Document Type : Original Article
Authors
1
Assistant professor of Psychiatric Mental Health Nursing, Faculty of Nursing, Menoufia University, Egypt
2
5Lecturer of Medical Surgical Nursing, Faculty of Nursing, Menoufia University, Egyp
3
Assistant professor of Psychiatric Mental Health Nursing, Faculty of Nursing, Banha University, Egypt
4
Lecturer of Medical Surgical Nursing, Faculty of Nursing, Menoufia University, Egypt
5
Assistant professor of Medical Surgical Nursing, Faculty of Nursing, Menoufia University, Egypt
6
lecturer of Psychiatric Mental Health Nursing, Faculty of Nursing, Menoufia University, Egypt
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
Keywords
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