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The usefulness of a multidisciplinary educational programme after breast cancer surgery: A prospective and comparative study
Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
Department of Nursing, Karolinska Institutet, Stockholm, Sweden.
Department of Surgical Sciences, Division of Surgery, Uppsala University, Uppsala, Sweden.
Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
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. (c) 2006 Elsevier Ltd. All rights reserved.

Place, publisher, year, edition, pages
London: Churchill Livingstone , 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:hh:diva-18707DOI: 10.1016/j.ejon.2005.11.005ISI: 000245664600003PubMedID: 16473549Scopus ID: 2-s2.0-33748414326OAI: oai:DiVA.org:hh-18707DiVA: diva2:540897
Available from: 2012-07-12 Created: 2012-06-25 Last updated: 2012-12-21Bibliographically approved

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