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Satisfaction, utilisation and perceived benefit of individual psychosocial support for breast cancer patients: A randomised study of nurse versus psychologist interventions
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Oncology, Radiology and Clinical Immunology.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Oncology, Radiology and Clinical Immunology.
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2006 (English)In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 62, no 2, 235-243 p.Article in journal (Refereed) Published
Abstract [en]

Objective: In a prospective, randomised study, individual psychosocial support performed by: (1) specially trained oncology nurses (INS) or (2) psychologists (IPS) were compared with respect to utilisation, satisfaction and perceived benefit.

Methods: Between December 1997 and December 1999, consecutive breast cancer patients (n = 120) were included at start of adjuvant therapy (chemo-, endocrine and/or loco-regional radiotherapy). Data were collected by an extended version of the 'IPS-patient satisfaction questionnaire' within I week after termination of the support intervention. Questionnaires were also mailed to all patients 6, 12 and 18-24 months after inclusion. Levels of distress were collected with the Hospital Anxiety and Depression Scale (HADS) and Impact of Event Scale (IES) questionnaires.

Results: The patients were highly satisfied with the individual psychosocial support intervention they received, irrespective of which profession provided the support. However, the patients in the INS group reported higher levels of benefit regarding disease-related problems, regardless if the patients at baseline reported low or high levels of distress.

Conclusions: Patients were highly satisfied with an individual psychosocial support intervention. In areas dealing with somatic aspects, the group intervened by nurses were more satisfied than the one by psychologists.

Practice implications: Individual psychosocial support by specially trained nurses is a realistic alternative in routine cancer care.

Place, publisher, year, edition, pages
2006. Vol. 62, no 2, 235-243 p.
Keyword [en]
Cancer, Breast cancer, Patient satisfaction, Psychotherapy
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-96018DOI: 10.1016/j.pec.2005.07.008ISI: 000239475300012PubMedID: 16500071OAI: oai:DiVA.org:uu-96018DiVA: diva2:170424
Available from: 2007-05-24 Created: 2007-05-24 Last updated: 2011-06-28Bibliographically approved
In thesis
1. Individual psychosocial support for breast cancer patients: Quality of life, psychological effects, patient satisfaction, health care utilization and costs
Open this publication in new window or tab >>Individual psychosocial support for breast cancer patients: Quality of life, psychological effects, patient satisfaction, health care utilization and costs
2007 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

A randomized intervention study, with the aim to compare the effects of individual psychosocial support provided by (1) oncology nurses specially trained in psychological techniques (INS), or (2) psychologists (IPS), to (3) standard care (SC). Breast cancer patients, living in Uppsala County, and about to start adjuvant treatment at the Department of Oncology, Uppsala, were consecutively included between 1998 and 2000. The patients were assessed seven times during two years by self-administered questionnaires. Study I revealed positive effects of both INS and IPS as compared to SC on global quality of life, side effects, and post-traumatic distress. A lower proportion of patients in the intervention groups had psychosocial support provided in routine care compared with the SC group. In study II the patients reported being highly satisfied with the intervention, irrespective of profession providing the support. However, patients in the INS group reported higher levels of benefit regarding disease-related problems than those in the IPS group. In study III total Health Care costs were lower in the intervention groups and since a gain in quality-adjusted life years (QALY) was seen (mean .1 QALY), the interventions dominated. The costs for the interventions were 44 291- 48 978 SEK. In study IV, daily reporting of anxiety, depression and activity on Visual Analogue Scales (VAS) were completed during two weeks before and after the Hospital Anxiety and Depression Scale (HADS) assessments. A point assessment with the HADS captured the situation better than four weeks assessment on three VAS in the diary. The HADS was considered preferable to the diary. The conclusion is that psychosocial support is beneficial for breast cancer patients and that the intervention delivered by nurses was as effective as that given by psychologists. The costs for the interventions were limited.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2007. 73 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 268
Keyword
Oncology nursing, Breast cancer patients, Individual psychosocial support, Intervention study, Randomized, Quality of life, Psychological effects, Patient satisfaction, Health care utilization and costs, Onkologisk vård
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-7929 (URN)978-91-554-6922-1 (ISBN)
Public defence
2007-09-07, Auditorium Minus, Gustavianum, Uppsala, 09:00
Opponent
Supervisors
Available from: 2007-05-24 Created: 2007-05-24 Last updated: 2013-08-29Bibliographically approved

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Arving, CeciliaThalén Lindström, AnnikaWasteson, Elisabet

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