Effectiveness of a Self-Care Toolkit for Surgical Breast Cancer Patients in a Military Treatment Facility
| Autor: | Dawn M. Bellanti, Erika Stoerkel, Kimberly S. Peacock, Robert Setlik, James Aden, Alice Inman, Joan A.G. Walter, Charmagne F. Paat |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
medicine.medical_specialty Breast Neoplasms Anxiety Hospitals Military 03 medical and health sciences 0302 clinical medicine Breast cancer Humans Pain Management Medicine Mind-Body Therapies business.industry Military Treatment Facility Middle Aged medicine.disease Self Care Distress Military Personnel Treatment Outcome Complementary and alternative medicine 030220 oncology & carcinogenesis Emergency medicine Self care Female medicine.symptom business human activities 030217 neurology & neurosurgery |
| Zdroj: | The Journal of Alternative and Complementary Medicine. 24:916-925 |
| ISSN: | 1557-7708 1075-5535 |
| DOI: | 10.1089/acm.2018.0069 |
| Popis: | To assess whether a self-care toolkit (SCT) provided to breast cancer patients undergoing surgery could mitigate distress and lessen symptoms associated with surgery.One hundred women with breast cancer, planning to undergo initial surgery, were randomly assigned to either one of two groups: treatment as usual (TAU; n = 49) or TAU with the addition of an SCT (n = 51). The SCT contained an MP3 player with audio-files of guided mind-body techniques (breathing, progressive muscle relaxation, meditation, guided imagery, and self-hypnosis) and acupressure antinausea wristbands. Anxiety, pain, nausea, sleep, fatigue, global health, and quality of life (QOL) were assessed using validated outcome measures. Two inflammatory blood markers (erythrocyte sedimentation rate [ESR] and C-reactive protein [CRP]) were measured serially. Data were collected at baseline (T1), immediately before surgery (T2), within 10 h postoperatively (T3), and ∼2 weeks postsurgery (T4).Numerous studies have shown that psychological distress associated with a cancer diagnosis can affect pain perception and QOL.Between T1 and T4, there were significant between-group differences in Patient-Reported Outcomes Measurement Information System (PROMIS)-57 scores of Pain Interference, Fatigue, and Satisfaction with Social Roles, favoring the SCT group compared with TAU (p = 0.005, p = 0.023, and p = 0.021, respectively). There was a significant mean change in Defense and Veterans Pain Rating Scale (DVPRS) scores from T2 to T3, with the SCT group having significantly smaller increases in postoperative pain (p = 0.008) and in postoperative ESR (p = 0.0197) compared with the TAU group. Clinically significant reductions in anxiety occurred in the SCT group during the main intervention period.These results suggest that using the SCT in the perioperative period decreased pain perceptions, fatigue, and inflammatory cytokine secretion. |
| Databáze: | OpenAIRE |
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