Main Article Content
Objective: To examine, based on Roger’s theory of innovation diffusion, the effcacy
of a self-management programme in breast cancer patients treated at a university hospital
and a cancer hospital.
Design: Operational study.
Methodology: The study was conducted in 5 successive stages: 1) the education
stage; 2) the persuasion stage; 3) the decision stage; 4) the operation stage; and 5) the
confrmation stage. The participants were 2 groups of breast cancer patients. The frst
group consisted of 121 patients, 75 having received treatment prior to the administration
of the programme and the other 46 being treated during the administration of the programme.
The second group consisted of 17 registered nurses. The data were analysed based on
frequency, percentage and content analysis.
Results: A high percentage of the patients who participated in the programme
displayed good self-management behaviour, good quality of life, moderate level of anxiety,
and no sign of depression, compared with those who did not. The registered nurses who
employed this programme considered it to be practical and have higher caregiving effcacy.
However, the large number of patients receiving chemotherapy each day was identifed
as the main hindrance to the administration of this programme to every patient.
Recommendations: It is recommended that this programme be integrated with
standard care, and that multimedia materials be developed to educate patients on the
disease, therapy, and self-management during chemotherapy. This could enable nurses in
charge to promote self-management in response to each patient’s problem and to cope
with the large number of breast cancer patients receiving chemotherapy on a daily basis
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