Chillakunnel Hussain Rawther Shejila, Pai Mamatha Shivananda, Fernandes Donald J, Mathew Stanley, Binu V S, Chakrabarty Jyothi, Devi Elsa Sanatombi, George Anice, Nayak Baby S
Manipal College of Nursing, Manipal University, India.
Department of Radiotherapy & Oncology, Kasturba Medical College, Manipal University, India.
J Adv Nurs. 2017 Apr;73(4):977-988. doi: 10.1111/jan.13203. Epub 2016 Dec 1.
To evaluate the effectiveness of a Nurse Navigator Programme on anxiety, psychological distress and quality of life in people with breast cancer.
Breast cancer is the most frequently detected malignancy and a major cause of cancer death among women around the world. The lengthy course of illness from initial diagnosis to treatment and subsequent follow-up causes deterioration in physical, psychological and social status among patients. Nurses have a major role in cancer care. As women with breast cancer have to undergo various treatment modalities, continued care by a pivot nurse is thought to enhance treatment adherence. Limited studies have been reported from developing countries on Nurse Navigation Programmes.
A Stratified Randomized controlled trial with repeated measures.
One hundred and twenty newly diagnosed women with breast cancer admitted to surgery wards of a tertiary care hospital in South India will be recruited. (Project funded in Octo"ber 2014). Women are randomly allocated to a control and intervention group. The outcome variables are anxiety, psychological distress and quality of life. Data on outcome measures will be collected at five different time points: before surgery, at discharge, beginning of adjuvant therapy, middle of adjuvant therapy and at the end of adjuvant therapy.
This study may give evidence on the effectiveness of a Nurse Navigator Programme for women with breast cancer. If significant effects were detected, the programme could be integrated into hospital services to improve the patient care.
评估护士导航计划对乳腺癌患者焦虑、心理困扰及生活质量的效果。
乳腺癌是全球女性中最常被检测出的恶性肿瘤，也是癌症死亡的主要原因。从最初诊断到治疗及后续随访的漫长病程会导致患者身体、心理和社会状况恶化。护士在癌症护理中发挥着重要作用。由于乳腺癌女性患者必须接受各种治疗方式，由一名关键护士持续护理被认为可提高治疗依从性。发展中国家关于护士导航计划的研究报道有限。
一项采用重复测量的分层随机对照试验。
将招募120名新诊断为乳腺癌且入住印度南部一家三级护理医院外科病房的女性患者。（该项目于2014年10月获得资助）。女性患者被随机分配至对照组和干预组。结局变量为焦虑、心理困扰和生活质量。将在五个不同时间点收集结局指标数据：手术前、出院时、辅助治疗开始时、辅助治疗中期和辅助治疗结束时。
本研究可能为护士导航计划对乳腺癌女性患者的有效性提供证据。如果检测到显著效果，该计划可纳入医院服务以改善患者护理。
