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The usefulness of a multidisciplinary educational programme after breast cancer surgery: A prospective and comparative study
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Endocrine Surgery. (Gastrointestinal Surgery)
2006 (English)In: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 10, no 4, 273-282 p.Article 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=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.

Place, publisher, year, edition, pages
2006. Vol. 10, no 4, 273-282 p.
Keyword [en]
Breast cancer, Coping ability, Education, Follow-up, Self-care, Well-being
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-76672DOI: 10.1016/j.ejon.2005.11.005ISI: 000245664600003PubMedID: 16473549OAI: oai:DiVA.org:uu-76672DiVA: diva2:104584
Available from: 2006-03-06 Created: 2006-03-06 Last updated: 2017-12-14Bibliographically approved

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Holmberg, Lars

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