Effect of Nursing Counseling Guided by BETTER Model on Sexuality, Marital Satisfaction and Psychological Status among Breast Cancer Women

Abstract

Background: Breast cancer is one of the main problems related to women s health, and the \nvarious forms of treatment can lead to bodily changes and significantly alter women s \nsexuality and psychological status. Aim: The aim of this study was to evaluate the effect of \nnursing counseling guided by BETTER model on sexuality, marital Satisfaction and \npsychological status among breast cancer women. Design: A quasi-experimental research \ndesign. Setting: The study was conducted at an Outpatient clinic, Oncology Institute, \nMenoufia University - Egypt. Sampling: A purposive sample, composed of 87 women was \nrecruited in the study. Tools: Six tools were used for data collection a) A Structured \ninterviewing questionnaire b) Female sexual function index (FSFI) c) Body image scale \nd) ENRICH marital satisfaction scale E) Tylor anxiety scale (Arabic version) f) Perceived \nstress scale (PSS). The results: This study showed that there was a highly significant \ndifference at study participants sexuality, marital satisfaction and psychological status pre \nand post application of nursing counseling guided by BETTER model. Conclusion: \nApplication of nursing counseling guided by BETTER model had high significant impact \non improving sexuality, marital satisfaction and psychological status of breast cancer \nwomen undergoing treatment. Recommendation: Adopt a BETTER sexual model of \ncounseling for management of sexual dysfunction and psychological problems in breast \ncancer institutions. Ongoing education for maternity nurses on the impact of breast cancer \ntreatment on women s sexuality and psychological status, as well as strategies to address \nwomen s sexual and psychological problems.