Effect of Mindfulness-Based Program and Perceived Self-Efficacy for Patients with Lung Cancer: An Intervention Study

Document Type : Original Article

Authors

1 Lecturer of Medical- Surgical Nursing, Faculty of Nursing, Mansoura University, Egypt

2 Assistant Prof of Community Health Nursing, Faculty of Nursing, Damietta University, Egypt

3 Assistant Professor of Psychiatric & Mental Health Nursing, Faculty of Nursing, Menoufia University, Egypt. Currently, Department of Nursing, Faculty of Applied Medical Sciences, Al Baha University, Saudi Arabia

4 Lecturer at Medical Surgical and Critical Care Nursing Department, Faculty of Nursing, Beni-Suef University, Egypt

5 Assistant Prof of Community Health Nursing, Faculty of Nursing, Helwan University, Egypt

Abstract

Background: Mindfulness-based program incorporating meditation practices and self-efficacy are
gaining popularity among cancer patients. The current study aimed to evaluate the effects of a
mindfulness-based program and perceived self-efficacy for patients with lung cancer. Methods: A
quasi-experimental study was conducted in the outpatient clinics and nuclear medicine clinic at the
New Cancer Institute at Menoufia University, Shebien Elkom City, Egypt. A purposive sample of
160 patients with lung cancer was enrolled, from whom data were collected through 5 tools: Tool
(1): Structured interview questionnaire including demographic and medical data, Tool (2):
Condensed Memorial Symptom Assessment Scale (pre/post), Tool (3): Eastern Cooperative
Oncology Group Performance Status (pre/post), Tool (4): Self-Efficacy Pulmonary Rehabilitation
Adapted Index (pre/post) and Tool (5): Questionnaire about mindfulness which includes
knowledge, reported practice and five-facet mindfulness (pre/post). Results: This study displayed
statistically significant improvements in symptoms (5.65 ± 1.33 to 3.00 ± 1.36), performance status
(1.75 ± .83 to 2.25 ± .86), mindfulness (18.62 ± 2.32 to 29.75 ± 4.06), breathing meditation (1.17 ±
1.64 to 5.70 ± 1.60), self-efficacy (20.37 ± 2.93 to 33.32 ± 5.11), and knowledge (1.65 ± 2.36 to
13.17 ± 2.004) for patients with lung cancer after program application. Conclusion:
Implementation of a mindfulness-based program and perceived self-efficacy have positive effects
on improving physical and psychological symptoms, breathing meditation practice, performance
status, and knowledge among lung cancer patients.

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