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

Eur J Oncol Nurs. 2006 Sep;10(4):273-82. doi: 10.1016/j.ejon.2005.11.005. Epub 2006 Feb 13.

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.

Publication types

  • Comparative Study
  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activities of Daily Living
  • Adaptation, Psychological
  • Aftercare / organization & administration*
  • Aftercare / psychology
  • Aged
  • Attitude to Health
  • Breast Neoplasms / nursing
  • Breast Neoplasms / psychology
  • Breast Neoplasms / surgery
  • Health Services Needs and Demand
  • Health Status
  • Humans
  • Mastectomy / nursing
  • Mastectomy / psychology
  • Mastectomy / rehabilitation*
  • Medical Oncology / organization & administration*
  • Middle Aged
  • Nursing Education Research
  • Nursing Evaluation Research
  • Outcome Assessment, Health Care
  • Patient Care Team / organization & administration*
  • Patient Education as Topic / organization & administration*
  • Program Evaluation
  • Prospective Studies
  • Self Care / psychology
  • Surveys and Questionnaires
  • Sweden