Treatment at a day-care hospice of patients after mastectomy for breast cancer improves their physical and mental health
Keywords:Physical and mental health, Breast cancer, Hospice
AbstractObjective. The aim of this research was to establish whetherthree-month treatment by a multidisciplinary team at a daycarehospice improves the physical and mental health (PMH)of patients after mastectomy for breast tumours and after thecompletion of oncological therapy. Patients and methods. Bya prospective study undertaken on the palliative care ward ofthe University Clinical Centre in Tuzla, Bosnia and Herzegovinafrom May 2006 to May 2007, 35 patients were surveyedwho had undergone mastectomy for breast tumours and hadcompleted specific oncological therapy. The treatment by theteam at the day-care hospice lasted three months. For an assessmentof PMH a SF-36 scale was used. In the statistics weused the even T-test and the Wilcox test. The difference wasseen to be significant at p < 0.05. Results. The overall physicalhealth of the patients examined after treatment at the daycarehospice was taken to be 0.55 (0.31 – 0.86) points and wasstatistically significantly better than the test before treatmentat 0.42 (0.27- 0.83; p < 0.0001). Improvement was achieved inthe sub-scales of general health and physical function. Treatmentin the day-care hospice of the patients examined alsoled to improvement of their overall mental health, especiallyon the sub-scale of social functioning and mental health.Conclusion. The research established the improvement of allaspects of mental health and most aspects of physical healthin the patients after three months’ treatment by a multidisciplinaryteam at the day-care hospice.
Ebright PR, Lyon B. Understanding hope and factors that enhance hope in women with breast cancer. Oncology Nursing Forum. 2002;29(3):561-8.
Dongbo F, Yongming D, McGowan P, Fu H. Qualitative evaluation of Chronic Disease Self management Program (CDSMP) in Shanghai. Patient Education and Counselling. 2006;61(3):389-96.
Extermann M. Management issues for elderly patients with breast cancer. Current Treatment Options in Oncology. 2004;(5):161-9.
Given BA, Given CW, Kozachik S. Family Support
in Advanced Cancer. Cancer J Clin. 2001; (51):213.
Sherman AC, Pennington J, Latif U, Farley H, Arent L, Simonton S. Patient Preferences Regarding Cancer Group Psychotherapy Interventions: A View From the Inside. Psychosomatics. 2007;(48): 426-32.
Twycross R. Introduction Palliative Care. Oxon Radcliffe Medical Press Ltd., 1999.
Turner J, Hayes S, Reul-Hirche H. Improving the physical status and quality of life of women treated for breast cancer: a pilot study of a structured exercise intervention. J Surg Oncol. 2004;86(3):141-6.
Hasselkus BR, Jacques ND. Occupational therapy and hospice. American Journal of Occupational Therapy. 1998;(52):872-3.
Gibson A. Daily hospis. In: Saunders C, Sykes N. Editors. The management of terminal malignant disease. Oxford: Oxford University Press. 1993. p. 236-6.
Manocchia M, Bayliss MS, Connor J, Keller SD, Shiely JC, Tasai C. SF-36 Health Survey Annotated Bibliography: Second Edition (1988-1996). Boston, MA: The Health Assessment Lab. New England medical Center; 1998. www.ncbi.nlm.nih.gov/pmc/articles/
Ware JE, Snow KK, Kosinski M, Gandek B. SF-36 Health Survey Manual and Interpretation Guide. Boston, MA: New England Medical Center; The Health Institute; 1993. //www.sf-36.org/tools/acknowledgement.shtml
Sheree H, Sandra CH, Beth N. Level of physical activity and characteristics associated with change following breast cancer diagnosis and treatment. Psycho-Oncology. 2008;18(4):387-94.
Plass A, Koch U. Participation of oncological outpatients in psychosocial support. Psychooncology. 2001;10(6):511-20.
Ganz PA, Guadagnoli E, Landrum MB, Lash TL, Rakowski W, Silliman RA Breast Cancer in Older Women: Quality of Life and Psychosocial Adjustment in the 15 Months After Diagnosis. Journal of Clinical Oncology. 2003;21:4027-33.
Casso D, Buist DS, Taplin S. Quality of life of 5-10 year breast cancer survivors diagnosed between age 40 and 49. Health Quality Life Outcomes. 2004;18(2):25.