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The Effect of Uncertainty Management Program on Quality of Life Among Vietnamese Women at 3 Weeks Postmastectomy

Ha, Xuan Thi Nhu, PhD; Thanasilp, Sureeporn, DNS; Thato, Ratsiri, PhD

doi: 10.1097/NCC.0000000000000597
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Background In Vietnam, breast cancer is a top contributor to cancer-related deaths in women. Evidence shows that, after mastectomy, women in Vietnam have a lower quality of life than women in other countries. In addition, high uncertainty is a predictor of low quality of life postmastectomy. Therefore, if nurses can manage uncertainty, the quality of life postmastectomy can improve.

Objective This study examined the effect of the Uncertainty Management Program (UMP) on quality of life at 3 weeks postmastectomy in Vietnamese women.

Methods This research was a quasi-experimental study using a “posttest only with control group” design. There were 115 subjects assigned to either the experimental group (n = 57), who participated in the UMP and routine care, or the control group (n = 58), who received only routine care. Participants were assessed 2 times postmastectomy using the modified Quality of Life Index Scale–Vietnamese version.

Results The experimental group exhibited low uncertainty before discharge and significantly higher quality of life than the control group at 1 and 3 weeks postmastectomy, respectively (P < .05). Women’s physical well-being, psychological well-being, body image concerns, and social concerns were significantly increased with UMP.

Conclusion The UMP was considered as a promising program that might benefit the QoL of women with breast cancer 3 weeks postmastectomy.

Implications for Practice The UMP appears feasible to apply for women with breast cancer to improve their QoL postmastectomy in various settings. Nurses can flexibility instruct women in their holistic care attention both in the hospital and at home.

Author Affiliations: Faculty of Nursing, Chulalongkorn University (Drs Ha, Thanasilp and Thanto), Bangkok, Thailand.

This study was funded by the 90th Anniversary of Chulalongkorn University Scholarships.

The authors have no conflicts of interest to disclose.

Correspondence: Sureeporn Thanasilp, DNS, Faculty of Nursing, Chulalongkorn University, Boromamaratchachonari, Srisataphat, Rama I Road, Pathumwan, Bangkok, 10330, Thailand (sureeporn.t@chula.ac.th).

Accepted for publication February 6, 2018.

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