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KMID : 0388320230300020216
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Journal of Korean Academy of Fundamental Nursing
2023 Volume.30 No. 2 p.216 ~ p.224
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Effects of Telephone-based Self-care Intervention for Gynecologic Cancer Patients Receiving Chemotherapy: A Quasi-Experimental Study
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Lee Bo-Yeon
Park Hyo-Jung
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Abstract
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Purpose: This study aimed to evaluate whether a telephone-based self-care intervention improved self-careknowledge, self-efficacy, and self-care performance of gynecologic cancer patients receiving chemotherapy.
Methods: This quasi-experimental study used a non-equivalent control group pretest-posttest design. Theparticipants included 38 gynecologic cancer patients who were admitted to Seoul National University Hospital andreceived chemotherapy. To reduce the spread of the experimental treatment, the control group was recruited priorto the experimental group, with matching inclusion criteria for age, diagnosis, and chemotherapeutic agent. Theexperimental group received education on managing chemotherapy side effects in the form of a booklet prior tochemotherapy and four telephone-based self-care interventions after discharge. The control group received onlyeducation on managing chemotherapy side effects in the form of a booklet prior to chemotherapy. Data were collectedprior to the intervention and 3 weeks after the first-line chemotherapy cycle ended. Outcomes were measured usinga self-care knowledge measurement tool, the New General Self-Efficacy Scale and a self-care performanceassessment scale. The statistical analysis was performed using the x2 test, Fisher's exact test, Shapiro-Wilknormality test, paired t-test and independent t-test.
Results: Significant differences were found between the twogroups in scores for self-care knowledge (t=-2.64, p=.012), self-efficacy (t=-4.32, p<.001), and self-careperformance (t=-2.53, p=.016) after the telephone-based self-care intervention.
Conclusion: This telephone-basedself-care intervention was effective for improving self-care knowledge, self-efficacy, and self-care performance.
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KEYWORD
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Gynecologic neoplasms, Self-care, Self-efficacy, Self-management, Telenursing
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