The Effect of Health Literacy Counselling on Self-Care in Women after Mastectomy: a Randomized Clinical Trial

Breast cancer has a high prevalence, constituting a major cause of mortality in women around the world. Health literacy has a vital role in the self-care of chronic diseases such as cancer and is an essential element in the ability of each person to engage with health promotion. The aim of this stud...

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Bibliographic Details
Published in:Journal of caring sciences 2020-03, Vol.9 (1), p.39-45
Main Authors: Rastegar, Masoume, Mahmoodi, Zohreh, Esmaelzadeh Saeieh, Sara, Sharifi, Nasibeh, Kabir, Kourosh
Format: Article
Language:English
Subjects:
Activities of daily living
Breast cancer
Cancer therapies
Chemotherapy
clinical trial
Clinical trials
Counseling
counselling
Disease management
Empowerment
Health behavior
Health education
Health literacy
Health promotion
Intervention
Mastectomy
Original
self-care
Womens health
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Summary:Breast cancer has a high prevalence, constituting a major cause of mortality in women around the world. Health literacy has a vital role in the self-care of chronic diseases such as cancer and is an essential element in the ability of each person to engage with health promotion. The aim of this study was to determine effect of health literacy counselling on self-care in women after mastectomy. This study is a randomized, controlled, clinical trial carried out on 72 women with breast cancer after mastectomy in Fars province. The eligible women entered the study using convenience sampling and were then divided into an intervention and a control group through randomized blocks of four. Health literacy questionnaire and self-care questionnaire were distributed among the participants before, immediately after and three weeks following the intervention. Data analysis was performed in SPSS ver.13. The results showed no significant differences between the two groups in terms of their health literacy and self-care scores before the intervention (P=0.299 and 0.059). A comparison of the mean values showed a greater increase in the mean score of health literacy and score of self-care immediately and three weeks after the intervention in the intervention group compared to the control group. Also, the mean score of the dimensions of self-care in chemotherapy increased over time in the intervention group. The findings of this study confirm the higher effectiveness of counseling with a health literacy approach on overall self-care in chemotherapy and all its dimensions.
ISSN:2251-9920
2251-9920
DOI:10.34172/jcs.2020.007