Meneses Karen Dow, McNees Patrick, Loerzel Victoria W, Su Xiaogang, Zhang Ying, Hassey Lauren A
School of Nursing, The University of Alabama, Birmingham, USA.
Oncol Nurs Forum. 2007 Sep;34(5):1007-16. doi: 10.1188/07.ONF.1007-1016.
PURPOSE/OBJECTIVES: To examine the effectiveness of a psychoeducational intervention on quality of life (QOL) in breast cancer survivors in post-treatment survivorship.
A randomized controlled trial.
An academic center collaborating with a regional cancer center in the southeastern United States.
256 breast cancer survivors.
Women were randomly assigned to the experimental or wait control group. The Breast Cancer Education Intervention (BCEI) study was delivered in three face-to-face sessions and five monthly follow-up sessions (three by telephone and two in person). The control group received four monthly attention control telephone calls and the BCEI at month 6. Data were collected at baseline, three and six months after the BCEI for the experimental group, and one month after the BCEI (at month 7) for the wait control group.
Primary endpoints were overall QOL and physical, psychological, social, and spiritual well-being.
No differences in QOL were reported at baseline between groups. The experimental group reported improved QOL at three months, whereas the wait control group reported a significant decline in QOL. The experimental group reported continued maintenance of QOL at six months. Although the wait control group reported improved QOL at six months, significant differences continued to exist between the groups.
The BCEI was an effective intervention in improving QOL during the first year of breast cancer survivorship. Treatment effects were durable over time.
Post-treatment survivorship has not been empirically studied to a large degree. The BCEI is one of the few interventions demonstrating effectiveness among survivors after primary treatment, suggesting that oncology nurses may be uniquely positioned to provide safe passage using education and support.
目的/目标：探讨心理教育干预对乳腺癌幸存者治疗后生活质量（QOL）的有效性。
随机对照试验。
美国东南部一所学术中心与一个地区癌症中心合作开展。
256名乳腺癌幸存者。
女性被随机分配到实验组或等待对照组。乳腺癌教育干预（BCEI）研究通过三次面对面会议和五次每月随访会议进行（三次通过电话，两次亲自参加）。对照组每月接受四次关注对照电话，并在第6个月接受BCEI。实验组在BCEI后3个月和6个月收集数据，等待对照组在BCEI后1个月（第7个月）收集数据。
主要终点是总体生活质量以及身体、心理、社会和精神健康状况。
两组在基线时报告的生活质量无差异。实验组在3个月时报告生活质量有所改善，而等待对照组报告生活质量显著下降。实验组在6个月时报告生活质量持续维持。尽管等待对照组在6个月时报告生活质量有所改善，但两组之间仍存在显著差异。
BCEI是改善乳腺癌幸存者第一年生活质量的有效干预措施。治疗效果随时间持续存在。
治疗后生存尚未得到大量实证研究。BCEI是少数在初次治疗后幸存者中显示出有效性的干预措施之一，这表明肿瘤护士可能具有独特的地位，可通过教育和支持为幸存者提供安全过渡。
