Research Article
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REKONSTRÜKSİYON YAPILAN MEME KANSERİ HASTALARINDA HEMŞİRE LİDERLİĞİNDE KOÇLUK PROGRAMININ ÖZ BAKIM GÜCÜ VE YAŞAM KALİTESİNE ETKİSİ : RANDOMİZE KONTROLLÜ BİR ÇALIŞMANIN PROTOKOLÜ

Year 2025, Volume: 2 Issue: 2, 8 - 23, 26.11.2025

Abstract

Amaç: Bu makalenin amacı meme kanseri nedeniyle meme rekonstrüksiyonu geçiren hastalara yapılan hemşire liderliğinde koçluk programının hastaların öz bakım gücü ve yaşam kalitesine etkisini inceleyen randomize kontrollü bir araştırmanın protokolünü sunmaktır.
Yöntem: Araştırmanın Şubat 2025 – Aralık 2025 tarihleri arasında Gazi Üniversitesi Sağlık Araştırma ve Uygulama Merkezi ve Ankara Etlik Şehir Hastanesi’nin Plastik ve Rekontrüktif Cerrahi Klinikleri’nde meme rekonstrüksiyonu ameliyatı geçiren 60 hasta (30 kontrol-30 deney) ile randomize kontrollü klinik araştırma olarak yürütülmesi planlanmaktadır. Araştırmada verilerin toplanmasında Tanıtıcı Bilgiler Formu, Öz Bakım Gücü Ölçeği ve EORTC QLQ-C30 ve QLQ-BR42 Yaşam Kalitesi Ölçekleri kullanılacaktır.
Sonuçlar: Bu makale, randomize kontrollü deneysel çalışma için bir araştırma protokolüdür. Çalışma verileri toplanıp analiz edildikten sonra bulgular açıklanacaktır.
Tartışma: Meme kanseri nedeniyle meme rekonstrüksiyonu geçiren hastalara yapılan hemşire liderliğinde koçluk programının hastaların öz bakım gücünü ve yaşam kalitesini artıracağı düşünülmekte ve değerlendirilmektedir.

References

  • Kaynaklar American Cancer Society. (2022). About Breast Cancer.https://www.cancer.org/content/dam/CRC/PDF/Public/8577.00.pdf, Erişim tarihi: 14.06.2022
  • Anka Koçluk. (2023) Koçluk Nedir?. https://ankakocluk.com.tr/page4hakkimizda.html, Erişim Tarihi: 16.01.2023.
  • Aziz, M.B., & Rose, J. (2020). Breast Reconstruction PerforatorFlaps. https://www.ncbi.nlm.nih.gov/books/NBK565866/?report=reader, Erişim tarihi: 08.12.2021.
  • Barakat, S., Boehmer, K., Abdelrahim, M., Ahn, S., Al-Khateeb, A. A., Villalobos, N. A., ... & Murad, M. H. (2018). Does health coaching grow capacity in cancer survivors? a systematic review. Population Health Management, 21(1), 63-81.
  • Bedell, G.M., Wade, S.L., Turkstra, L.S., Haarbauer-Krupa, J., & King, J.A. (2016). Informing design of an app-based coaching intervention to promote social participation of teenagers with traumatic brain injury. Developmental Neurorehabilitation, 28, 1-10.
  • Beşer, G.N., & Öz, F. (2003). Anxiety-depression levels and quality of life of patients with lymphoma who are curing chemotherapy. Cumhuriyet Üniversitesi Hemşirelik Yüksek Okulu Dergisi, 7, 47-58.
  • Demir, S.G. (2016). Meme Hastalıkları Cerrahisi ve Hemşirelik Bakımı. N.Ö. Elbaş (Ed). Cerrahi Hastalıkları Hemşireliği Akıl Notları içinde. Ankara: Güneş Kitabevi, 81-102.
  • Demirci, S., Eser, E., Özsaran, Z., Tankişi, D., Aras, A. B., Özaydemir, G., & Anacak, Y. (2011). Validation of The Turkish Versions of EORTC QLQ-C30 and BR23 Modules in Breast Cancer Patients. Asian Pacific Journal of Cancer Prevention, 12(5), 1283-1287.
  • Freeman M.D., Gopman J.M. & Salzberg C.A. (2018) The Evolution of Mastectomy Surgical Technique: From Mutilation to Medicine. Gland Surgery, 7(3), 308–315.
  • Göktaş, S.B., Güllüoğlu, B.M., & Şelimen, D. (2011). Immediate or delayed breast reconstruction after radical mastectomy in breast cancer patients: Does it make a difference in the quality of life. Türkiye Klinikleri Journal of Medical Sciences, 31(3), 664-673.
  • Gülşen, M., & Akansel, N. (2018). Hastanın Kendi Dokusu Kullanılarak Oluşturulan Meme Rekontrüksiyonları ve Hemşirelik Bakımı. Journal of Academic Research in Nursing, 4(1), 45-51.
  • Hanson, S.E., Roubaud, M.S., York, R., Butler, C.E., & MD Anderson Breast Reconstruction Awareness Committee. (2021). Perspectives on breast reconstruction awareness from the Houston-area breast reconstruction awareness symposium: Patient education and community engagement. Plastic and Reconstructive Surgery, 148(6), 1070e-1071e.
  • Huang, N. S., Liu, M. Y., Chen, J. J., Yang, B. L., Xue, J. Y., Quan, C. L., Mo, M., Liu, G.Y., Shen, Z.Z., Shao, Z.M. & Wu, J. (2016). Surgical Management of Breast Cancer in China: A 15-Year Single-Center Retrospective Study of 18,502 Patients. Medicine, 95(45), 1-7.
  • International Coach Federation. (2022). Coaching FAQs. http://coachfederation.org/, Erişim Tarihi: 09.01.2022.
  • Jendrian, S., Steffens, K., Schmalfeldt, B., Laakmann, E., Bergelt, C. & Witzel, I. (2017). Quality of Life in Patients with Recurrent Breast Cancer After Second Breast-Conserving Therapy in Comparison with Mastectomy: The German Experience. Breast Cancer Research and Treatment, 163(3), 517-526.
  • Kanmaz, Z. (2019). Meme kanseri hastalarında mastektomi ve mastektomi sonrası rekonstrüktif cerrahinin depresyon, benlik saygısı ve öz yeterlik inancı üzerindeki etkisinin incelenmesi, Yayımlanmamış Yüksek Lisans, Gaziantep: Hasan Kalyoncu Üniversitesi Sosyal Bilimler Enstitüsü.
  • Karpukhina, Y., Vasylieva, N., Grygus, I., Muszkieta, R., & Zukow, W. (2020). Study of quality of life and effectiveness of physical therapy of women after mastectomy in the COVID-19 pandemic conditions. Balneo Research Journal, 11(3), 315-322.
  • Kearney, B. Y., and Fleischer, B. J. (1979). Development of an Instrument to Measure Exercise of Self‐Care Agency. Research in Nursing & Health, 2(1), 25-34.
  • Koçluk Birliği (Association for Coaching). (2022). Association for Coaching in Turkey. https://www.associationforcoaching.com/page/Turkeyhome, Erişim Tarihi: 09.01.2022.
  • Kruper, L., Holt, A., Xu, X. X., Duan, L., Henderson, K., Bernstein, L. & Ellenhorn, J. (2011). Disparities in Reconstruction Rates After Mastectomy: Patterns of Care and Factors Associated with The Use of Breast Reconstruction in Southern California. Annals of Surgical Oncology, 18(8), 2158-2165.
  • Kulinski, K., & Smith, N. A. (2020). Surgical prehabilitation using mobile health coaching in patients with obesity: a pilot study. Anaesthesia and Intensive Care, 48(5), 373-380.
  • Kummerow K.L., Du L., Penson D.F., Shyr Y. & Hooks M.A. (2015). Nationwide Trends in Mastectomy for Early-Stage Breast Cancer. JAMA Surgery, 150(9), 16.
  • İu, C., Zhuang, Y., Momeni. A., Luan, J., Chung, M.T., Wright, E., & Lee, G.K. (2014). Quality of life and patient satisfaction after microsurgical abdominal flap versus staged expander/implant breast reconstruction: a critical study of unilateral immediate breast reconstruction using patient‐reported outcomes instrument BREAST‐Q. Breast Cancer Research and Treatment, 146(1), 117‐126.
  • Losina, E., Collins, J.E., Deshpande, B.R., Smith, S.R., Michl, G.L., Usiskin, I.M., Klara, K.M., Winter, A.R., Yang, H.Y., Selzer, F., & Katz, J. N. (2018). Financial incentives and health coaching to improve physical activity following total knee replacement: a randomized controlled trial. Arthritis Care & Research, 70(5), 732-740.
  • Luo, X., Chen, Y., Chen, J., Zhang, Y., Li, M., Xiong, C., & Yan, J. (2021). Effectiveness of mobile health-based self-management interventions in breast cancer patients: a meta-analysis. Supportive Care in Cancer, 30, 2853-2876.
  • Martinez-Miranda, P., Casuso-Holgado, M. J., & Jesus Jimenez-Rejano, J. (2021). Effect of patient education on quality-of-life, pain and fatigue in breast cancer survivors: A systematic review and meta-analysis. Clinical Rehabilitation, 35(12), 1722-1742.
  • Meyer-Marcotty M.V., Hankiss J., Flügel M. and Redeker J. (2007). Breast Reconstruction for Patients with Breast Carcinoma: An Analysis Based on The Data of 4,335 Patients from 16 Hospitals. Chirurg. 78, 637–42.
  • Mitchell, G.J., Cross, N., Wilson, M., Biernack, S., Wong, W., Abid., & Rush, D. (2013). Complexity and health coaching: synergies in nursing. Nursing Research and Practice, 2013, 238620.
  • Nahcivan, N., & Tuncel, N. (1993). Sağlıklı gençlerde öz-bakım gücü ve aile ortamının etkisi. Florence Nightingale Journal of Nursing, 12(45), 49-60.
  • Özmen ,V., Özmen, T., & Doğru, V. (2019). Breast cancer in Turkey; an analysis of 20.000 patients with breast cancer. European Journal of Breast Health, 15(3), 141.
  • Özmen, V. (2014). Türkiye'de Meme Kanseri: Klinik ve Histopatolojik Özellikler (13.240 Olgunun Analizi). Meme Sağlığı Dergisi/Journal of Breast Health, 10(2), 98.
  • Platt, J., & Zhong, T. (2018). Patient-centered breast reconstruction based on health-related quality-of-life evidence. Clinics in Plastic Surgery, 45(1), 137-143.
  • Platt, J., Zhong, T., Moineddin, R., Booth, G. L., Easson, A. M., Fernandes, K., Gozdyra, P., & Baxter, N.N. (2015). Geographic Variation Immediate and Delayed Breast Reconstruction Utilization in Ontario, Canada and Plastic Surgeon Availability: A Population-Based Observational Study. World Journal of Surgery, 39(8), 1909-1921.
  • Pusic, A.L., Klassen, A.F., Snell, L., Cano, S.J., McCarthy, C., Scott, A., Cemal, Y., Rubin, L.R., & Cordeiro, P.G. (2014). Measuring and managing patient expectations for breast reconstruction: impact on quality of life and patient satisfaction. Expert Review Pharmacoeconomics & Outcomes Research, 2014, 149-158.
  • Rice, H., Say, R., & Betihavas, V. (2018). The effect of nurse-led education on hospitalisation, readmission, quality of life and cost in adults with heart failure. A systematic review. Patient Education and Counseling, 101(3), 363-374.
  • Sousa, H., Castro, S., Abreu, J., & Pereira, M. G. (2019). A systematic review of factors affecting quality of life after postmastectomy breast reconstruction in women with breast cancer. Psycho‐Oncology, 28(11), 2107-2118.
  • The European Organisation for Research and Treatment of Cancer (EORTC) (2001). EORTC QLQ-C30 Scoring Manual. https://www.eortc.org/app/uploads/sites/2/2018/02/SCmanual.pdf , Erişim Tarihi: 07.09.2025.
  • Uluslararası Koçluk Federasyonu (International Coach Federation). Koçluk Hakkında. https://www.icfturkey.org/kocluk-hakkinda/profesyonel-kocluk-nedir/, Erişim Tarihi: 16.01.2023
  • van Maaren, M. C., de Munck, L., Jobsen, J. J., Poortmans, P., de Bock, G. H., Siesling, S., & Strobbe, L. J. (2016).
  • Breast-Conserving Therapy Versus Mastectomy in T1-2N2 Stage Breast Cancer: A Population-Based Study On 10-Year Overall, Relative and Distant Metastasis-Free Survival in 3071 Patients. Breast Cancer Research and Treatment, 160(3), 511-521.
  • Wang, Z., Yin, G., & Jia, R. (2019). Impacts of self-care education on adverse events and mental health related quality of life in breast cancer patients under chemotherapy. Complementary Therapies in Medicine, 43, 165-169.
  • World Health Organization. (2022). Global Cancer observatory.https://gco.iarc.who.int/today/en/dataviz/mapsheatmap?cancers=20&types=0&sexes=0&palette=Blues&mode=population, Erişim tarihi: 06.09.2025.
  • World Health Organization. Breast Cancer. https://www.who.int/newsroom/factsheets/detail/breast-cancer, Erişim tarihi: 14.06.2022.
  • World Health Organization. What is Fatigue and Weakness.https://www.who.int/cancer/prevention/diagnosis-screening/breastcancer/en/, Erişim tarihi: 17.11.2021.
  • Yu, K. D., Di, G. H., Wu, J., Lu, J. S., Shen, K. W., Shen, Z. Z. & Shao, Z. M. (2007). Development and Trends of Surgical Modalities for Breast Cancer in China: A Review of 16-Year Data. Annals of Surgicaloncology, 14(9), 2502-2509.
  • Yurdugül, H. (2005). Ölçek geliştirme çalışmalarında kapsam geçerliği için kapsam geçerlik indekslerinin kullanılması. XIV. Ulusal Eğitim Bilimleri Kongresi. 28-30 Eylül 2005 Denizli; 1-6.
  • Zehra, S., Doyle, F., Barry, M., Walsh, S., & Kell, M. R. (2020). Health-Related Quality of Life Following Breast Reconstruction Compared to Total Mastectomy and Breast-Conserving Surgery Among Breast Cancer Survivors: A Systematic Review and Meta-Analysis. Breast Cancer, 27(4), 534-566.

THE EFFECT OF A NURSE-LED COACHING PROGRAM ON SELF-CARE AGENCY AND QUALITY OF LIFE IN BREAST CANCER PATIENTS UNDERGOING RECONSTRUCTION: PROTOCOL OF A RANDOMIZED CONTROLLED TRIAL

Year 2025, Volume: 2 Issue: 2, 8 - 23, 26.11.2025

Abstract

Purpose: The purpose of this article is to present the protocol of a randomized controlled trial examining the effects of a nurse-led coaching program on the self-care agency and quality of life of patients undergoing breast reconstruction due to breast cancer.
Methods: The study was planned to be conducted as a randomized controlled clinical trial with 60 patients (30 control, 30 experimental) who underwent breast reconstruction surgery at the Gazi University Health Research and Application Center and Ankara Etlik City Hospital Plastic and Reconstructive Surgery Clinics between February 2025 and December 2025. Data will be collected using the Introductory Information Form, the Self-Care Agency Scale, and the EORTC QLQ-C30 and QLQ-BR42 Quality of Life Scales.
Results: This article is a research protocol for a randomized controlled experimental trial. Findings will be released after study data are collected and analyzed.
Conclusion: It is thought and evaluated that a nurse-led coaching program for patients undergoing breast reconstruction due to breast cancer will increase the patients' self-care ability and quality of life.

References

  • Kaynaklar American Cancer Society. (2022). About Breast Cancer.https://www.cancer.org/content/dam/CRC/PDF/Public/8577.00.pdf, Erişim tarihi: 14.06.2022
  • Anka Koçluk. (2023) Koçluk Nedir?. https://ankakocluk.com.tr/page4hakkimizda.html, Erişim Tarihi: 16.01.2023.
  • Aziz, M.B., & Rose, J. (2020). Breast Reconstruction PerforatorFlaps. https://www.ncbi.nlm.nih.gov/books/NBK565866/?report=reader, Erişim tarihi: 08.12.2021.
  • Barakat, S., Boehmer, K., Abdelrahim, M., Ahn, S., Al-Khateeb, A. A., Villalobos, N. A., ... & Murad, M. H. (2018). Does health coaching grow capacity in cancer survivors? a systematic review. Population Health Management, 21(1), 63-81.
  • Bedell, G.M., Wade, S.L., Turkstra, L.S., Haarbauer-Krupa, J., & King, J.A. (2016). Informing design of an app-based coaching intervention to promote social participation of teenagers with traumatic brain injury. Developmental Neurorehabilitation, 28, 1-10.
  • Beşer, G.N., & Öz, F. (2003). Anxiety-depression levels and quality of life of patients with lymphoma who are curing chemotherapy. Cumhuriyet Üniversitesi Hemşirelik Yüksek Okulu Dergisi, 7, 47-58.
  • Demir, S.G. (2016). Meme Hastalıkları Cerrahisi ve Hemşirelik Bakımı. N.Ö. Elbaş (Ed). Cerrahi Hastalıkları Hemşireliği Akıl Notları içinde. Ankara: Güneş Kitabevi, 81-102.
  • Demirci, S., Eser, E., Özsaran, Z., Tankişi, D., Aras, A. B., Özaydemir, G., & Anacak, Y. (2011). Validation of The Turkish Versions of EORTC QLQ-C30 and BR23 Modules in Breast Cancer Patients. Asian Pacific Journal of Cancer Prevention, 12(5), 1283-1287.
  • Freeman M.D., Gopman J.M. & Salzberg C.A. (2018) The Evolution of Mastectomy Surgical Technique: From Mutilation to Medicine. Gland Surgery, 7(3), 308–315.
  • Göktaş, S.B., Güllüoğlu, B.M., & Şelimen, D. (2011). Immediate or delayed breast reconstruction after radical mastectomy in breast cancer patients: Does it make a difference in the quality of life. Türkiye Klinikleri Journal of Medical Sciences, 31(3), 664-673.
  • Gülşen, M., & Akansel, N. (2018). Hastanın Kendi Dokusu Kullanılarak Oluşturulan Meme Rekontrüksiyonları ve Hemşirelik Bakımı. Journal of Academic Research in Nursing, 4(1), 45-51.
  • Hanson, S.E., Roubaud, M.S., York, R., Butler, C.E., & MD Anderson Breast Reconstruction Awareness Committee. (2021). Perspectives on breast reconstruction awareness from the Houston-area breast reconstruction awareness symposium: Patient education and community engagement. Plastic and Reconstructive Surgery, 148(6), 1070e-1071e.
  • Huang, N. S., Liu, M. Y., Chen, J. J., Yang, B. L., Xue, J. Y., Quan, C. L., Mo, M., Liu, G.Y., Shen, Z.Z., Shao, Z.M. & Wu, J. (2016). Surgical Management of Breast Cancer in China: A 15-Year Single-Center Retrospective Study of 18,502 Patients. Medicine, 95(45), 1-7.
  • International Coach Federation. (2022). Coaching FAQs. http://coachfederation.org/, Erişim Tarihi: 09.01.2022.
  • Jendrian, S., Steffens, K., Schmalfeldt, B., Laakmann, E., Bergelt, C. & Witzel, I. (2017). Quality of Life in Patients with Recurrent Breast Cancer After Second Breast-Conserving Therapy in Comparison with Mastectomy: The German Experience. Breast Cancer Research and Treatment, 163(3), 517-526.
  • Kanmaz, Z. (2019). Meme kanseri hastalarında mastektomi ve mastektomi sonrası rekonstrüktif cerrahinin depresyon, benlik saygısı ve öz yeterlik inancı üzerindeki etkisinin incelenmesi, Yayımlanmamış Yüksek Lisans, Gaziantep: Hasan Kalyoncu Üniversitesi Sosyal Bilimler Enstitüsü.
  • Karpukhina, Y., Vasylieva, N., Grygus, I., Muszkieta, R., & Zukow, W. (2020). Study of quality of life and effectiveness of physical therapy of women after mastectomy in the COVID-19 pandemic conditions. Balneo Research Journal, 11(3), 315-322.
  • Kearney, B. Y., and Fleischer, B. J. (1979). Development of an Instrument to Measure Exercise of Self‐Care Agency. Research in Nursing & Health, 2(1), 25-34.
  • Koçluk Birliği (Association for Coaching). (2022). Association for Coaching in Turkey. https://www.associationforcoaching.com/page/Turkeyhome, Erişim Tarihi: 09.01.2022.
  • Kruper, L., Holt, A., Xu, X. X., Duan, L., Henderson, K., Bernstein, L. & Ellenhorn, J. (2011). Disparities in Reconstruction Rates After Mastectomy: Patterns of Care and Factors Associated with The Use of Breast Reconstruction in Southern California. Annals of Surgical Oncology, 18(8), 2158-2165.
  • Kulinski, K., & Smith, N. A. (2020). Surgical prehabilitation using mobile health coaching in patients with obesity: a pilot study. Anaesthesia and Intensive Care, 48(5), 373-380.
  • Kummerow K.L., Du L., Penson D.F., Shyr Y. & Hooks M.A. (2015). Nationwide Trends in Mastectomy for Early-Stage Breast Cancer. JAMA Surgery, 150(9), 16.
  • İu, C., Zhuang, Y., Momeni. A., Luan, J., Chung, M.T., Wright, E., & Lee, G.K. (2014). Quality of life and patient satisfaction after microsurgical abdominal flap versus staged expander/implant breast reconstruction: a critical study of unilateral immediate breast reconstruction using patient‐reported outcomes instrument BREAST‐Q. Breast Cancer Research and Treatment, 146(1), 117‐126.
  • Losina, E., Collins, J.E., Deshpande, B.R., Smith, S.R., Michl, G.L., Usiskin, I.M., Klara, K.M., Winter, A.R., Yang, H.Y., Selzer, F., & Katz, J. N. (2018). Financial incentives and health coaching to improve physical activity following total knee replacement: a randomized controlled trial. Arthritis Care & Research, 70(5), 732-740.
  • Luo, X., Chen, Y., Chen, J., Zhang, Y., Li, M., Xiong, C., & Yan, J. (2021). Effectiveness of mobile health-based self-management interventions in breast cancer patients: a meta-analysis. Supportive Care in Cancer, 30, 2853-2876.
  • Martinez-Miranda, P., Casuso-Holgado, M. J., & Jesus Jimenez-Rejano, J. (2021). Effect of patient education on quality-of-life, pain and fatigue in breast cancer survivors: A systematic review and meta-analysis. Clinical Rehabilitation, 35(12), 1722-1742.
  • Meyer-Marcotty M.V., Hankiss J., Flügel M. and Redeker J. (2007). Breast Reconstruction for Patients with Breast Carcinoma: An Analysis Based on The Data of 4,335 Patients from 16 Hospitals. Chirurg. 78, 637–42.
  • Mitchell, G.J., Cross, N., Wilson, M., Biernack, S., Wong, W., Abid., & Rush, D. (2013). Complexity and health coaching: synergies in nursing. Nursing Research and Practice, 2013, 238620.
  • Nahcivan, N., & Tuncel, N. (1993). Sağlıklı gençlerde öz-bakım gücü ve aile ortamının etkisi. Florence Nightingale Journal of Nursing, 12(45), 49-60.
  • Özmen ,V., Özmen, T., & Doğru, V. (2019). Breast cancer in Turkey; an analysis of 20.000 patients with breast cancer. European Journal of Breast Health, 15(3), 141.
  • Özmen, V. (2014). Türkiye'de Meme Kanseri: Klinik ve Histopatolojik Özellikler (13.240 Olgunun Analizi). Meme Sağlığı Dergisi/Journal of Breast Health, 10(2), 98.
  • Platt, J., & Zhong, T. (2018). Patient-centered breast reconstruction based on health-related quality-of-life evidence. Clinics in Plastic Surgery, 45(1), 137-143.
  • Platt, J., Zhong, T., Moineddin, R., Booth, G. L., Easson, A. M., Fernandes, K., Gozdyra, P., & Baxter, N.N. (2015). Geographic Variation Immediate and Delayed Breast Reconstruction Utilization in Ontario, Canada and Plastic Surgeon Availability: A Population-Based Observational Study. World Journal of Surgery, 39(8), 1909-1921.
  • Pusic, A.L., Klassen, A.F., Snell, L., Cano, S.J., McCarthy, C., Scott, A., Cemal, Y., Rubin, L.R., & Cordeiro, P.G. (2014). Measuring and managing patient expectations for breast reconstruction: impact on quality of life and patient satisfaction. Expert Review Pharmacoeconomics & Outcomes Research, 2014, 149-158.
  • Rice, H., Say, R., & Betihavas, V. (2018). The effect of nurse-led education on hospitalisation, readmission, quality of life and cost in adults with heart failure. A systematic review. Patient Education and Counseling, 101(3), 363-374.
  • Sousa, H., Castro, S., Abreu, J., & Pereira, M. G. (2019). A systematic review of factors affecting quality of life after postmastectomy breast reconstruction in women with breast cancer. Psycho‐Oncology, 28(11), 2107-2118.
  • The European Organisation for Research and Treatment of Cancer (EORTC) (2001). EORTC QLQ-C30 Scoring Manual. https://www.eortc.org/app/uploads/sites/2/2018/02/SCmanual.pdf , Erişim Tarihi: 07.09.2025.
  • Uluslararası Koçluk Federasyonu (International Coach Federation). Koçluk Hakkında. https://www.icfturkey.org/kocluk-hakkinda/profesyonel-kocluk-nedir/, Erişim Tarihi: 16.01.2023
  • van Maaren, M. C., de Munck, L., Jobsen, J. J., Poortmans, P., de Bock, G. H., Siesling, S., & Strobbe, L. J. (2016).
  • Breast-Conserving Therapy Versus Mastectomy in T1-2N2 Stage Breast Cancer: A Population-Based Study On 10-Year Overall, Relative and Distant Metastasis-Free Survival in 3071 Patients. Breast Cancer Research and Treatment, 160(3), 511-521.
  • Wang, Z., Yin, G., & Jia, R. (2019). Impacts of self-care education on adverse events and mental health related quality of life in breast cancer patients under chemotherapy. Complementary Therapies in Medicine, 43, 165-169.
  • World Health Organization. (2022). Global Cancer observatory.https://gco.iarc.who.int/today/en/dataviz/mapsheatmap?cancers=20&types=0&sexes=0&palette=Blues&mode=population, Erişim tarihi: 06.09.2025.
  • World Health Organization. Breast Cancer. https://www.who.int/newsroom/factsheets/detail/breast-cancer, Erişim tarihi: 14.06.2022.
  • World Health Organization. What is Fatigue and Weakness.https://www.who.int/cancer/prevention/diagnosis-screening/breastcancer/en/, Erişim tarihi: 17.11.2021.
  • Yu, K. D., Di, G. H., Wu, J., Lu, J. S., Shen, K. W., Shen, Z. Z. & Shao, Z. M. (2007). Development and Trends of Surgical Modalities for Breast Cancer in China: A Review of 16-Year Data. Annals of Surgicaloncology, 14(9), 2502-2509.
  • Yurdugül, H. (2005). Ölçek geliştirme çalışmalarında kapsam geçerliği için kapsam geçerlik indekslerinin kullanılması. XIV. Ulusal Eğitim Bilimleri Kongresi. 28-30 Eylül 2005 Denizli; 1-6.
  • Zehra, S., Doyle, F., Barry, M., Walsh, S., & Kell, M. R. (2020). Health-Related Quality of Life Following Breast Reconstruction Compared to Total Mastectomy and Breast-Conserving Surgery Among Breast Cancer Survivors: A Systematic Review and Meta-Analysis. Breast Cancer, 27(4), 534-566.
There are 47 citations in total.

Details

Primary Language Turkish
Subjects Surgical Diseases Nursing​​
Journal Section Research Article
Authors

Nihal Yıldız Emre 0000-0003-0038-6081

Sevil Güler 0000-0002-4312-560X

Publication Date November 26, 2025
Submission Date September 28, 2025
Acceptance Date November 6, 2025
Published in Issue Year 2025 Volume: 2 Issue: 2

Cite

APA Yıldız Emre, N., & Güler, S. (2025). REKONSTRÜKSİYON YAPILAN MEME KANSERİ HASTALARINDA HEMŞİRE LİDERLİĞİNDE KOÇLUK PROGRAMININ ÖZ BAKIM GÜCÜ VE YAŞAM KALİTESİNE ETKİSİ : RANDOMİZE KONTROLLÜ BİR ÇALIŞMANIN PROTOKOLÜ. Syedra Sağlık Dergisi, 2(2), 8-23.