| Autor: |
Koinberg I; Department of Research/3D, Varberg Hospital, S-432-81 Varberg, Sweden. inga-lill.koinberg@lthalland.se, Langius-Eklöf A, Holmberg L, Fridlund B |
| Jazyk: |
angličtina |
| Zdroj: |
European journal of oncology nursing : the official journal of European Oncology Nursing Society [Eur J Oncol Nurs] 2006 Sep; Vol. 10 (4), pp. 273-82. Date of Electronic Publication: 2006 Feb 13. |
| DOI: |
10.1016/j.ejon.2005.11.005 |
| Abstrakt: |
The aim of the study was to compare and evaluate a multidisciplinary educational programme with traditional follow-up visits to a physician after breast cancer surgery in terms of well-being, aspects of self-care and coping ability 1 year after diagnosis. A reduction in the intensity of follow-up after breast cancer surgery is recommended. New follow-up models are being debated and could be of interest. The study design was non-randomised and comparative. Ninety-six consecutively selected women with newly diagnosed breast cancer, classified as stage I or stage II, participated in either a multidisciplinary educational programme (n=50), or traditional follow-up by a physician (n=46). Three questionnaires were used: Functional Assessment of Cancer Therapy-General (FACT-G), a study specific questionnaire regarding self-care aspects (SCA) and Sense of Coherence (SOC). With the exception of physical well-being at baseline there was no significant difference between the groups. The women in the multidisciplinary educational programme increased their physical and functional well-being (P<0.01). The women in traditional follow-up by a physician increased their functional well-being while social/family well-being (P<0.01) decreased over time. There was a statistically significant difference in SOC (P<0.001) in the traditional follow-up by a physician between baseline (mean=74.4, SD=12.4) and the 1-year follow up (mean=67.7, SD=11.4). Thus, women in the traditional follow-up by a physician scored lower in the area of SOC 1 year after diagnosis. A multidisciplinary educational programme may be an alternative to traditional follow-up by a physician after breast cancer surgery, but more research is needed about the financial benefits and effectiveness of such a programme. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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Full Text from ScienceDirect