Nurse-Led Mobile App Effect on Quality of Life in Breast Cancer Patients After Surgery: Nonrandomized Controlled Prospective Cohort Study (Step 3).

IF 2.4 3区 医学 Q1 NURSING Cancer Nursing Pub Date : 2024-11-20 DOI:10.1097/NCC.0000000000001418
Aydanur Aydin, Ayla Gürsoy
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Abstract

Background: Following surgery, women with breast cancer (BC) frequently experience emotional and physiological negative consequences.

Objective: To evaluate the effect of a nurse-led mobile app (NL-Mapp) intervention on quality of life (QoL) in patients after surgery for BC.

Methods: This single-center, 12-month, nonrandomized controlled trial, with 2 parallel groups, represents the final stage of 3-step research. In this study, women were assigned to either the intervention (n = 45) or control (n = 45) group. The intervention group participated in the NL-Mapp, whereas participants in the control group received standard care. The main outcomes were measured using the Functional Assessment of Cancer Therapy-Breast at 3 time points (baseline and 1 and 12 months after the intervention). Clinical Trial number: NCT06505538.

Results: The intervention participants reported significant improvement in physical well-being, emotional well-being, and the BC-specific subscale compared with the control group at the 1-month postsurgery mark. Equally noteworthy, at the 1-year follow-up, consistent improvements were observed across all QoL subscale scores for the intervention group, except for the BC-specific subscale for additional concerns.

Conclusion: Our study revealed a notable enhancement in the QoL among postoperative women with BC who utilized the NL-Mapp. This program emerges as an effective intervention for providing short-term and longer-term supportive care to women affected by BC, leading to tangible improvements in their QoL.

Implication for nursing: The study's findings offer valuable evidence supporting the integration of mobile health services into clinical and transitional nursing care.

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护士主导的移动应用程序对乳腺癌患者术后生活质量的影响:非随机对照前瞻性队列研究(第 3 步)。
背景:乳腺癌(BC)女性患者在手术后经常会经历情绪和生理方面的负面影响:评估护士主导的移动应用程序(NL-Mapp)干预对乳腺癌术后患者生活质量(QoL)的影响:这项为期 12 个月的单中心非随机对照试验分为两个平行组,是三步研究的最后阶段。在这项研究中,妇女被分配到干预组(45 人)或对照组(45 人)。干预组参加 NL-Mapp 试验,而对照组则接受标准护理。主要结果在 3 个时间点(基线、干预后 1 个月和 12 个月)使用乳腺癌治疗功能评估进行测量。临床试验编号NCT06505538.Results:结果:与对照组相比,干预参与者在术后1个月的身体健康、情绪健康和乳腺癌特异性子量表方面均有明显改善。同样值得注意的是,在一年的随访中,干预组的所有 QoL 分量表得分均有持续改善,但 BC 特定分量表中的额外担忧除外:我们的研究表明,使用 NL-Mapp 的 BC 术后妇女的 QoL 显著提高。该计划是一项有效的干预措施,可为受 BC 影响的妇女提供短期和长期支持性护理,从而切实改善她们的 QoL:研究结果为将移动医疗服务融入临床和过渡性护理提供了宝贵的证据。
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来源期刊
Cancer Nursing
Cancer Nursing 医学-护理
CiteScore
4.80
自引率
3.80%
发文量
244
审稿时长
6-12 weeks
期刊介绍: Each bimonthly issue of Cancer Nursing™ addresses the whole spectrum of problems arising in the care and support of cancer patients--prevention and early detection, geriatric and pediatric cancer nursing, medical and surgical oncology, ambulatory care, nutritional support, psychosocial aspects of cancer, patient responses to all treatment modalities, and specific nursing interventions. The journal offers unparalleled coverage of cancer care delivery practices worldwide, as well as groundbreaking research findings and their practical applications.
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