Effect of Counseling on the Health-Promoting Lifestyle and Quality of Life among Mastectomised Women

Aim: This study aimed to determine the effect of counseling on the health-promoting lifestyle and among mastectomised women. Instrument & Methods: This randomized controlled trial was conducted from August ۲۰۱۷ to May ۲۰۱۸ on ۷۶ mastectomised women visiting the Association for the Support of Patients with Breast Cancer and Shahid Ghazi Tabataba'i Hospital in Tabriz, Iran. The eligible women were assigned into intervention and control groups by randomized block design. The intervention group received six ۴۵-۹۰-min counseling sessions on the health-promoting lifestyle and QoL. The health-promoting lifestyle profile (HPLP-II) and Quality of Life Questionnaire-Cancer ۳۰ (QLQ – C۳۰) were completed through interviews with participants before and ۴ and ۸ weeks after intervention. The data were analyzed using the independent t-test, repeated measures ANOVA, and the Mann-Whitney U test by SPSS ۲۱. Findings: There was no significant difference between the two groups regarding sociodemographic characteristics and baseline health-promoting lifestyle and QoL (p>۰.۰۵). The repeated measure ANOVA indicated that the mean score of the health-promoting lifestyle (adjusted mean difference: ۰.۵۰; CI۹۵%: ۰.۳۷ to ۰.۶۲; p<۰.۰۰۱) and QoL (p<۰.۰۰۱) was significantly higher in the intervention group compared to the control group after the intervention. In addition, the mean score of all subscales of the health-promoting lifestyle and emotional performance, social performance, role-playing, and cognitive performance subscales of QoL in the intervention group was significantly higher than in the control group. Conclusion: The findings show that counseling can encourage mastectomised women to choose a health-promoting lifestyle and improve their QoL.

Keywords:

Counseling , Mastectomy , Breast Cancer , Health Lifestyle , Quality of Life