The effect of medical drug reminder mobile application on treatment compliance in women with breast cancer under adjuvant hormone treatment

Abstract

Purpose: This study was planned to investigate the effects of a nurse-led medication reminder mobile application on treatment adherence in women with breast cancer receiving adjuvant hormone therapy. Materials and methods: The research was planned as a prospective quasi-experimental study with pretest, posttest, and control groups, in which the simple randomization method was employed. It consisted of 52 women with breast cancer receiving adjuvant hormone therapy, including 26 in the experimental group and 26 in the control group. The medication reminder mobile application developed by the researchers was utilized in the experimental group to determine its effect on treatment adherence. Data collection measures included a personal information form and the Medication Adherence Self-Efficacy Scale (MASES). After the baseline data of the experimental and control groups were collected, the experimental group used the “Medication Reminder” mobile application for eight weeks. At the end of the eight weeks, the MASES was applied to both groups again. Results: A statistically significant difference was found between the pre-test and post-test MASES total scores of the experimental group (p<0.05). The post-test MASES total scores of the experimental group were significantly higher than their pre-test scores. The inter-group comparisons indicated that the post-test MASES total scores of the experimental group were statistically significantly higher than those of the control group (p<0.05). Conclusion: It was concluded that the “Medication Reminder” mobile application was an effective tool in increasing treatment adherence in women with breast cancer under adjuvant hormone therapy.

Keywords

• Adjuvant hormone therapy
• breast cancer
• medication adherence
• mobile application
• women

Adjuvan hormon tedavisi gören meme kanserli kadınlarda, ilaç hatırlatma mobil uygulamasının tedaviye uyum üzerine etkisi

Öz

Amaç: Bu araştırma, adjuvan hormon tedavisi almakta olan meme kanseri kadınlarda, hemşire öncülüğünde hazırlanmış ilaç hatırlatma mobil uygulamasının tedaviye uyum üzerine etkisinin incelenmesi amacıyla planlanmıştır. Gereç ve yöntemler: Bu araştırma ön test-son test kontrol gruplu, prospektif, basit randomizasyon yöntemi kullanılan, yarı deneysel bir çalışma olarak planlanmış olup, 26 deney ve 26 kontrol grubu olmak üzere toplam 52 adjuvan hormon tedavisi gören meme kanserli kadın ile yürütülmüştür. Araştırmacılar tarafından geliştirilen ilaç alarmı mobil uygulaması deney grubuna tedaviye uyum üzerine etkisini belirlemek amacıyla uygulanmıştır. Verilerin toplanmasında Kişisel Bilgi Formu ve İlaç Tedavisine Bağlılık/Uyum Öz-Etkililik Ölçeği (MASES) kullanılmıştır. Deney ve kontrol grubunun ilk verilerinin toplanmasının ardından deney grubu 8 hafta süre ile “İlaç Alarmı” mobil uygulamasını kullanmıştır. 8 haftalık sürecin sonunda her iki gruba tekrar MASES uygulanmıştır. Bulgular: Deney grubundakilerin ön test – son test MASES toplam puanları arasında istatistiksel olarak anlamlı farklılık saptanmıştır (p<0,05). Deney grubunun son test MASES toplam puanları ön teste göre anlamlı derecede daha yüksek olduğu tespit edilmiştir. Gruplar arasında ise son test MASES toplam puanları açısından deney grubunun son test toplam puanları istatistiksel olarak anlamlı derece yüksek olduğu saptanmıştır (p<0,05). Sonuç: Adjuvan hormon tedavisi alan meme kanserli hastalarda “İlaç Alarmı” mobil uygulamasının tedaviye uyumu arttırma konusunda etkili bir araç olduğu sonucuna ulaşılmıştır.

Anahtar Kelimeler

• Adjuvan hormon tedavisi
• ilaç uyumu
• meme kanseri
• mobil uygulama
• kadın

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