Day Surgery for Breast Cancer: Effects of a Psychoeducational Telephone Intervention on Functional Status and Emotional Distress

Abstract

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.

The mobile phone as a tool in improving cancer care in Nigeria

“…The widespread availability of mobile phones has suddenly provided a new, inexpensive means of communication, even for those in remote areas. Despite the fact that communication, both face-toface and by telephone, is well proven to be important for patients [1][2][3][4][5][6][7][8][9][10][11][12][13][14], there has been little study of telephone support for patients with cancer in Nigeria, a low resource country.…”

Care requirements of patients with advanced cancer within a specialist centre – moving to person-centered approaches

“…These out-reach calls offer an alternative to routine follow-up hospital visits, potentially reducing the burden on outpatient clinic services and negating the need for patients to travel [18][19][20][21][22][23]. Furthermore, nurse-led telephone interventions provide psychological support, address informational needs [18,24], reduce emotional distress and enhance physical functioning for cancer patients [25]. These studies also suggest interactions by nurse specialists can promote patient self-management and reduce acute service utilisation.…”

“…While in a cohort of patients with poorly controlled type 1 diabetes, hospital admissions were not reduced and psychological functioning did not improve but patients rated the calls as helpful [40]. Within a cancer setting Allard [25] showed that a telephone intervention following day surgery for 117 patients with breast cancer reduced emotional distress and enhanced physical functioning and Anastasia [41] describes the benefits of nurse-led telephone management of chemotherapy side-effects when the nurse is highly skilled and familiar with treatment related side-effects. In this study the out-reach calls were deemed important when considered in light of the patients' reluctance to ask doctors all their questions during clinic appointments.…”

Reasons for Nursing Telephone Counseling From Individuals Discharged in the Early Postoperative Period After Breast Surgery

“…Bradshaw, Pritchett, Bryce, Coleman, and Nattress (1999) and Kleinpell (1997) determined that same-day surgery patients' general condition, wound, pain, and adaptation of ADLs need to be evaluated in the early stage after discharge. It has been shown in the literature that physiological (e.g., symptom management) and psychological (e.g., anxiety and ADLs adaptation) problems are followed via telephoning and that this makes home care easier (Allard, 2007;Badger et al, 2005;Beaver et al, 2009;Chamberlain Wilmoth et al, 2006;Coleman et al, 2005;Dewar et al, 2004;Kleinpell, 1997;McKinstry et al, 2009;Scott et al, 1998;Twomey, 2000). However, no such care is offered in Turkey.…”

“…One area of intense discussion on this topic is that of breast surgery, which has physiological, psychological, and social effects on women's health. Several studies conducted in recent years have included telephone consultation services in the care and monitoring of patients discharged early after surgery (Allard, 2007; Baron et al., 2000; Bonnema et al., 1998; Mander, Cunnick, Daultrey, & Wishart, 1998; Murphy & Holcombe, 2001; Twomey, 2000). Heseltine and Edlington (1998) reported that postoperative monitoring is an inseparable part of nursing care and, for this reason, that there is a need in day surgery procedures for perioperative nurses to go beyond the hospital boundaries.…”