The impact of occupation-based problem-solving strategies training in women with breast cancer

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ŞAHİN S., UYANIK M.

HEALTH AND QUALITY OF LIFE OUTCOMES, cilt.17, 2019 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 17
  • Basım Tarihi: 2019
  • Doi Numarası: 10.1186/s12955-019-1170-5
  • Dergi Adı: HEALTH AND QUALITY OF LIFE OUTCOMES
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus
  • Anahtar Kelimeler: Activity performance, Breast Cancer, Occupational therapy, Problem solving, Rehabilitation, Quality of life, QUALITY-OF-LIFE, FATIGUE SCALE, VALIDATION, THERAPY, INTERVENTION, CHEMOTHERAPY, TRANSLATION, CARCINOMA
  • Hacettepe Üniversitesi Adresli: Evet

Özet

BackgroundBy identifying the occupations of women with breast cancer who have performance problems, to examine the impact of the application of occupation-based problem-solving strategies (OB-PSS) training on cancer-related fatigue, depression, and quality of life.MethodsThe study comprises 22 women outpatients in the clinic. Socio- demographic and Clinical Features Information Collection Form, Canadian Occupational Performance Measure (COPM), Cancer Fatigue Scale (CFS), Beck Depression Inventory (BDI), The European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire C-30 and BR23 (EORTC QOL-C30 - EORT QOL-BR23) tests have been applied to survivors. OB-PSS training was conducted on a face-to-face basis once a week for 6weeks.ResultsWhen activity distribution results in accordance with the performance areas are studied, women with breast cancer were seen to suffer problems mostly in their most productive areas (housework management). As a means of solving these performance problems, they developed adaptive strategies like including additional new steps to these activities. Statistically meaningful results have been obtained between measurements before and after the treatment process through all tests (p<0.01).ConclusionsOB-PSS provides positive gains in women with breast cancer in terms of a reduction in the degree of cancer-related fatigue and depression, and a progress in performance and satisfaction levels particularly in activities where performance problems are experienced and an improvement in quality of life. OB-PSS training could be used as an appropriate rehabilitation approach for coping with problems in women' life with breast cancer.