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KMID : 1235020180120020015
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Health Service Management Review
2018 Volume.12 No. 2 p.15 ~ p.25
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The comparative study on the effect of group-education and individual-education on self-care for mastectomy patients
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Kim Eun-Jung
Seol Eun-Mi
Park Soon-Young
Cho Young-Mi
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Abstract
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Objectives: The study was conducted on order to compare and analyze the effect of group-education and that of individual-education on patients with mastectomy.
Methods: The study was done on patients with mastectomy at 3 university hospitals allocated in Seoul. Twenty-two patients received group-education and 18, individual-education. To evaluate the effect of group-education and individual-education, self-efficacy, compliance of health behavior, frequency of lymphedema, and quality of life was assessed.
Results: To compare the degree of self-efficacy in the two groups, the result of ANCOVA, there was no statistically difference between the two groups (p=.191). To compare the degree of compliance of health behavior in the two groups, the result of ANCOVA showed that the degree of nutritional management (p=.024), daily activities management (p=.049), and lymphedema preventive exercising (p=.001) was significantly higher in the individual-education group than the group-education group. The frequency of lymphedema in the two groups pre-test and post-test did not differ (p>.999). To compare the degree of the quality of life in the two groups, the result of ANCOVA, there was no difference in the quality of life between the two groups (p=.713).
Conclusion: Based on the results of the study, compliance of health behavior related content among the repetitive group-education program should be periodically monitored, and individualized supplementary measures of individual-education is necessary to promote the compliance of health behavior.
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KEYWORD
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mastectomy, self-care, breast cancer, education
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