise training. Ann Oncol 18:1957–1962. https://doi.org/10.1093/annonc/mdm364

    Article  CAS  PubMed  Google Scholar 

  36. Furmaniak AC, Menig M, Markes MH (2016) Exercise for women receiving adjuvant therapy for breast cancer. Cochrane Libr 21(9). https://doi.org/10.1002/14651858.CD005001.pub3

  37. Reigle BS, Wonders K (2009) Breast cancer and the role of exercise in women. Methods Mol Biol 472(1):169–189. https://doi.org/10.1007/978-1-60327-492-0_7

    Article  PubMed  Google Scholar 

  38. Haines TP, Sinnamon P, Wetzig NG, Lehman M, Walpole E, Pratt T, Smith A (2012) Multimodal exerciseimproves quality of life of women being treated for breast cancer, but at what cost? Randomized trial witheconomic evaluation. Breast Cancer Res Treat 124(1):163–175. https://doi.org/10.1007/s10549-010-1126-2

    Article  Google Scholar 

  39. Duijts SF, Faber MM, Oldenburg HS, vanBeurden M, Aaronson NK (2011) Effectiveness of behavioral techniques and physical exercise on psychosocial functioning and health-related quality of life in breast cancerpatients and survivors a meta-analysis. Psycho-Oncology 20(2):115–126. https://doi.org/10.1002/pon.1728

    Article  PubMed  Google Scholar 

  40. Shahsavari H, Matory P, Zare Z, Taleghani F, Kaji MA (2015) Effect of self care education on the quality oflife in patients with breast cancer. J Educ Health Promot 4:70. https://doi.org/10.4103/2277-9531.171782

    Article  PubMed  PubMed Central  Google Scholar 

  41. Santos AC, Bredemeier M, Rosa KF, Amantéa VA, Xavier RM (2011) Impact on the quality of life of an educational program for the prevention of work-related musculoskeletal disorders: a randomized controlledtrial. BMC Public Health 11(1):60. https://doi.org/10.1186/1471-2458-11-60

    Article  PubMed  PubMed Central  Google Scholar 

  42. Speed-Andrews AE, Stevinson C, Belanger LJ, Mirus JJ, Courneya KS (2010) Pilot evaluation of an Iyengar yoga program for breast cancer survivors. Cancer Nurs 33(5):369–381. https://doi.org/10.1097/NCC.0b013e3181cfb55a

    Article  PubMed  Google Scholar 

  43. Zimmerman L, Barnason S, Nieveen J, Schmaderer M (2004) Symptom management intervention in elderly coronary artery bypass graft patients. Outcomes Management 8(1):5–12

    PubMed  Google Scholar 

  44. Baraz S, Shahbazian HB, Miladinia M, Zarea K (2015) Video training programs and the quality of life ofpatients with type II diabetes. Jundishapur Journal of Chronic Disease Care 4(4). https://doi.org/10.17795/jjcdc-29611

Download references

Author information

Authors and Affiliations

  1. Gülhane Training and Research Hospital, Department of General Surgery, University of Health Sciences, Ankara, Turkey

    Serap Korkmaz

  2. Gulhane Faculty of Nursing, Department of Surgical Nursing, University of Health Sciences, Ankara, Turkey

    Emine Iyigun

  3. Health Science Faculty, Nursing Department, Eastern Mediterranean University, Via Mersin 10, Famagusta, North Cyprus, Turkey

    Sevinc Tastan

Authors
  1. Serap Korkmaz
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Emine Iyigun
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Sevinc Tastan
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Serap Korkmaz.

Ethics declarations

Conflict of Interest

The authors declare that they have no competing interests.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Korkmaz, S., Iyigun, E. & Tastan, S. An Evaluation of the Influence of Web-Based Patient Education on the Anxiety and Life Quality of Patients Who Have Undergone Mammaplasty: a Randomized Controlled Study. J Canc Educ 35, 912–922 (2020). https://doi.org/10.1007/s13187-019-01542-1

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13187-019-01542-1

Keywords

Search

Navigation