| Summary: | 碩士 === 輔仁大學 === 護理學系碩士班 === 91 === The aim of this study was to investigate the effectiveness of a continuing supportive caring model on social support and disease uncertainty for breast cancer women. Quasi-experimental research design was used in this study. Patients were selected by purposive sampling from two surgical clinics of two teaching hospitals in Taipei. The eligible women were assigned to either control or experimental group based on the different time interval. The control group received standard care and the experimental group received standard care plus interventions based on a continuing supportive caring model. Participants completed questionnaires at three time points: baseline between two weeks after diagnosis, one month post-operation, and three months after diagnosis. The questionnaire included demographic data, social support scale, and disease uncertainty scale. A total of 61newly diagnosed breast cancer women were recruited in this study, including 31 women of the experimental group and 30 women of the control group. After three months of diagnosis, 56 women accomplished the follow-up including 27 women in the experimental group and 29 women in the control group.
The results were analyzed using SPSS 10.0 software. The results of this study showed: (1) The social support of the experimental group increased significantly at one month following baseline and then kept in flat, but the control group decreased significantly at one month following baseline and then kept in flat. Both groups showed significant changes on three time points on social support；(2) The disease uncertainty of the experimental group decreased significantly at one month following baseline and then decreased, but the control group kept in flat first and then decreased significantly. Both groups showed significant changes on three time points on disease uncertainty；(3) In the experimental group, social support and disease uncertainty improved significantly than the control group on one month post-operation and three months post-diagnosis.
The results of this study may help clinical nurses and hospital managers in care of newly diagnosed breast cancer women, and may contribute to improving the quality of breast cancer patients’ care in Taiwan.
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