Impact of Psycho-educational Program on Body Image Concerns and Mental Adjustment among Post Mastectomy Women

Samia Gamal Awad Hamed
Psychiatric and mental health Nursing, Faculty of Nursing, Mansoura University,
Rania Rabie El-Etreby
Psychiatric and mental health Nursing, Faculty of Nursing, Mansoura University, Egypt
Nelly Ahmed Mahgoub
Psychiatric and mental health Nursing, Faculty of Nursing, Cairo University, Egypt
Osama Ahmed Ahmed El-Boraie
Psychiatric Medicine, Faculty of Medicine, Mansoura University, Egypt
Maha Ebrahim Esmail
Medical Oncology, Faculty of Medicine, Mansoura University, Egypt

Abstract

Background: Breast cancer is a significant health problem worldwide, and a complex disease physically and psychologically. In many cases of cancer breast, mastectomy is a necessary treatment.  Mastectomy is not an easy decision for any woman as it leads to changes in  her everyday life and has significantly negative influence on those women body image. Consequently, women quality of life is affected with reference to social, mental and physical dimensions. Aim: This study aimed to assess the impact of applying a psycho-educational program on body image concerns and mental adjustment among post mastectomy women at the Oncology Center- Mansoura University. The design of this study is a quasi-experimental one. Subjects consisted  of 44 post mastectomy women from the  outpatient clinics of the Oncology Center- Mansoura University. In order to collect the necessary information for the study structured interview sheet was used to collect data. Three instruments were used for data collection: Socio-demographic and Clinical Data Structured Interview Schedule, Hopwood Post-Mastectomy Concerns of Body Image Scale, and the Mini-Mental Adjustment to Cancer Scale. Results: the study revealed that, there  was statistical significant difference in scores of body image concerns  between pre and post the psycho educational program(P>  0.001), there  was a statistically significant differences between the mental adjustment to cancer domains’ mean score before and after the  psycho educational program in relation to hopelessness and helplessness, anxious preoccupation, cognitive avoidance fatalism, and fighting spirit (P>  0.001) and there  was statistical significant difference in scores of mental adjustment between pre and post the psycho educational program (P?0.001). Conclusion: body image and mental adjustment of post mastectomy women improved significantly after the psycho-educational program. Recommendations: Implementation of the psycho educational program post mastectomy to improve women's use of appropriate coping strategies and to enhance their quality of life and  Involvement the families of post mastectomy women  in psycho educational programs is necessary to teach them how to support the patients socially and psychologically.

Abstract

Background: Breast cancer is a significant health problem worldwide, and a complex disease physically and psychologically. In many cases of cancer breast, mastectomy is a necessary treatment.  Mastectomy is not an easy decision for any woman as it leads to changes in  her everyday life and has significantly negative influence on those women body image. Consequently, women quality of life is affected with reference to social, mental and physical dimensions. Aim: This study aimed to assess the impact of applying a psycho-educational program on body image concerns and mental adjustment among post mastectomy women at the Oncology Center- Mansoura University. The design of this study is a quasi-experimental one. Subjects consisted  of 44 post mastectomy women from the  outpatient clinics of the Oncology Center- Mansoura University. In order to collect the necessary information for the study structured interview sheet was used to collect data. Three instruments were used for data collection: Socio-demographic and Clinical Data Structured Interview Schedule, Hopwood Post-Mastectomy Concerns of Body Image Scale, and the Mini-Mental Adjustment to Cancer Scale. Results: the study revealed that, there  was statistical significant difference in scores of body image concerns  between pre and post the psycho educational program(P>  0.001), there  was a statistically significant differences between the mental adjustment to cancer domains’ mean score before and after the  psycho educational program in relation to hopelessness and helplessness, anxious preoccupation, cognitive avoidance fatalism, and fighting spirit (P>  0.001) and there  was statistical significant difference in scores of mental adjustment between pre and post the psycho educational program (P?0.001). Conclusion: body image and mental adjustment of post mastectomy women improved significantly after the psycho-educational program. Recommendations: Implementation of the psycho educational program post mastectomy to improve women's use of appropriate coping strategies and to enhance their quality of life and  Involvement the families of post mastectomy women  in psycho educational programs is necessary to teach them how to support the patients socially and psychologically.

How to Cite
(1)
Awad Hamed, S. G.; El-Etreby, R.; Mahgoub, N.; Ahmed El-Boraie, O.; Esmail, M. Impact of Psycho-Educational Program on Body Image Concerns and Mental Adjustment Among Post Mastectomy Women. ijnd 2019, 9, 48-57.
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Jan 31, 2019
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How to Cite
(1)
Awad Hamed, S. G.; El-Etreby, R.; Mahgoub, N.; Ahmed El-Boraie, O.; Esmail, M. Impact of Psycho-Educational Program on Body Image Concerns and Mental Adjustment Among Post Mastectomy Women. ijnd 2019, 9, 48-57.
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