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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
Johns Hopkins University, Department of Acute and Chronic Care, School of Nursing, Baltimore, MD, USA.
National Institute of Health, Symptom Management Branch, National Institute of Nursing, Research, Bethesda, MD, USA.
Johns Hopkins Medical Institutions, Baltimore, MD, USA.
Skaraborg Hospital, Department of Research and Development Centre, Skövde, Sweden.ORCID iD: 0000-0001-9559-0952
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2012 (English)In: Psycho-Oncology, ISSN 1057-9249, E-ISSN 1099-1611, Vol. 22, no 3, 530-539 p.Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
John Wiley & Sons, 2012. Vol. 22, no 3, 530-539 p.
Keyword [en]
self-management, coping strategy, quality of life, high dose chemotherapy, breast cancer
National Category
Medical and Health Sciences
Research subject
Medical sciences
Identifiers
URN: urn:nbn:se:his:diva-5875DOI: 10.1002/pon.3031ISI: 000315652500007PubMedID: 22290808Scopus ID: 2-s2.0-84874749049OAI: oai:DiVA.org:his-5875DiVA: diva2:526585
Available from: 2012-05-14 Created: 2012-05-14 Last updated: 2015-03-03Bibliographically approved

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Kenne Sarenmalm, ElisabethBrowall, Maria
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