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

Research output: Contribution to journalArticle

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 < 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.

Details

Authors
  • IngaLill Koinberg
  • Ann Langius-Eklof
  • Lars Holmberg
  • Bengt Fridlund
Organisations
Research areas and keywords

Subject classification (UKÄ) – MANDATORY

  • Health Sciences

Keywords

  • follow-up, education, breast cancer, coping ability, self-care, well-being
Original languageEnglish
Pages (from-to)273-282
JournalEuropean Journal of Oncology Nursing
Volume10
Issue number4
Publication statusPublished - 2006
Publication categoryResearch
Peer-reviewedYes