EFFECT OF PEER EDUCATION ON SYMPTOMS CLUSTER AND SELF-EFFICACY IN PATIENTS WITH BREAST CANCER

The number of survivors of breast cancer is increasing due to improvements in
early detection and treatment. However, after treatment, the survivors often experience Unpleasant
symptoms such as pain, sleep disorders, anxiety, and fatigue, which are referred to as cluster symptoms.
These symptoms influence the patient's functional status and self-efficacy. Peer education can use to
improve of well-being and self-efficacy, as well as to reduce the unpleasant physical and psychological
symptoms of breast cancer patients. The purpose of this study was to determine the effect of peer
education on cluster symptoms and self-efficacy in breast cancer patients in the experimental and control
groups with a comparison design before and after.
Materials & Methods: This study was a randomized clinical trial. The sample was 100 women with
breast cancer. That were selected randomly and assigned to two groups of test and control. Before and
after the intervention, demographic questionnaires, Sherer self-efficacy, Scherer self-efficacy, McGill
Pain Questionnaire, Beck Anxiety Measurement, Piper Fatigue scale, Pittsburgh Sleep Quality Index
were completed for both groups. The training was carried out by a peer group during 8 sessions. The
data analysis was done with descriptive and inferential statistics in SPSS software.
Results: Findings showed that 50 patients in each group did not have a significant difference in age and
family history of cancer. The mean score of cluster symptoms in post-test in control group and test group
respectively were the pain severity 49.89 ± 5.31 & 41.9 ± 5.68, the anxiety 34.34 ± 9.62 &27.82±10.06
and the fatigue123.15±16.72 & 96.18±48.51. The sleep quality was 10.46 ± 1.71 & 7.01 ± 1.47. The
mean score of self-efficacy in post-test in control group and test group was 61.32 ± 12.26 &
61.38±12.26, which was significantly different in all cases (P <0.05).
Conclusion: Based on the results of peer education, it has improved the cluster symptoms and self-
efficacy in patients with breast cancer. Therefore, it is recommended that nurses and others health
professionals, create the formation of support groups and training by peers. Peer education Use it as a
complementary method along with other care interventions