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Appears in Collections:Faculty of Health Sciences and Sport Systematic Reviews
Peer Review Status: Refereed
Title: Specialist breast care nurses for supportive care of women with breast cancer
Author(s): Cruickshank, Susanne
Kennedy, Catriona
Lockhart, Karen
Dosser, Isabel
Dallas, Lorraine
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Citation: Cruickshank S, Kennedy C, Lockhart K, Dosser I & Dallas L (2008) Specialist breast care nurses for supportive care of women with breast cancer. Cochrane Database of Systematic Reviews, 2008 (1), Art. No.: CD005634.
Keywords: anxiety
breast cancer
breast care
British nursing index
cancer radiotherapy
cancer staging
clinical effectiveness
clinical trial
Cochrane Library
controlled clinical trial
coping behavior
distress syndrome
follow up
functional status
health care access
health care cost
intermethod comparison
medical care
medical specialist
nursing care
outcome assessment
patient satisfaction
psychosocial care
quality of life
randomized controlled trial
social aspect
Issue Date: 2008
Date Deposited: 15-Mar-2016
Publisher: Wiley-Blackwell for The Cochrane Collaboration
Abstract: Background: Breast Care Nurses (BCNs) are now established internationally, predominantly in well resourced healthcare systems. The role of BCNs has expanded to reflect the diversity of the population in which they work, and the improvements in survival of women with breast cancer. Interventions by BCNs aim to support women and help them cope with the impact of the disease on their quality of life.  Objectives: To assess the effectiveness of individual interventions carried out by BCN's on quality of life outcomes for women with breast cancer.  Search strategy: We searched the Cochrane Breast Cancer Group Specialised Register and the Cochrane Central Register of Controlled Trials (15 January 2007). We also searched MEDLINE (1966 to September 2006), CINAHL (1982 to September 2006), EMBASE (1980 to September 2006), British Nursing Index (1984 to September 2006), CancerLit (1961 to September 2006), PsycInfo (1967 to September 2006), Library and Info Science Abstracts (LISA) (1969 to September 2006), Dissertation Abstracts International (only available 2005 to September 2006). We contacted authors as appropriate.  Selection criteria: Randomised controlled trials assessing the effects of interventions carried out by BCN's on quality of life outcomes, for women with breast cancer.  Data collection and analysis: Two authors independently assessed relevant studies for inclusion and undertook data extraction and quality assessment of included studies.  Main results: We incuded five studies, categorised into three groups. Three studies assessing psychosocial nursing interventions around diagnosis and early treatment found that the BCN could affect some components of quality of life, such as anxiety and early recognition of depressive symptoms. However, their impact on social and functional aspects of the disease trajectory was inconclusive. Supportive care interventions during radiotherapy was assessed by one study which showed that specific BCN interventions can alleviate perceived distress during radiotherapy treatment, but did not improve coping skills, mood or overall quality of life. One study assessed nurse-led follow-up interventions in which no statistically significant difference was identified for main demographic variables, satisfaction with care, access to medical care or anxiety and depression.  Authors' conclusions: There is limited evidence at this time to support the contention that interventions by BCNs assist in the short-termwith the recognition and management of psychological distress for women with breast cancer. Further research is required before the impact of BCNs on aspects of quality of life for women with breast cancer can be known.
Article no.: CD005634
Type: Journal Article
Affiliation: Health Sciences Research - Stirling - LEGACY
Edinburgh Napier University
Edinburgh Napier University
Edinburgh Napier University
Breast Cancer Care

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