Web-Assisted Interactive Nurse Program in Mastectomy Patients: A Mixed Method Study
Condition: Web Based Intervention; Mastectomy; Illness Perception; Nursing Caries
Study type: Interventional

Summary: 
      This study is planned to examine the levels of bodily value, care dependence and psychosocial
      cohesion-self-notification of patients in the Web Assisted Interactive Nursing Program
      (WDIHP) designed according to the Self Regulation Model. The mixed method is a research. One
      of the mixed research methods, the discovery sequenced design, will be used. The research
      will continue with the quantitative part, starting with the qualitative part. The
      quantitative part of the research is a randomized controlled experimental trial.
    

Detailed description: 
      Complications after surgery are common in patients who undergo mastectomies, as in every
      surgery. Mastectomy patients need to protect the wound area and the arm on the side where a
      mastectomy is performed following surgery. The process of wound healing and return to the
      patient's daily life in the post-surgery process parallels. In the early post-operative
      period, patients have difficulty carrying out daily living activities and need support, while
      in the late-term they are able to perform daily living activities more independently from
      caregivers and nurses.

      Objective: This research was planned to examine the body value of mastectomy patients, care
      dependence and psychosocial adaptation-self-knowledge levels of the Web Assisted Interactive
      Nursing Program (WDIHP) designed according to the Self-Regulation Model.

      Method: The research is designed as a mixed-method study of qualitative-quantitative research
      methods, designed according to the Self-Regulation Model, to examine the effect of WDHP on
      adaptation to social life, self-efficacy, and body value in patients undergoing breast cancer
      surgery. This study will use exploratory hybrid methods from mixed research methods.
      Qualitative interviews will be held face-to-face. Interviews with participants will continue
      until data saturation is achieved. In the qualitative part of the research, the in-depth
      interview method will be selected and the "Semi-Structured Interview Form" will be used as a
      data collection tool. All interviews will be recorded in digital format, returned to writing
      and then transferred to qualitative analysis software MAXQDA. The quantitative part of the
      study will be carried out as a randomized controlled trial using the block randomization
      method. Randomization will be done by a statistician other than the researcher. Power
      analysis was calculated using G * Power 3.1.9.7 program. With 0.95 effect size, 95% power and
      0.05 significance level, the required sample size was determined as 30 individuals per group,
      and 60 individuals in total. It was decided to include 67 individuals, 35 individuals in the
      intervention group and 31 individuals in the control group, by taking 15% more of the
      calculated sample against the possibility of sample loss during the study. The correct
      perceptions that may arise as a result of qualitative work will be supported in the relevant
      sections of the training. In the quantitative section of the research, the interactive
      web-assisted nurse program will take 1 week and the application will take 3 weeks. A text
      message will be sent to individuals to their phone to remind them to use the website.
      Messages will be sent twice a week, a total of 8 times. It will be used as Care Dependency,
      Body value, psychosocial Compliance to disease, website usability Scale measurement tools.
      After each assessment, the data obtained will be transferred to the "Social Sciences Software
      Statistical Package (SPSS).
    

Intervention name(s): Web-assisted patient education intervention designed according to the self-regulation model; The website where the mastectomy patients handbook
Intervention type(s): Behavioral; Behavioral
Intervention description(s): Implementation of patient education with the website created about care and compliance needs in mastectomy patients obtained as a result of qualitative research.; The site where the patient booklet is available as pdf
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Double (Participant, Outcomes Assessor)
Primary purpose: Supportive Care
Keywords: Mastectomy; body value; adaptation to illness; care addiction