Document Detail


The usefulness of a multidisciplinary educational programme after breast cancer surgery: a prospective and comparative study.
MedLine Citation:
PMID:  16473549     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
IngaLill Koinberg; Ann Langius-Eklöf; Lars Holmberg; Bengt Fridlund
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Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't     Date:  2006-02-13
Journal Detail:
Title:  European journal of oncology nursing : the official journal of European Oncology Nursing Society     Volume:  10     ISSN:  1462-3889     ISO Abbreviation:  Eur J Oncol Nurs     Publication Date:  2006 Sep 
Date Detail:
Created Date:  2006-09-11     Completed Date:  2006-11-28     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  100885136     Medline TA:  Eur J Oncol Nurs     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  273-82     Citation Subset:  IM; N    
Affiliation:
Department of Research/3D, Varberg Hospital, S-432-81 Varberg, Sweden. inga-lill.koinberg@lthalland.se
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living
Adaptation, Psychological
Aftercare / organization & administration*,  psychology
Aged
Attitude to Health
Breast Neoplasms / nursing,  psychology,  surgery
Health Services Needs and Demand
Health Status
Humans
Mastectomy / nursing,  psychology,  rehabilitation*
Medical Oncology / organization & administration*
Middle Aged
Nursing Education Research
Nursing Evaluation Research
Outcome Assessment (Health Care)
Patient Care Team / organization & administration*
Patient Education as Topic / organization & administration*
Program Evaluation
Prospective Studies
Questionnaires
Self Care / psychology
Sweden

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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