The purpose of this study was to analyze the opportunities and willingness of women to take care of themselves after an operation for breast cancer. The expectations and experiences which women had about their clinical supervision and support during their care were studied. The sample group consisted of one-sixth of the approximately 600 women in southwestern Finland who had developed breast cancer in the previous 3 years. A questionnaire was sent to the subjects. Statistical analysis of the data was based on percentage distributions with correlations, cross-tabulation and loglinear models. The patients reported that they were willing to take part in their own care but that, unfortunately, at all levels they received insufficient professional support and information. We concluded that our health care system insufficiently supports patients' recovery.
To determine the efficacy of a nursing intervention based on self-regulation theory known as the Attentional Focus and Symptom Management Intervention (AFSMI) in enhancing physical and emotional well-being in women who underwent day surgery for breast cancer.
Randomized clinical block trial; subjects were randomly allocated to the experimental group (n = 61) or the usual care (control) group (n = 56). Subjects in the experimental group received the AFSMI during two phone sessions, at 3-4 days and 10-11 days after surgery.
The convenience sample was drawn from five regional centers located in different geographic areas (urban and rural regions) in Quebec, Canada.
117 patients with primary breast cancer who underwent day surgery as part of their initial treatment for cancer.
Data collection and nursing intervention via telephone interviews.
Functional status and emotional distress.
Significant differences between the experimental and control group were found at post-test on home management, total mood disturbance, confusion, and tension scores.
The AFSMI was effective in reducing emotional distress and enhancing physical functioning.
Findings validate the use of the self-regulation model in designing individualized nursing interventions. Redirecting attention and focusing on concrete objective features hold potential in developing other innovative nursing interventions.
INTRODUCTION: After the establishment of a centralised unit for the surgical treatment of breast cancer in the county of Copenhagen, Denmark, a number of parameters concerning the quality of patients' in-hospital stay were established. A survey of patients' experiences was done via a questionnaire in which they described their satisfaction level. MATERIALS AND METHODS: Two questionnaires including 43 questions were sent to 400 women recently operated on for primary breast cancer. They were returned by 269 patients, who were included in the study. RESULTS: The patients indicated a high degree of satisfaction with the general aspects of their hospital stay, but problems and possible areas of future improvement were also identified. CONCLUSION: Even with a malignant diagnosis and a short hospital stay, patients may regard the treatment course positively if and when the course is firmly anchored in well-established quality goals.
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