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The usefulness of a multidisciplinary educational programme after breast cancer surgery: A prospective and comparative study

Koinberg, IngaLill ; Langius-Eklof, Ann ; Holmberg, Lars and Fridlund, Bengt LU (2006) In European Journal of Oncology Nursing 10(4). p.273-282
Abstract
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... (More)
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. (Less)
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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
follow-up, education, breast cancer, coping ability, self-care, well-being
in
European Journal of Oncology Nursing
volume
10
issue
4
pages
273 - 282
publisher
Elsevier
external identifiers
  • wos:000245664600003
  • scopus:33748414326
  • pmid:16473549
ISSN
1462-3889
DOI
10.1016/j.ejon.2005.11.005
language
English
LU publication?
yes
id
2f9b65da-9dfb-4460-804a-68994fa9a01b (old id 668533)
date added to LUP
2016-04-01 11:34:38
date last changed
2022-01-26 07:15:04
@article{2f9b65da-9dfb-4460-804a-68994fa9a01b,
  abstract     = {{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 &lt; 0.01). The women in traditional follow-up by a physician increased their functional well-being while social/family well-being (P &lt; 0.01) decreased over time. There was a statistically significant difference in SOC (P &lt; 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.}},
  author       = {{Koinberg, IngaLill and Langius-Eklof, Ann and Holmberg, Lars and Fridlund, Bengt}},
  issn         = {{1462-3889}},
  keywords     = {{follow-up; education; breast cancer; coping ability; self-care; well-being}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{273--282}},
  publisher    = {{Elsevier}},
  series       = {{European Journal of Oncology Nursing}},
  title        = {{The usefulness of a multidisciplinary educational programme after breast cancer surgery: A prospective and comparative study}},
  url          = {{http://dx.doi.org/10.1016/j.ejon.2005.11.005}},
  doi          = {{10.1016/j.ejon.2005.11.005}},
  volume       = {{10}},
  year         = {{2006}},
}