Education and Ethics In Nursing ISSN: 2322-5300

Investigating the Effect of a Comprehensive Nurse Support Program on Death Anxiety and Adherence to Hormone Therapy in Women with Breast Cancer: RCT Study Protocol

https://doi.org/10.22034/ethic.2024.2034646.1087
Volume 13, special issue
July 2024
Pages 42-52
Education and Ethics In Nursing ISSN: 2322-5300

Document Type : protocol study

Authors

Saedeh Raiesi 1
Mahdi karimyar jahromi 2
Majid Akrami 3
Mohsen Hojat 2

1 Master, Department of Nursing, School of Nursing, Jahrom University of Medical Sciences Jahrom, Iran

2 Department of Nursing, School of Nursing, Jahrom University of Medical Sciences Jahrom, Iran

3 MD Breast Diseases Research Center, Shiraz University Of Medical Sciences, Shiraz, Iran

Abstract
Introduction: Cancer is a major global issue, with the number of patients increasing daily. Adherence to drug treatment has become a challenge for medical professionals and nursing scientists. Failure to manage the death anxiety of cancer patients can lead to significant problems. Therefore, this study was conducted with the aim of determining the impact of a nurse's comprehensive support program on death anxiety and adherence to hormone therapy in women with breast cancer.
Methods: This clinical trial study was designed with the participation of 70 patients undergoing hormone therapy in 2023. A comprehensive support program consisting of six sessions (covering familiarity with hormone therapy, the impact of spirituality on cancer, training in anxiety reduction techniques, the impact of nutrition and exercise on breast cancer, and familiarity with sexual issues in cancer) offered in person and virtually with the presence of the patient's family. The Templer Medication Adherence and Death Anxiety Questionnaire was filled in by the researcher's assistant before, immediately after, and one month after the intervention. Qualitative dataanalyzed using non-parametric tests, while quantitative data analyzed using parametric tests (independent t-tests for repeated measures if data was normally distributed, and non-parametric tests like Wilcoxon-Friedman if not) with SPSS 21 software.
Discussion: This clinical trial assess the impact of a nurse's comprehensive support program on death anxiety and adherence to hormone therapy in women with breast cancer; and evidence is required to be provided  for the implementation of such support programs in field of breast cancer and enhancing the role of nurses in oncology clinics to improve patient care.
RCT Code: IRCT20240120060738N1

Keywords

Supportive Care
Death Anxiety
Hormone Therapy
Adherence to Treatment
Breast Cancer
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