Accession Number:

ADA371299

Title:

A Randomized Clinical Trial to Evaluate Advance Nursing Care for Women with Newly Diagnosed Breast Cancer.

Descriptive Note:

Annual rept. 1 Oct 97-30 Sep 98

Corporate Author:

PARK NICOLLETT MEDICAL FOUNDATION MINNEAPOLIS MN

Personal Author(s):

Report Date:

1998-10-01

Pagination or Media Count:

35.0

Abstract:

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. Interventions of the advanced practice nurses APN include coordination of care, education, direct care, and support. The two year study has been completed by 135210 64 women. Univariate analyses indicate uncertainty decreased on the Mishel Uncertainty in Illness Scale MUIS from baseline significantly more in the intervention group than the control group at 1 month p .001, 3 months p .026, and 6 months p .011 after diagnosis. At 12 months the two groups showed similar decreases in uncertainty p .589. The intervention group showed greater reduction of the MUIS sub-scales of complexity, inconsistency, and unpredictability p .002, .004, .008 respectively. Changes in mood states and well being did not differ significantly in the four follow-up periods which have received preliminary analysis. Cost of care data has been collected for 118210 56 participants. After data is collected for the entire sample, analysis of the cost data will begin. Translation of study results into clinical practice is occurring concurrent with interpretation of results. A second study with a modified APN intervention, all analyses, and reporting of all results will be completed 93099 as per statement of work.

Subject Categories:

  • Anatomy and Physiology
  • Medicine and Medical Research

Distribution Statement:

APPROVED FOR PUBLIC RELEASE