Day surgery for breast cancer: effects of a psychoeducational telephone intervention on functional status and emotional distress.

Abstract:

PURPOSE/OBJECTIVES: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. DESIGN: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. SETTING:The convenience sample was drawn from five regional centers located in different geographic areas (urban and rural regions) in Quebec, Canada. SAMPLE:117 patients with primary breast cancer who underwent day surgery as part of their initial treatment for cancer. METHODS:Data collection and nursing intervention via telephone interviews. MAIN RESEARCH VARIABLES:Functional status and emotional distress. FINDINGS:Significant differences between the experimental and control group were found at post-test on home management, total mood disturbance, confusion, and tension scores. CONCLUSIONS:The AFSMI was effective in reducing emotional distress and enhancing physical functioning. IMPLICATIONS FOR NURSING: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.

journal_name

Oncol Nurs Forum

journal_title

Oncology nursing forum

authors

Allard NC

doi

10.1188/07.ONF.133-141

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

133-41

issue

1

eissn

0190-535X

issn

1538-0688

pii

U5M821101452860X

journal_volume

34

pub_type

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