A Randomized Clinical Trial to Evaluate Advanced Nursing Care for Women with Newly Diagnosed Breast Cancer.
Annual rept. 1 Oct 96-30 Sep 97,
PARK NICOLLETT MEDICAL FOUNDATION MINNEAPOLIS MN
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The purpose of this randomized clinical trial is to evaluate the impact of an advanced practice nurse on the cost of care and quality of life for women newly diagnosed with breast cancer. The control group receives standard medical care while the experimental group receives standard medical care plus advanced practice nursing care. Of the patients eligible for the study, 71 211 women agreed to participate, with an attrition rate of 11. Interventions of the advanced practice nurses APN including coordination of care, education, and support are ongoing with patients in the experimental group. Preliminary analysis of the Mishel Uncertainty in Illness Scale MUIS at one month showed that patients receiving APN interventions had significantly better scores on the sub-scales of complexity understanding the system of care, inconsistency receiving consistent information, and unpredictability contingency between illness, treatment cues and illness outcomes, than the control group p 0.01. Intervention subjects also had less depression at one month pO.05. No statistical differences were found in other scores during this acute intervention phase. In 1999, final analysis will be conducted on cost outcomes using charge and reimbursement data and quality of life outcomes using the FACT-B, POMS, and the MUIS.
- Economics and Cost Analysis
- Personnel Management and Labor Relations
- Medicine and Medical Research