Healthy Lifestyle Promotion for Maintaining Body Mass Index and Enhancing Self-Confidence among Post-Mastectomy Breast Cancer Survivors
DOI:
https://doi.org/10.35451/azc4tw27Keywords:
Healthy Lifestyle, Body Mass Index, Self-Confidence, Breast Cancer Survivors, Health PromotionAbstract
Breast cancer remains one of the most prevalent health problems among women and may cause long-term physical, psychological, social, and emotional consequences. Mastectomy, which is commonly performed as part of breast cancer treatment, can improve survival outcomes; however, postoperative changes in body appearance often affect body image, self-confidence, and the overall quality of life of survivors. In addition, weight fluctuations during the recovery period may influence Body Mass Index (BMI) and psychological well-being. This community service program aimed to improve breast cancer survivors’ knowledge and ability to adopt healthy lifestyle practices for maintaining an optimal BMI, increase awareness of physical and psychological health, and strengthen self-confidence following cancer treatment. The program was implemented using an educational-participatory approach through health education sessions, interactive discussions, nutritional status consultations, light physical activity demonstrations, and experience-sharing sessions. Evaluation was conducted using pretest and posttest assessments involving 20 breast cancer survivors aged 35–60 years at Grandmed Hospital, Lubuk Pakam. The results demonstrated that the proportion of participants with a good level of knowledge increased from 20.0% to 80.0%, while those with poor knowledge decreased from 45.0% to 0%. The mean knowledge score improved from 58.5 to 85.5, representing an increase of 27.0 points (46.2%). Furthermore, 90.0% of participants understood how to maintain an ideal BMI, 100.0% recognized the importance of regular physical activity, and 85.0% reported increased self-confidence after participating in the program. Participant satisfaction ranged from 75.0% to 85.0%. In conclusion, healthy lifestyle promotion was effective in improving knowledge, understanding, and self-confidence among breast cancer survivors, thereby supporting the adoption of sustainable healthy lifestyle behaviors.
References
[1] L. M. Vohra, S. M. Javed, D. Jabeen, dan S. S. Abidi, “Quality of life of breast cancer survivors: A comparison of breast conserving surgery versus total mastectomy with and without immediate reconstruction: A prospective cohort study,” Annals of Medicine and Surgery, vol. 85, p. 1513–1517, 2023.
[2] M. Afshar-Bakshloo, S. Albers, C. Richter, et al., “How breast cancer therapies impact body image – real-world data from a prospective cohort study collecting patient-reported outcomes,” BMC Cancer, vol. 23, no. 705, 2023.
[3] N. Phoosuwan and P. C. Lundberg, “Life satisfaction, body image and associated factors among women with breast cancer after mastectomy,” Psycho-Oncology, vol. 32, no. 4, pp. 610–618, 2023.
[4] S. Sofiyanti, A. M. Fajrin, dan K. Ulfah, “Profil Risiko Metabolik dan Gaya Hidup Wanita Usia Subur (WUS) di Indonesia: Analisis Data Survei Kesehatan Indonesia (SKI) 2023,” Jurnal Penelitian Keperawatan Kontemporer, vol. 5, no. 5, pp. 463–473, 2025. DOI: 10.59894/jpkk.v5i5.1120.
[5] M. Tam, S. L. Wong, J. Y. Chan, K. Y. Lam, and A. S. Wong, “Health Coaching Intervention to Improve Physical Activity and Health Outcomes in Breast Cancer Survivors: A Randomized Controlled Pilot Study,” JMIR Cancer, vol. 9, 2023, Art. no. e49934. Available: https://cancer.jmir.org/2023/1/e49934.
[6] G. Triberti, E. Savioni, F. Sebri, C. Pravettoni, and P. Riva, “The Body After Cancer: A Qualitative Study on Breast Cancer Survivors’ Body Representation and Psychological Adjustment,” International Journal of Environmental Research and Public Health, vol. 19, no. 19, 2022, Art. no. 12515. Available: https://www.mdpi.com/1660-4601/19/19/12515
[7] M. Thornton dan H. Lewis-Smith, “‘I Listen to My Body Now’: A Qualitative Exploration of Positive Body Image in Breast Cancer Survivors,” Psychology & Health, vol. 38, no. 2, pp. 249–268, 2023.
[8] A. Syara, R. Amelia, and D. Putri, “Hubungan Body Image dengan Kepercayaan Diri pada Pasien Carcinoma Mammae Pasca Mastektomi di RS Grandmed Lubuk Pakam,” Jurnal Keperawatan dan Kesehatan Medistra, vol. 6, no. 1, 2025.
[9] Y. Yang, X. Liu, and Y. Zhang, “Effects of Exercise Intervention on Body Mass Index and Quality of Life in Overweight and Obese Breast Cancer Survivors: A Meta-Analysis of Randomized Controlled Trials,” BMC Women’s Health, 2023.
[10] M. Rubio, J. García, and L. Fernández, “Community Dance-Based Physical Activity Program for Breast Cancer Survivors: Effects on Body Image and Psychosocial Well-being,” BMC Sports Science, Medicine and Rehabilitation, 2023.
[11] C. F. Penedo and J. R. Traeger, “The effects of lifestyle interventions on health-related quality of life in cancer survivors: A systematic review and meta-analysis,” CA: A Cancer Journal for Clinicians, vol. 72, no. 3, pp. 235–258, 2022.
[12] L. J. McKenzie, B. Neiger, and R. Thackeray, “Health Behavior and Health Education: Theory, Research, and Practice in Cancer Survivorship,” Journal of Cancer Education, vol. 38, no. 2, pp. 512–520, 2023.
[13] S. Yazici Sarikaya, R. Wang, A. C. S. Kimmig, S. Brucker, M. Hahn, A. Wikman, and B. Derntl, “Impact of Breast Cancer on Body Image: A Systematic Review and Meta-Analysis,” medRxiv, 2026.
[14] S. W. Park, J. H. Kim, and E. J. Lee, “Social Support, Body Image, and Self-Esteem in Breast Cancer Survivors: A Cross-Sectional Study,” Supportive Care in Cancer, vol. 31, 2023.
[15] J. Cash and L. Smolak, “Body Image: A Handbook of Science, Practice, and Prevention (3rd ed. updated studies in oncology context),” Body Image Research Review, 2022. Available: https://www.sciencedirect.com/science/article/pii/S1740144522000312
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