| Summary: | 碩士 === 臺北醫學大學 === 長期照護碩士學位學程 === 104 === Purpose：The research is devoted developing a tailored rehabilitated education(TRE) to improve health literacy and health status (i.e., six aspects of the International Classification of Functioning, Disability and Health).
Design：Single-blind randomized controlled trial comparing tailored rehabilitated education and usual education
Setting：Inpatient, medical hospital of breast operated wards in a teaching hospital.
Participants：Nity-nine female (49 in intervention group；50 in control group) with breast cancer within 1-week of cancer operations and without accepted breast cancer education before.
Intervention：Four weekly individual sessions of tailored rehabilitated educated (TRE) programs were intervened to improve the health literacy and health status.
Measurements：The primary outcome was the health literacy, assessing by European Health Literacy Survey Questionnaires. The secondary outcomes were six questionnaires evaluating health status of body function and structure, activity, participation, personal factor, environment, and quality of life with the measurements of Disability of Arm Shoulder and Hand, Barthel Index, Frenchay activities index, Brief Symptom Rating Scale, return to work, and The EuroQOL five dimensions questionnaire.
Results：Our results supported that the TRE produced significant improvement in health literacy and health status of body function and structure, participation, personal factor, environment, and quality of life. However, there was no significant difference of the activity scores assessed by Barthel Index between two groups did not change.
Conclusions：The findings supported the clinical efficacy of TRE in breast cancer patients after surgery. Further implementations of the TRE programs in patients after breast cancer surgery is practical to improve health literacy and health status effectively.
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