title: Day surgery for breast cancer: effects of a psychoeducational telephone intervention on functional status and emotional distress.
abstract: OBJECTIVE
  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.
  
  
  METHODS
  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.
  
  
  METHODS
  The convenience sample was drawn from five regional centers located in different geographic areas (urban and rural regions) in Quebec, Canada.
  
  
  METHODS
  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.
  
  
  METHODS
  Functional status and emotional distress.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Health Sciences Department, University of Quebec, Rimouski, Canada. nicole_allard@uqar.qc.ca
authors.forename: Nicole C
authors.initials: NC
authors.lastname: Allard
mesh_terms: D000328:Adult; D000556:Ambulatory Surgical Procedures / Q000451:nursing* / Q000523:psychology*; D001943:Breast Neoplasms / Q000451:nursing* / Q000523:psychology / Q000601:surgery*; D005260:Female; D006801:Humans; D007407:Interviews as Topic / Q000379:methods*; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods*; D011446:Prospective Studies; D011792:Quebec