Effectiveness of a Nursing Intervention Based on Acceptance Commitment Therapy on Stress, Marital adjustment, Sleep quality, and Fatigue among Patients with Breast Cancer

Abstract

The most common kind of cancer among Egyptian women is breast cancer. Most patients presentat a late stage with subsequent poor outcomes. It ranks as the second-most common malignanttumor in women and the most common cause of cancer-related death. Aim: to evaluateeffectiveness of a nursing intervention based on acceptance commitment therapy on stress, maritaladjustment, sleep quality, and fatigue among patients with breast cancer. Design: Aquasi-experimental design was utilized. Setting: The study was conducted at the Menoufia UniversityHospital's oncology outpatient clinic in Egypt's Menoufia Governorate. Sample: Sixty adult breastcancer patients were selected by purposive sample. Tools: Four tools used; (1) Depression,Anxiety and Stress Scale (DASS); stress self-reported subscale(2) Marital adjustment Scale(3)Pittsburg sleep quality index(4) Piper Fatigue Scale. Result: shown that after two months ofintervention, When compared to prior intervention, there was a highly significant difference (p =0.00) between the study and control groups in terms of the total mean score for fatigue, stress,sleep quality, and marital adjustment. When compared to the control group, there was a highlystatistically significant negative correlation between the study group's marital adjustment and theiroverall scores for fatigue, stress, and sleep quality (high scores indicate poor sleepquality).Conclusion: Acceptance commitment therapy-based nursing intervention improvesstress, marital adjustment, quality of sleep, and fatigue in breast cancer patients.Recommendation: - Acceptance commitment therapy should be the foundation of non-pharmacological cancer treatment for many malignancie