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Effectiveness of a Nursing Intervention Based on Acceptance Commitment Therapy on Stress, Marital adjustment, Sleep quality, and Fatigue among Patients with Breast Cancer

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Last updated: 25 Dec 2024

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Abstract

The most common kind of cancer among Egyptian women is breast cancer. Most patients present
at a late stage with subsequent poor outcomes. It ranks as the second-most common malignant
tumor in women and the most common cause of cancer-related death. Aim: to evaluate
effectiveness of a nursing intervention based on acceptance commitment therapy on stress, marital
adjustment, sleep quality, and fatigue among patients with breast cancer. Design: Aquasi-
experimental design was utilized. Setting: The study was conducted at the Menoufia University
Hospital's oncology outpatient clinic in Egypt's Menoufia Governorate. Sample: Sixty adult breast
cancer patients were selected by purposive sample. Tools: Four tools used; (1) Depression,
Anxiety and Stress Scale (DASS); stress self-reported subscale(2) Marital adjustment Scale(3)
Pittsburg sleep quality index(4) Piper Fatigue Scale. Result: shown that after two months of
intervention, When compared to prior intervention, there was a highly significant difference (p =
0.00) between the study and control groups in terms of the total mean score for fatigue, stress,
sleep quality, and marital adjustment. When compared to the control group, there was a highly
statistically significant negative correlation between the study group's marital adjustment and their
overall scores for fatigue, stress, and sleep quality (high scores indicate poor sleep
quality).Conclusion: Acceptance commitment therapy-based nursing intervention improves
stress, marital adjustment, quality of sleep, and fatigue in breast cancer patients.
Recommendation: - Acceptance commitment therapy should be the foundation of non-
pharmacological cancer treatment for many malignancie

DOI

10.21608/tsnj.2023.291025

Keywords

Acceptance and Commitment Therapy, breast cancer, fatigue, marital adjustment, stress, sleep quality

Authors

First Name

Merfat

Last Name

Atia

MiddleName

M.

Affiliation

Assistant professor of Psychiatric Mental Health Nursing, Faculty of Nursing, Menoufia University, Egypt

Email

mervatatia@yahoo.com

City

-

Orcid

-

First Name

Shereen

Last Name

Deep

MiddleName

Hussein

Affiliation

5Lecturer of Medical Surgical Nursing, Faculty of Nursing, Menoufia University, Egyp

Email

shereenhuseen@gmail.com

City

-

Orcid

0009-0002-8772-2251

First Name

Mawaheb

Last Name

zaki

MiddleName

mahmoud

Affiliation

Assistant professor of Psychiatric Mental Health Nursing, Faculty of Nursing, Banha University, Egypt

Email

maawahebmahmoud@gmail.com

City

-

Orcid

-

First Name

Lamiaa

Last Name

Elgamasy

MiddleName

abdelSalam

Affiliation

Lecturer of Medical Surgical Nursing, Faculty of Nursing, Menoufia University, Egypt

Email

lelgamasy@yahoo.com

City

-

Orcid

-

First Name

Amoura

Last Name

Behairy

MiddleName

Soliman

Affiliation

Assistant professor of Medical Surgical Nursing, Faculty of Nursing, Menoufia University, Egypt

Email

amourabehairy@gmail.com

City

-

Orcid

-

First Name

Elham

Last Name

Elfiky

MiddleName

Ramzy

Affiliation

lecturer of Psychiatric Mental Health Nursing, Faculty of Nursing, Menoufia University, Egypt

Email

elhamelfiky2011@yahoo.com

City

-

Orcid

https://orcid.org/00

Volume

28

Article Issue

1

Related Issue

40286

Issue Date

2023-03-01

Receive Date

2023-01-05

Publish Date

2023-03-01

Page Start

28

Page End

46

Print ISSN

2314-5595

Online ISSN

2735-5519

Article File

TSNJ_Volume 28_Issue 1_Pages 28-46.pdf

PDF . 691.6kB

Link

https://tsnj.journals.ekb.eg/article_291025.html

Detail API

https://tsnj.journals.ekb.eg/service?article_code=291025

Order

291,025

Type

Original Article

Type Code

1,053

Publication Type

Journal

Publication Title

Tanta Scientific Nursing Journal

Publication Link

https://tsnj.journals.ekb.eg/

MainTitle

Effectiveness of a Nursing Intervention Based on Acceptance Commitment Therapy on Stress, Marital adjustment, Sleep quality, and Fatigue among Patients with Breast Cancer

Details

Type

Article

Created At

25 Dec 2024