Effcacy of a Self-Management Programme in Breast Cancer Patients

Main Article Content

Pratum Soivong Piyawan Sawasdisingha Chiragul Tanvattanagul Arporn Fukul Yupawon Kaewinta Sureerat Puangsaijai Gulyarath Wannavongs


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

Article Details

How to Cite
Soivong P, Sawasdisingha P, Tanvattanagul C, Fukul A, Kaewinta Y, Puangsaijai S, Wannavongs G. Effcacy of a Self-Management Programme in Breast Cancer Patients. Thai Journal of Nursing Council [Internet]. 6Mar.2018 [cited 25May2018];32(4):5. Available from: https://www.tci-thaijo.org/index.php/TJONC/article/view/96729
Research Reports
Author Biography

Pratum Soivong

Thailand Citation Index Centre


1. Imsamran W, Chaiwerawattana A, Wiangnon S,Pongnikorn D, Suwanrungrung K, Sangrajrang S, et al.
Cancer in Thailand vol.VIII, 2010-2012. Bangkok:New Thammada Press; 2015. (In Thai)

2. Offce of the Permanent Secretary Ministry of Public Health. Public health statistic A.D. 2014. Bangkok:
The War Veterans Organization of Thailand Under Royal Patronage of His Majesty the King Press;
2015. (In Thai)

3. Gozzo Tde O, de Souza SG, Moysés AM, Panobianco MS, de Almeida AM. Incidence and management
of chemotherapy-induced nausea and vomiting in women with breast cancer. Rev Gaucha Enferm

4. Hofsø K, Miaskowski C, Bjordal K, Cooper BA, Rustøen T. Previous chemotherapy influences the
symptom experience and quality of life of women with breast cancer prior to radiation therapy. Cancer
Nurs 2012;35(3):167-77.

5. Cooney MA, Culleton-Quinn E, Stokes E. Current knowledge of pain after breast cancer treatment: A
systematic review. Pain Manag Nurs 2013;14(2): 110-23.

6. Denieffe S, Cowman S, Gooney M. Symptoms, clusters and quality of life prior to surgery for breast cancer.
Clin Nurs 2014;23(17-18):2491-502.

7. Enderlin CA, Coleman EA, Cole C, Richards KC, Kennedy RL, Goodwin JA, et al. Subjective sleep
quality, objective sleep characteristics, insomnia symptom severity, and Daytime sleepiness in women
aged 50 and older with nonmetastatic breast cancer. Oncol Nurs Forum 2011;38(4):E314-25.

8. Mar Fan HG, Houédé-Tchen N, Chemerynsky I, Yi QL, Xu W, Harvey B, Tannock IF. Menopausal symptoms
in women undergoing chemotherapy-induced and natural menopause: A prospective controlled study.
Ann Oncol 2010;21(5):983-7.

9. İzci F, İlgün AS, Fındıklı E, Özmen V. Psychiatric symptoms and psychosocial problems in patients with
breast cancer. J Breast Health 2016;12(3):94-101.

10. Shaw LK, Sherman K, Fitness J. Dating concerns among women with breast cancer or with genetic breast
cancer susceptibility: A review and meta-synthesis. Health Psychol Rev 2015;9(4):491-505.

11. Takahashi M. Psychosocial distress among young breast cancer survivors: Implications for healthcare
providers. Breast Cancer 2014;21(6):664-9.

12. Malarat P, Pityaratstian N. Quality of life and depression in breast cancer patients after surgery in
King Chulalongkorn Memorial Hospital. Chula Med J 2008;52(3):205-16. (In Thai)

13. Yan B, Yang LM, Hao LP, Yang C, Quan L, Wang LH, et al. Determinants of quality of life for breast cancer
patients in Shanghai, China. PLoS One 2016;11(4): 1-14.

14. Chaiwerawattana A, Sukarayodhin S, Imsamran W, Kuhapramma T. Guidelines: Screening diagnosis and
treatment of breast cancer. Bangkok: Kositpress; 2012. (In Thai)

15. Barnes AJ, Robert N, Bradley CJ. Job attributes, job satisfaction and the return to health after breast
cancer diagnosis and treatment. Psychooncology

16. Honchai T, Soivong P, Lukkahatai N. Effects of a selfmanagement support on self-management behaviors and symptom distress among breast cancer patients receiving chemotherapy. Nursing Journal 2013;40 (Suppl):14-22. (In Thai)

17. Aaronson NK, Ahmedzai S, Bergman B, Bullinger M, Cull A, Duez NJ. The European Organization for Research and Treatment of Cancer QOL-C30: A quality-of-life instrument for use in international trials in oncology. J Natl Cancer Inst 1993;85:365-76.

18. Thatsaeng B, Lasuka D, Khampolsiri T. Effects ofa self-management supporting program on selfmanagement behaviors and blood pressure among elders with hypertension. Nursing Journal 2012;39(4):
124-137. (In Thai)

19. Khunthong T, Isaramalai S, Komjakraphan P, Impact of a self-managed supporting programme on selfmanagement behaviour and sugar levels in category 2 insulin-dependent diabetes patients. Thai Journal of Nursing Council 2013;28(1):85-99. (In Thai)

20. Loh SY, Packer T, Chinna K, Quek KF. Effectiveness of a patient self-management programme for breast
cancer as a chronic illness: A non-randomised controlled clinical trial. J Cancer Surviv 2013;7(3):331-42.

21. Jaisaen W. Systematic review on diabetic control interventions among persons with diabetes mellitus
type 2. [Master’ thesis]. Chiang Mai: Chiang Mai University; 2008. (In Thai)

22. Cimprich B, Janz NK, Northouse L, Wren PA, Given B, Given CW. Taking CHARGE: A self-management
program for woman following breast cancer treatment. Psychooncology 2005;14(9):704-17.

23. Damush TM, Perkins A, Miller K. The implementation of an oncologist referred, exercise self-management program for older breast cancer survivors. Psychooncology 2006;15(10): 884-90.

24. Phornphibul P. Implementation science: theories, models, and framework. Thai Journal of Nursing and Midwifery Practice 2017;4(1):5-12. (In Thai)

25. Roger ME. Diffusion of innovation. 5th ed. New York (NY): the free press; 1983.

26. Lorig KR, Holman H. Self-management education: history, defnition, outcomes, and mechanisms. Ann Behav Med 2003;26(1):1-7.

27. Nilchaikovit T, Lortrakul M, Phisansuthideth U. Development of Thai version of Hospital Anxiety and Depression Scale in cancer patients. J Psychiatr Assoc Thailand 1996;41(1):18-30. (In Thai)

28. Silpakit C, Sirilerttrakul S, Jirajarus M, Sirisinha T, Sirachainan E, Ratanatharathorn V. The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Validation study of the Thai version. Qual Life Res 2006;15(1):167-72.

29. Soivong P. The effects of supportive -educative nursing intervention on self - care and quality of life among breast cancer survivors. [dissertation]. Chiang Mai: Chiang Mai University; 2004.

30. National Health and Medical Research Council (Australia). How to put the evidence into practice: Implementation and dissemination strategies : handbook series on preparing clinical practice guidelines./ National Health and Medical Research Council NHMRC Canberra; 2000. Retrieved 10 August, 2016, from https://www.

31. Paisansujareekul K, Soivong P. Nantachaipan P. Effectiveness of implementing nursing management guidelines for persons with type 2 diabetes mellitus. Nursing Journal 2014;41 Suppl:26-34. (In Thai)

32. Ketvatimart M, Phaonoi B, Peungtim P. Kittithan P. Effectiveness of pulmonary rehabilitation guidelines implementing for patients with chronic obstructive pulmonary disease in Saraburi Hospital. Nursing Journal of the Ministry of Public Health 2012; 22(2):49-63. (In Thai)

Most read articles by the same author(s)