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3 RESULTS
Articles reviewed include; 5 Randomized Controlled
Trial, 2 Qualitative research, 2 Quasy Experiment,
and 1 pre post with control design. According to the
level of evidence, 10 articles are in 1-6 levels from 7
level of evidence, level 1 (5 articles), level 3 (3
articles) & level 6 (2 articles). Study reviewed
deriving from 3 countries; USA (5 studies), Iran (4
studies), and Carolina (1 study). Spain (1 study).
Ten articles that have been collected, analyzed
and scored, obtained the following results. Research
conducted by (Helgeson, 2006) aimed to follow up
the effects of 8 week support group intervention on
the QOL of woman in early stage breast cancer. On
the results obtained that the benefits of this
intervention remained over a 3 year period
(Helgeson, 2006). In the meantime research
conducted by Boyd (2013) was to determine the
effects of being a peer educator, the results of the
research show that participants in the intervention
group had a positive influence of their quality of life,
health behaviours and healthcare utiliation.
A study found to evaluate the effect of peer-led
education on the QOL of mastectomy patients, the
research showed that statistically significant
increasing in all aspects of QOL and decrease the
symtom (p<0.001) (Sharif, 2010).
The study by Tehrani (2011) Aims to see the
effect of peer support and educational program on
QOL in breast cancer patients. The results showed
that intervention group was significantly higher than
that of the control group (p < 0.001). Research by
Ashing-giwa (2012) aims to evaluate the effect of
support group on African American breast cancer
survivors. The result showed that the survivors
underscored that cultural based groups are rooted in
the linguistic , spiritual, experiential, and historical.
The peer based support groups had many functions,
such as social, emotional, spiritual, informational,
and financial support.
Research conducted by Helgeson (2006) aimed
to evaluate the impact of an educational group and
peer discussion group on the physical and mental
functioning of breast cancers’ patients. The data
showed that peer discussion groups were helpful for
woman who lacked support from their partners or
physicians (p<0.001).
A research intended to know the effect of breast
cancer screening education using HBM on
knowledge and health beliefs. The results of the
research showed that a significant differences in
comparison between the experimental group with
the control group after intervention (p ≤ 0.001)
(Rezaeian, 2014).
Research by (Gozum, 2010) aimed to evaluate
the efficacy of peer education in breast cancer
screening and health beliefs. The results of the study
showed a significant increase of knowledge, beliefs
and practice on breast cancers’ patients (p < 0.001).
Research by Salama (2013) aimed to evaluate the
peer education for breast cancer patient’s knowledge
and practice of BSE. The data showed an increase in
knowledge about their ill and practice of BSE
(p=0.000).
Research of Nissen (2012) aims to know the
difference efficacy of peer education, social support
and self esteem on BSE and knowledge level. The
data showed that there is a significant increase in
knowledge level and BSE practice in peer support
group (p<0.001).
4 DISCUSSION
The studies examined in this systematic review were
about evaluation of the peer education on breast
cancers’ patient. Research by Heydarnejad (2009),
evaluate 200 breast cancers’ patients post
chemotherapy, the data showed that 11% patients
had a good quality of life, 66% in a immidiate and
23% others in a less QOL. A study showed that
breast and colorectal cancer survivors had limited
knowledge on the details of their diagnosis and
cancer treatment (Malak, 2009). In this case the role
of nurse is important in primary, secondary and
tertiary prevention to avoid complication. At the
level of primary care nurse can implement health
education intervention, one of them is peer
education.
Breast cancer patient need a forum that is
responsive to their physical, psychosocial, spiritual
and information (Coward, 2005). Therefore, peer
education can be attributed to the recognition of the
breast cancer need. The peer education group
member underscored that the groups were roted in
the essential experiential, linguistic, spiritual.
Peer support is important for the breast cancer
patient during the treatment, postdiagnostic,
emotional, and informational. Therefore, member
felt they were in a comfort zone by being able to
relate to other members with similar condition. A
study identified that breast cancer support group
members benefited from the therapeutic and were
able to articulate their breast cancer journey by
allowed an acceptance and strength in their goals.
Therefore, their experience, support and practices
are revealed in decreasing emotional and they have
Is Peer Education an Effective Method on Breast Cancers’ Patient?
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