The Effect of Training Based on the Family centered Empowerment Model on the Self-efficacy and Self-esteem of Patients Undergoing Chemotherapy: A Quasi-experimental Study

Authors

1 Department of Nursing, School of Nursing and Midwifery, Student Research Committee, Ilam University of Medical Sciences, Ilam, Iran;

2 Department of Nursing, School of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran;

3 Non-Communicable Diseases Research Center, Bam University of Medical Sciences, Bam, Iran

10.30476/ijcbnm.2025.102536.2497

Abstract

Background: Physical and psychological complications and consequences of chemotherapy cause a
decrease in the level of self-efficacy and self-esteem among patients. This study was conducted with
the aim of evaluating the effect of training based on the family-centered empowerment model on
patients’ self-efficacy and self-esteem undergoing chemotherapy.
Methods: In this quasi-experimental study, 88 patients who were undergoing chemotherapy referred
to Shahid Mostafa Khomeini Hospital in Ilam city, from July 2022 to July 2023, were assigned based
on even and odd days of referral to the chemotherapy department in the intervention group (44
individuals) and control group (44 individuals). For the intervention group, the training program based
on the family-centered empowerment model was conducted in 5 sessions of 45-60 minutes, once a
week in the presence of an active family member of the patients; also,the control group did not receive
any intervention and received only routine care. Data were collected using the demographic profile
form, Scherer ‘s Self-Efficacy Questionnaire, and Rosenberg’s Self-Esteem Questionnaire. Data were
analyzed through Stata software, version 15, using Chi-square, paired and independent t-test with a
significance level of P<0.05.
Results: After the intervention, the mean score of self-efficacy in the intervention group was higher
than the control group (P=0.001). Moreover, the mean score of self-esteem in the intervention group
was significantly higher than the control group (P=0.0005).
Conclusion: Given the effect of the family-centered empowerment model training program in increasing
the level of self-efficacy and self-esteem in cancer patients who were undergoing chemotherapy, the
training of this intervention, along with other interventional measures, is recommended for patients
undergoing chemotherapy by medical centers.

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