Long-term effect of the self-management comprehensive coping strategy program on quality of life in patients with breast cancer treated with high-dose chemotherapy

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Gaston-Johansson, FannieJohns Hopkins University, Department of Acute and Chronic Care, School of Nursing, Baltimore, MD, USA (author)

Long-term effect of the self-management comprehensive coping strategy program on quality of life in patients with breast cancer treated with high-dose chemotherapy

Article/chapterEnglish2013

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2012-01-31
John Wiley & Sons,2013
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LIBRIS-ID:oai:DiVA.org:hj-39250
https://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-39250URI
https://doi.org/10.1002/pon.3031DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-5875URI
http://kipublications.ki.se/Default.aspx?queryparsed=id:126345474URI

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Language:English
Summary in:English

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SwePubSwePub

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

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BACKGROUND: This study aims to examine the effectiveness of a self-management multimodal comprehensive coping strategy program (CCSP) on quality of life (QOL) among breast cancer patients 1 year after treatment.METHODS: Patients (n = 110) with stage II, III, or IV breast cancer scheduled to receive high dose chemotherapy and autologous hematopoietic stem cell transplantation were randomized to either CCSP treatment or control group. The CCSP intervention was taught 2 week before hospital admission with reinforcement at specified times during treatment and 3 months after discharge. The CCSP components included educational information, cognitive restructuring, coping skills enhancement, and relaxation with guided imagery. Instruments administered at baseline included the following: Quality of Life Index-Cancer Version (QOLI-CV), State-Trait Anxiety Inventory, Beck Depression Inventory, and Coping Strategies Questionnaire. At 1-year follow-up, patients (n = 73) completed and returned the follow-up QOLI-CV.RESULTS: Patients were mainly ≥40 years of age, married, Caucasian, and diagnosed with advanced breast cancer. A model measuring effectiveness of CCSP on QOL (total and subscale) at 1-year follow-up showed that the CCSP group (n = 38) had significant improvement in overall QOL (p < 0.01), health and functioning (p < 0.05), and socioeconomic (p < 0.05) and psychological/spiritual well-being (p < 0.01) compared with the control group (n = 35). The CCSP patients frequently used the CCSP to manage psychological (51%) and sleep problems (60%).CONCLUSIONS: The CCSP improved QOL for patients at 1-year follow-up. Patients overwhelmingly reported that CCSP was beneficial. The CCSP as an effective coping intervention has potential as a self-management program for breast cancer survivors.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Omvårdnad hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Nursing hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Cancer och onkologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Cancer and Oncology hsv//eng
SAMHÄLLSVETENSKAP Psykologi Tillämpad psykologi hsv//swe
SOCIAL SCIENCES Psychology Applied Psychology hsv//eng
self-management
coping strategy
quality of life
high dose chemotherapy
breast cancer
Medical sciences
Medicin

Added entries (persons, corporate bodies, meetings, titles ...)

Fall-Dickson, Jane M.National Institute of Health, Symptom Management Branch, National Institute of Nursing, Research, Bethesda, MD, USA (author)
Nanda, Joy P.Johns Hopkins Medical Institutions, Baltimore, MD, USA (author)
Kenne Sarenmalm, ElisabethSkaraborg Hospital, Department of Research and Development Centre, Skövde, Sweden (author)
Browall, MariaKarolinska Institutet,Högskolan i Skövde,Institutionen för vård och natur(Swepub:his)bror (author)
Goldstein, NancyJohns Hopkins University, Department of Acute and Chronic Care, School of Nursing, Baltimore, MD, USA (author)
Johns Hopkins University, Department of Acute and Chronic Care, School of Nursing, Baltimore, MD, USANational Institute of Health, Symptom Management Branch, National Institute of Nursing, Research, Bethesda, MD, USA (creator_code:org_t)

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In:Psycho-Oncology: John Wiley & Sons22:3, s. 530-5391057-92491099-1611

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