항암화학요법을 받는 유방암 수술환자를 위한 자기효능증진 프로그램의 개발과 효과

Development and Effects of self-efficacy promoting program in breast cancer patients receiving chemotherapy

Purpose : The purpose of this research was to develop of self-efficacy promoting program for self-management of chemotherapy in breast cancer patients receiving and identify the effects of this program on patient`s self-efficacy, self-care behavior and quality of life. The theoretical framework was derived from Bandura`s Self-Efficacy theory. Methods : The research design was non-equal, comparative pre and post expermental design with convenient sampling method was utilized. 45 chemotherapy in breast cancer patients receiving agree to participate in this study and were divided into two group, experimental (22) and control (23). This study was conducted from February 26 to september 27, 2014. The collected data were analyzed by χ²-test and Fisher`s exact test, t-test and ANCOVA using SPSS/Win 18.0 program. Result : The experimental group had been significantly greater the increase in the level of self-efficacy(F=5.30, p=.009), self-care behavior(F=3.96, p=.027), quality of life in overall health(F=4.94, p=.012) and had been no significant difference in the increase in the level of quality of life in functional(F=0.21, p=.809), quality of life in symtoms(F=0.03, p=.966) than control group. Conclusion : The self-efficacy promoting program in breast cancer patients receiving chemotherapy was effective in increasing patient`s degree of self-efficacy, self-care behavior and quality of life in overall health. This experimental study validates the effectiveness of the theory Bandura, this program can also be found useful for any other cancer patients, for clinical practice and for home care.