Effects of Health Belief Model based nursing interventions offered at home visits on lymphedema prevention in women with breast cancer: A randomised controlled trial

dc.authorid Bahar, Zuhal/0000-0002-9793-930X
dc.authorid Cal, Ayse/0000-0002-2890-156X
dc.authorscopusid 56996044900
dc.authorscopusid 9280206300
dc.authorscopusid 55665979600
dc.authorwosid Bahar, Zuhal/ABJ-8222-2022
dc.authorwosid Cal, Ayse/AAU-3916-2020
dc.contributor.author Cal, Ayse
dc.contributor.author Bahar, Zuhal
dc.contributor.author Gorken, Ilknur
dc.date.accessioned 2024-05-25T12:29:53Z
dc.date.available 2024-05-25T12:29:53Z
dc.date.issued 2020
dc.department Okan University en_US
dc.department-temp [Cal, Ayse] Ankara Medipol Univ, Dept Nursing, Sch Hlth Sci, Ankara, Turkey; [Bahar, Zuhal] Okan Univ, Dept Publ Hlth Nursing, Fac Hlth Sci, Istanbul, Turkey; [Gorken, Ilknur] Dokuz Eylul Univ, Fac Med, Dept Radiat Oncol, Izmir, Turkey en_US
dc.description Bahar, Zuhal/0000-0002-9793-930X; Cal, Ayse/0000-0002-2890-156X en_US
dc.description.abstract Background Lymphedema is an important morbidity due to its physical and psychological restrictions and financial burden in women having breast cancer surgery. The study was performed to examine effects of Health Belief Model (HBM) based nursing interventions given at home visits on prevention of lymphedema in women having breast surgery. Design The study had an experimental design. Methods The study included 72 women receiving radiotherapy after breast surgery, of whom 37 formed the intervention group and 35 formed the control group. The sample was based on Consolidated Standard of Reporting Trials (CONSORT). Data were collected with a personal information questionnaire, Quick-Disabilities of the Arm, Shoulder and Hand Score (Q-DASH), European Organization for Research and Treatment of Cancer Quality of Life for Breast Cancer 23 (EORTC QLQ-BR23), Strategies Used by Patients to Promote Health (SUPPH), Arm Circumference Form at three home visits at 3-month intervals. Results HBM based nursing interventions regularly offered at home visits were found to create positive changes in behaviour of lymphedema prevention and improve upper extremity functions, reduce side-effects, relieve arm and breast symptoms, enhance the quality of life, increase self-efficacy and lower the frequency of lymphedema and costs. Conclusion The HBM based nursing interventions regularly offered at home visits can create positive changes in behaviour of lymphedema prevention and prevent lymphedema in women receiving radiotherapy after breast surgery. Considering costs of treatment for lymphedema, these interventions can be considered as cost-effective. Relevance to clinical practice Nursing interventions directed towards behaviour of preventing lymphedema and follow-ups in the long-term should be supported by home visits and reminders through phone calls. Nurses should perform HBM based interventions regularly at home visits to prevent lymphedema. These interventions were found to reduce financial burden and were cost-effective. en_US
dc.description.sponsorship Scientific and Technological Research Council of Turkey 1002-Short Term Funding Program [215S656] en_US
dc.description.sponsorship The study was financed by The Scientific and Technological Research Council of Turkey 1002-Short Term Funding Program (number: 215S656). en_US
dc.identifier.citationcount 7
dc.identifier.doi 10.1111/jocn.15271
dc.identifier.endpage 2534 en_US
dc.identifier.issn 0962-1067
dc.identifier.issn 1365-2702
dc.identifier.issue 13-14 en_US
dc.identifier.pmid 32243029
dc.identifier.scopus 2-s2.0-85083583228
dc.identifier.scopusquality Q1
dc.identifier.startpage 2521 en_US
dc.identifier.uri https://doi.org/10.1111/jocn.15271
dc.identifier.uri https://hdl.handle.net/20.500.14517/2157
dc.identifier.volume 29 en_US
dc.identifier.wos WOS:000526128500001
dc.identifier.wosquality Q1
dc.language.iso en
dc.publisher Wiley en_US
dc.relation.publicationcategory Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı en_US
dc.rights info:eu-repo/semantics/closedAccess en_US
dc.scopus.citedbyCount 15
dc.subject breast cancer en_US
dc.subject health belief model en_US
dc.subject home care en_US
dc.subject lymphedema en_US
dc.subject nursing en_US
dc.subject randomised controlled trial en_US
dc.title Effects of Health Belief Model based nursing interventions offered at home visits on lymphedema prevention in women with breast cancer: A randomised controlled trial en_US
dc.type Article en_US
dc.wos.citedbyCount 12

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