The usefulness of a multidisciplinary educational programme after breast cancer surgery: A prospective and comparative study
2006 (English)In: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 10, no 4, p. 273-282Article in journal (Refereed) Published
Abstract [en]
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 = 5 0), or traditional follow-up by a physician (n = 4 6). 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 < 0.0 1). The women in traditional follow-up by a physician increased their functional well-being while social/family well-being (P < 0.0 1) decreased over time. There was a statistically significant difference in SOC (P < 0.0 0 1) 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.
Place, publisher, year, edition, pages
Elsevier, 2006. Vol. 10, no 4, p. 273-282
Keywords [en]
Breast cancer, Coping ability, Education, Follow-up, Self-care, Well-being, adaptive behavior, aftercare, aged, article, attitude to health, breast tumor, comparative study, daily life activity, evaluation, health care quality, health service, health status, human, mastectomy, middle aged, nursing, nursing education, nursing evaluation research, oncology, organization and management, outcome assessment, patient care, patient education, prospective study, psychological aspect, questionnaire, self care, Sweden, Activities of Daily Living, Adaptation, Psychological, Breast Neoplasms, Health Services Needs and Demand, Humans, Medical Oncology, Nursing Education Research, Outcome Assessment (Health Care), Patient Care Team, Patient Education as Topic, Program Evaluation, Prospective Studies, Questionnaires
National Category
Nursing
Identifiers
URN: urn:nbn:se:rkh:diva-3978DOI: 10.1016/j.ejon.2005.11.005PubMedID: 16473549OAI: oai:DiVA.org:rkh-3978DiVA, id: diva2:1542150
2021-04-062021-04-062021-04-06Bibliographically approved