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E-ISSN : 2148-9696
Crescent Journal of
Medical and Biological Sciences
Jan 2019, Vol 6, Issue 1
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Original Article
A Randomized Controlled Trial of The Effectiveness of Group Counseling on Self-efficacy in Mastectomized Women
Monireh Hamed Bieyabanie1, Sakineh Mohammad-Alizadeh Charandabi2, Mojgan Mirghafourvand3
1Department of Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
2Department of Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
3Social Determinants of Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran

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Keywords : Self-efficacy, Counseling, Mastectomy, Breast cancer
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Objectives: In women with breast cancer, self-efficacy cause better coping with disease, improve mental image and promote health. The aim of this research was to investigate the effectiveness of group counseling on self-efficacy in mastectomized patients.

Materials and Methods: This randomized controlled trial was done 76 mastectomized patient referred to the Breast Cancer Supportive Association and Shahid Ghazi Tabatabai hospital in Tabriz-Iran, 2017-18. Participants were randomly allocated into two groups of counseling and control. For the counseling group, six 60-90-minute counseling sessions about health promotion and health promoting lifestyle including self-efficacy were presented. General self-efficacy questionnaire was filled out preintervention and four weeks postintervention through interview. Independent t and ANCOVA tests were used to analyze data.

Results: No significant difference was observed between study groups in terms of demographic variables and preintervention score of self-efficacy (p>0.05). The results of ANOCOVA test with adjusting the preintervention score indicated that the mean score of perceived self-efficacy in counseling group was significantly more compared with control group at four weeks postintervention  [Adjusted Mean Difference =7.1; 95% Confidence Interval= 5.5 to 10.5; P<0.001].

Conclusions: Group counseling can enhance perceived self-efficacy in mastectomized women. Therefore, considering the role of self-efficacy in promoting health of breast cancer patients, counseling sessions should be held for mastectomized women to improve their self-efficacy.


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