Development of a support group program that is aimed at improving QOL of recurrent breast cancer

1.乳腺癌复发患者需求调查对35例复发乳腺癌患者进行问卷调查，获得资料17例，占48.6%。复发乳腺癌患者有不同的需求，尤其是对乳腺癌的认识、治疗的副作用及副作用的自我护理方法等方面的需求。此外，约有14人(82.4%)表示有兴趣参与，其中6人(35.3%)希望参与。乳腺癌复发患者支持小组计划的制定基于上述结果，我们制定了针对复发乳腺癌患者的支持小组计划如下。该计划的目的是提高参与者解决身体和心理社会问题的能力，并改善他们的生活质量。课程分为四节，一节由讲座时间和讨论时间组成。采用自我效能感量表和原始问卷对计划前后和每一次会议结束进行评估。乳腺癌复发患者支持小组计划的实施和评价在第一个建议中，我们将该计划应用于四个同意参与研究的人。治疗结束后，所有受试者的自我效能感得分均下降。另一方面，该方案显然存在需要解决的问题，如招募方法和讲座内容，我们对方案进行了修改。治疗后的自我效能感分5人中4人下降，1人上升。对于今后的项目申请，应该重新考虑的一点变得明确了，例如每节课的讲课和讨论的时间分配。

1. Investigation for needs of recurrent breast cancer patientsWe investigated for 35 recurrent breast cancer patients using an original questionnaire and obtained data from 17 (48.6%). The recurrent breast cancer patient had various needs, especially needs related to understand breast cancer, side-effects with treatment and self care methods for those side-effects. In addition, about a support group, 14 (82.4%) showed interest in participation, and among them six (35.3%) hoped for participation.2. Development of the support group program for recurrent breast cancer patientsBased on the above result, we developed a support group program for recurrent breast cancer patient as follows. Purpose of the program was to enhance participant's ability to solve physical and psychosocial problems and to improve their QOL. Program consists of four times of session, one session consists of lecture time and discussion time. We evaluated the program by a self-efficacy scale and an original questionnaire before and after program and each session end.3. Implication and evaluation of the support group program for recurrent breast cancer patientsIn the first implication, we applied the program for four peoples who consented to study participation. Their evaluation of each session was good, and the self-efficacy score after program decreased in all the subjects. On the other hand, it was clear that the program had issues to be solved, for example, recruitment methods and contents of lecture, and we modify the program.In the second implication, we applied the program for five peoples. Their evaluation of each session was good, and as for the self-efficacy score after program, four people out of 5 decreased, and one parson increased. And the point that should have reconsider for future program application, for example, time distribution of lecture and discussion in each session, became clear.