Volume 28, Issue 4 (10-2025)
J Arak Uni Med Sci 2025, 28(4): 308-315 |
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Farahani M, Mehrabi F, Mardom M A, Abolfathi A, Borzabadi Farahani Z, Rafiei F. The Effect of Training Based on the Self-Efficacy Model on Coping Strategies and Hope in Breast Cancer Patients Undergoing Chemotherapy. J Arak Uni Med Sci 2025; 28 (4) :308-315
URL: http://jams.arakmu.ac.ir/article-1-7875-en.html
URL: http://jams.arakmu.ac.ir/article-1-7875-en.html
Mehtab Farahani1 
, Fatemeh Mehrabi2 , Mohammad Ali Mardom3 , Abdollah Abolfathi4 , Zahra Borzabadi Farahani5 , Fatemeh Rafiei6
, Fatemeh Mehrabi2 , Mohammad Ali Mardom3 , Abdollah Abolfathi4 , Zahra Borzabadi Farahani5 , Fatemeh Rafiei6
1- PhD Student in Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
2- MSc of Nursing, School of Nursing, Arak University of Medical Sciences, Arak, Iran ,fmehrabi1392@gmail.com
3- MSc of Nursing, Student Research Committee, Arak University of Medical Sciences, Arak, Iran
4- MSc of Nursing, Student Research Committee, Arak University of Medical Sciences, AND Social Security Organization, Arak, Iran
5- MSc of Nursing, School of Nursing, Arak University of Medical Sciences, Arak, Iran
6- Department of Biostatistics, Faculty of Medical Sciences, Arak University of Medical Sciences, Arak, Iran
2- MSc of Nursing, School of Nursing, Arak University of Medical Sciences, Arak, Iran ,
3- MSc of Nursing, Student Research Committee, Arak University of Medical Sciences, Arak, Iran
4- MSc of Nursing, Student Research Committee, Arak University of Medical Sciences, AND Social Security Organization, Arak, Iran
5- MSc of Nursing, School of Nursing, Arak University of Medical Sciences, Arak, Iran
6- Department of Biostatistics, Faculty of Medical Sciences, Arak University of Medical Sciences, Arak, Iran
Abstract: (7 Views)
Introduction: The purpose of this study was to investigate the effect of education based on the self-efficacy model on coping strategies and hope in breast cancer patients undergoing chemotherapy.
Methods: This study was conducted on 62 breast cancer patients undergoing chemotherapy. For 4 sessions, the intervention group received training on the components of chemotherapy side effects and ways to improve them based on the self-efficacy model. Patients in the control group did not receive any training and were under routine care. Questionnaires of demographic information, coping skills of Billings and Moss, and hope Schneider were completed immediately before the intervention and after the intervention by the patients of both groups. The results were analyzed statistical tests.
Results: The average hope in the intervention and control groups is low before and after the intervention, it is still low in the control group and high and significant in the intervention group (P<0.05). Statistical tests showed that there is a significant relationship between the average total life expectancy and their age, economy and education (P<0.05). Also, before the intervention, the use of coping strategies was low in both the intervention and control groups, and after the educational intervention, it was low in the control group and high in the intervention group.
Conclusions: Self-efficacy training intervention increased life expectancy and coping strategies in breast cancer patients undergoing chemotherapy.
Methods: This study was conducted on 62 breast cancer patients undergoing chemotherapy. For 4 sessions, the intervention group received training on the components of chemotherapy side effects and ways to improve them based on the self-efficacy model. Patients in the control group did not receive any training and were under routine care. Questionnaires of demographic information, coping skills of Billings and Moss, and hope Schneider were completed immediately before the intervention and after the intervention by the patients of both groups. The results were analyzed statistical tests.
Results: The average hope in the intervention and control groups is low before and after the intervention, it is still low in the control group and high and significant in the intervention group (P<0.05). Statistical tests showed that there is a significant relationship between the average total life expectancy and their age, economy and education (P<0.05). Also, before the intervention, the use of coping strategies was low in both the intervention and control groups, and after the educational intervention, it was low in the control group and high in the intervention group.
Conclusions: Self-efficacy training intervention increased life expectancy and coping strategies in breast cancer patients undergoing chemotherapy.
References
1. Jalali R, Rezaei M, Khaledi Paveh B, Aznab M, AmiriFard N, Mohammadi E. Sleep disorder and its correlates in patients undergoing chemotherapy [in Persian]. Iran Journal of Nursing. 2016;29(99):76-85. Doi:10.29252/ijn.29.99.100.76
2. Sivakumar VP, Susila C. Effectiveness of self-care measures on knowledge, self-efficacy and performance status among cancer patients. J Caring Sci. 2021;10(1):1-8. pmid: 33816378 doi: 10.34172/jcs.2021.003
3. Arıkan F, Körükçü Ö, Küçükçakal A, Coşkun H. Determination of Self-efficacy, body image and sexual adjustment of women with breast cancer. Eur J Breast Health. 2020;16(4):282-9. pmid: 33062970 doi: 10.5152/ejbh.2020.5188
4. Torabi Parizi M, Kalantari M, Ghavidel F. Evaluation of head and neck cancer patients’ knowledge regarding complications of chemotherapy and radiotherapy in patients referring to Kerman University of Medical Sciences treatment centers [in Persian]. J Dent Med-tums. 2018;31(2):83-90.
5. Ohnishi S, Takeda H. Herbal medicines for the treatment of cancer chemotherapy-induced side effects. Front Pharmacol. 2015; 6: 14. pmid: 25713534 doi: 10.3389/fphar.2015.00014
6. Zeighami Mohammedi Sh, Houshmand P, Jafari F, Esmaily H, Kooshyar MM. The relationship between anemia and severity of fatigue and quality of life in cancer patients undergoing chemotherapy [in Persian]. Avicenna J Nurs Midwifery Care. 2008;16(2):43-53.
7. Gholamy R, Dehghan M, Vanaki Z, Ghaedi F, Soheili M, Mosarezaee A. Efficacy of complementary therapies in reduction of chemotherapy induced nausea and vomiting in breast cancer patients: Systematic review [in Persian]. Complementary Medicine Journal. 2014;4(2):831-44.
8. Baghaei R, Sharifi M, Mohammadpour Y, Sheykhi N. Evaluation of the effects of educational package on controlling the complications of chemotherapeutic agents on symptom scales of quality of life in patients with breast cancer undergoing chemotherapy [in Persian]. Nursing Midwifery Journal. 2013;11(9):1-13.
9. Hoffman MA, Lent RW, Raque-Bogdan TL. A social cognitive perspective on coping with cancer: Theory, research, and intervention. Counseling Psychologist. 2013;41(2):240-67. DOI: 10.1177/0011000012461378
10. Poursaberi R. The effects of stress-coping strategies and life skills trainings on the mental health and academic progress of adolescent cancer patients: A quasi-experimental study. Nurs Midwifery Stud. 2018;7(1):12-7. doi:10.4103/nms.nms_38_17
11. Goodarzi N, Peymani J, Ashayeri H, Meschi F, Sabet M, Akbari M. Comparing the Effects of Cognitive-Behavioral Group Therapy and Mindfulness-Based Cognitive Therapy on Multidimensional Pain Symptoms in Breast Cancer Patients [in Persian]. J Arak Uni Med Sci. 2021;24(2):306-17. doi: 10.32598/jams.24.2.6176.1
12. Shamsizadeh M, Asayesh H, Rahmani H, Hosseini S, Talebi M. The relationship between caregiver burden with coping strategies in Family caregivers of cancer patients [in Persian]. Iranian Nursing Scientific Association. 2013;1(3):62-71.
13. Lambert SD, Girgis A, Turner J, McElduff P, Kayser K, Vallentine P. A pilot randomized controlled trial of the feasibility of a self-directed coping skills intervention for couples facing prostate cancer: rationale and design. Health Qual Life Outcomes. 2012;10:119. pmid: 23013404 doi: 10.1186/1477-7525-10-119
14. Kargaran EK, Ghaemi F, Mohammad Hossein Majd Rezaee MH, Rasooli V. The Relationship between Personality Dimensions and Stress Coping Strategies in Patients under Chemotherapy and Dialysis Treatment [in Persian]. Razi Journal of Medical Sciences. 2017;24(159):76-82.
15. Rasouli A. Developing the Model of Family Functioning based on the Components of Hope, Intimacy and Marital Conflicts in Couples [in Persian]. IJNR. 2017;12(4):1-8. doi:10.21859/ijnr-12041
16. Arya AM, Pakdaman M, Abolghasemi S, Rezaee M, Pashaee T, Tapeh AG. The effect of stress inoculation group training on hope and quality of life in women with breast cancer [in Persian]. J Res Dev Nurs Midw. 2014;11(1):8-16.
17. Razi T, Shamsi M, Khorsandi M, Roozbehani N, Ranjbaran M. Education and self-efficacy of mothers regarding alerting signs in children less than five years in Arak, Iran [in Persian]. Avicenna J Nurs Midwifery Care. 2016;24(1):1-8. doi: 10.20286/nmj-24015
18. Rahimi F, Alamdar E, Kamali K, Khoushemehr G. Relationship between self-efficacy and academic achievements in the students of Tehran University of Medical Sciences [in Persian]. Iranian Journal of Nursing Research. 2018;13(2):59-66.
19. White LL, Cohen MZ, Berger AM, Kupzyk KA, Bierman PJ. Self-efficacy for management of symptoms and symptom distress in adults with cancer: an integrative review. Oncol Nurs Forum. 2019;46(1):113-28. pmid: 30547965 doi: 10.1188/19.ONF.113-128
20. Zeighami Mohammedi Sh, Hushmand P, Kooshyar MM. Quality of life in cancer patients undergoing chemotherapy [in Persian]. Avicenna J Nurs Midwifery Care. 2008;16(1):5-15.
21. Mirzazadeh R, Pirkhaefi A. The effectiveness of clinical creativity therapy model on improving hope and happiness of the patient with breast cancer [in Persian]. Health Psychology. 2017;6(21):52-65.
22. Moosavi S, Mirzaei M, Reza Soltani P. The effects of acupressure on anxiety nursing, midwifery and operating room students [in Persian]. J Guilan Univ Med Sci. 2009;18(71):82-9.
23. Snyder CR, Harris C, Anderson JR, Holleran SA, Irving, LM, Sigmon ST, Harney P. The will and the ways: development and validation of an individual-differences measure of hope. J Pers Soc Psychol. 1191;60(4):570–85.
24. Nameni E, Mohammadpoor M, Noori G. The effectiveness of emotion-focused group therapy on interpersonal forgiveness and hope in divorced women [in Persian]. Counseling Culture and Psycotherapy. 2017;8(29):57-78. doi:10.22054/qccpc.2017.19768.1463
25. Azadyekta M. Study of coping strategies and attributional styles as predictors of school dropt of students in Azad Islamic University, Branch Islamshahr Branch [in Persian]. Journal of Psychological Achievements. 2012;19(1):99-116.
26. Li Y, Ni N, Zhou Z, Dong J, Fu Y, Li J, et al. Hope and symptom burden of women with breast cancer undergoing chemotherapy: A cross-sectional study. J Clin Nurs. 2021;30(15-16):2293-300. pmid: 33756013 doi: 10.1111/jocn.15759
27. Ozen B, Ceyhan O, Büyükcelik A. Hope and perspective on death in patients with cancer. Death Stud. 2020;44(7):412-8. pmid: 31204898 doi: 10.1080/07481187.2019.1626942
28. Tasan N, Citlik Saritas S. The relationship between spirituality and hopelessness among cancer patients in Turkey. J Relig Health. 2022;61(2):1376-89. pmid: 34853974 doi: 10.1007/s10943-021-01470-9
29. Corn BW, Feldman DB, Hull JG, O'Rourke MA, Bakitas MA. Dispositional hope as a potential outcome parameter among patients with advanced malignancy: An analysis of the ENABLE database. Cancer. 2022;128(2):401-9. pmid: 34613617 doi: 10.1002/cncr.33907
30. Gallagher MW, Long LJ, Phillips CA. Hope, optimism, self-efficacy, and posttraumatic stress disorder: A meta-analytic review of the protective effects of positive expectancies. J Clin Psychol. 2020;76(3):329-55. pmid: 31714617 doi: 10.1002/jclp.22882
31. Liu T, Chen DH, Jia QM, Zhao S, Zuo LY, Huang BY, et al. [Effect of Hope on Self-efficacy and Self-management in Patients with Chronic Kidney Disease(Stages 1-3)]. Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2019;41(3):367-72. pmid: 31282331 doi: 10.3881/j.issn.1000-503X.10680
32. Wu X, Xu H, Zhang X, Han S, Ge L, Li X, et al. Self-efficacy, Hope as Mediators Between Positive Coping and Resilience Among Patients With Gastric Cancer Before the First Chemotherapy. Cancer Nurs. 2021;44(1):79-85. pmid: 31743154 doi: 10.1097/NCC.0000000000000753
33. Thornton CP, Li M, Yeh CH, Ruble K. Self-efficacy in symptom management for adolescents and young adults with cancer: a systematic review. Support Care Cancer. 2021;29(6):2851-62. pmid: 33403400 doi: 10.1007/s00520-020-05960-6
34. Kwak Y, Kim Y, Choi ES, Im HJ. Self-efficacy, post-traumatic growth, and quality of life of pediatric cancer survivors: A cross-sectional study. Eur J Oncol Nurs. 2021;54:102019. pmid: 34487969 doi: 10.1016/j.ejon.2021.102019
35. Chirico A, Lucidi F, Merluzzi T, Alivernini F, Laurentiis M, Botti G, et al. A meta-analytic review of the relationship of cancer coping self-efficacy with distress and quality of life. Oncotarget. 2017;8(22):36800-11. pmid: 28404938 doi: 10.18632/oncotarget.15758
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