Effect of intervention management care program on improving quality of life outcome among mastectomy women with diabetic: A comparative study

Abstract

Objective: This study aimed to evaluate the effect of intervention management care program on improving quality of life outcome among mastectomy women with diabetic.

Subjects and Methods: Design: A quasi-experimental deign was used. Setting: It was selected from two settings Port Said oncology outpatient clinic and Damietta oncology outpatient clinic. Sampling: A purposive sample of mastectomy diagnosed with diabetic. The total sample was 50 women. They were 20 women from Port Said and 30 mastectomy women from Damietta Tools: The study data were collected by using three tools: The first tool-A women Structure interviewing questionnaire Sheet-its consisted of three parts: part one, demographic characteristics; part two, past and present medical history, complications related to diabetes and cancer and obstetrics characteristics; part three, knowledge about diabetes and mastectomy. The second tool-self-reported practices. The third tool-quality of life scale.

Results: The study sample age ranged between 35 to more than 60 years with a mean of (50.3 ±8.6 and 48.3 ± 9.4) respectively in Damietta and Port-Said. There was statistically significant positive but strong correlate on among the three variables the strongest being between total scores knowledge and practices (r = 0.466) and strongest between knowledge and quality of life (r = 0.367) especially psychological aspects.

Conclusions: The present study concluded that there is a marked gap between knowledge, practice and quality of life among the mastectomy women with diabetic before implement the program. There was an improvement in mastectomy women of all groups' knowledge and practice after the program. Also there were positive changes in quality of life in psychological, spiritual, emotional and social aspects. Furthermore, there were improvement in knowledge practice and positive change in quality of life after the implementation of the program of Damietta group more than port Said group.