title: Efficacy of an in-home nursing intervention following short-stay breast cancer surgery.
abstract: This randomized controlled trial (n = 240) was designed to test the efficacy of a sub-acute home nursing intervention following short-stay surgery for breast cancer. Intervention participants received the in-home nursing protocol, whereas non-intervention participants received agency nursing care or no nursing care. Data, collected via questionnaire, telephone interview, and chart audit, included surgical recovery/self-care knowledge, functional status, anxiety, quality of life (QOL), and health service utilization. There were no significant group differences on postoperative functional status, anxiety, QOL, further surgeries, or complications. Intervention participants were more likely to receive instruction on surgical self-care (p <or=.001) and report improved social/family QOL (p <or=.05), with fewer home visits (p <or=.001). These findings suggest that a targeted nursing protocol may, at reasonable cost, improve QOL and enhance health-related knowledge.
authors.affiliation: College of Nursing, 422 West Fee Hall, Michigan State University, East Lansing, MI 48824, USA.
authors.forename: Gwen K
authors.initials: GK
authors.lastname: Wyatt
authors.forename: Laurie Friedman
authors.initials: LF
authors.lastname: Donze
authors.forename: Kathryn Christensen
authors.initials: KC
authors.lastname: Beckrow
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000451:nursing* / Q000534:rehabilitation / Q000601:surgery; D003152:Community Health Nursing / Q000379:methods; D005260:Female; D006699:Home Care Services; D006801:Humans; D008875:Middle Aged; D015146:Midwestern United States; D010353:Patient Education as Topic; D011183:Postoperative Complications; D011788:Quality of Life; D012648:Self Care; D013997:Time Factors; D016896:Treatment Outcome