کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2122892 1547191 2011 10 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Nurse-led telephone follow-up and an educational group programme after breast cancer treatment: Results of a 2 × 2 randomised controlled trial
موضوعات مرتبط
علوم زیستی و بیوفناوری بیوشیمی، ژنتیک و زیست شناسی مولکولی تحقیقات سرطان
پیش نمایش صفحه اول مقاله
Nurse-led telephone follow-up and an educational group programme after breast cancer treatment: Results of a 2 × 2 randomised controlled trial
چکیده انگلیسی

ObjectiveTo investigate whether frequent hospital follow-up in the first year after breast cancer treatment might partly be replaced by nurse-led telephone follow-up without deteriorating health-related quality of life (HRQoL), and whether a short educational group programme (EGP) would enhance HRQoL.Patients and methodsA multicentre pragmatic randomised controlled trial (RCT) with a 2 × 2 factorial design was performed among 320 breast cancer patients who were treated with curative intent. Participants were randomised to follow-up care as usual (3-monthly outpatient clinic visits), nurse-led telephone follow-up, or the former strategies combined with an educational group programme. The primary outcome for both interventions was HRQoL, measured by EORTC QLQ-C30. Secondary outcomes were role and emotional functioning and feelings of control and anxiety.ResultsData of 299 patients were available for evaluation. There was no significant difference in HRQoL between nurse-led telephone and hospital follow-up at 12 months after treatment (p = 0.42; 95% confidence interval (CI) for difference: −1.93–4.64) and neither between follow-up with or without EGP (p = 0.86; 95% CI for difference: −3.59–3.00). Furthermore, no differences between the intervention groups and their corresponding control groups were found in role and emotional functioning, and feelings of control and anxiety (all p-values >0.05).ConclusionReplacement of most hospital follow-up visits in the first year after breast cancer treatment by nurse-led telephone follow-up does not impede patient outcomes. Hence, nurse-led telephone follow-up seems an appropriate way to reduce clinic visits and represents an accepted alternative strategy. An EGP does not unequivocally affect positive HRQoL outcomes.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: European Journal of Cancer - Volume 47, Issue 7, May 2011, Pages 1027–1036
نویسندگان
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