Improvements in physical and mental health following a rehabilitation programme for breast cancer patients

Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Division of Social Work, Södersjukhuset, Stockholm, Sweden.
European journal of oncology nursing: the official journal of European Oncology Nursing Society (Impact Factor: 1.43). 02/2011; 15(1):12-5. DOI: 10.1016/j.ejon.2010.05.004
Source: PubMed


To investigate how breast cancer patients referred to in-patient rehabilitation at Mösseberg Rehabilitation Centre (MRC) in Sweden perceive their life situation, and if their life satisfaction and mental health have changed three months later.
This prospective study is based on 46 women, all of them in working age. Three validated questionnaires were used, the Life Satisfaction (Li-Sat 11) scale, the Maastricht Questionnaire and the Shirom-Melamed Burnout Questionnaire (SMBQ).
Statistically significant improvements for the variables physical and mental health were seen in the measurements made using the Li-Sat 11 scale. The SMBQ survey showed a statistically significant improvement in the composite results for the indices involved. Likewise, the Maastricht Questionnaire showed statistically significant improvements in health status with respect to feelings of exhaustion and fatigue.
More effective treatments have resulted in an increase in the number of breast cancer survivors and in the demand for rehabilitation. This study shows improvements in health and satisfaction with health, but cannot conclude this result as only an effect of the rehabilitation programme. Since only a few studies have until now shed light on the benefits of in-patient rehabilitation following a breast cancer diagnosis, there is an urgent need for continued research in this area.

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    • "A number of studies describe different multidimensional supportive and rehabilitation programmes led by multi-disciplinary teams, targeting unspecific diagnosis of cancer e.g. [5, 12, 13] and cancer survivors [14-16] or specific diagnosis of cancer, including prostate [17], breast [18, 19] and gynecological cancer [20]. Frequently reported specific therapies included in supportive and rehabilitation programmes are cycling, walking or strength training [5, 16]. "
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    ABSTRACT: Cancer support and rehabilitation are suggested to be an integral part of cancer care strategies. This study focuses on comparativeness of cancer support and rehabilitation programmes. The aim of this study was to analyse available cancer support and rehabilitation programmes in Sweden presented as complementary to cancer rehabilitation at cancer clinics. A multiple case study design was chosen in order to inquire the small number of existing supportive and rehabilitative cancer programmes. Based on the structures, processes and outcomes of the nine included programmes, three types of cancer support and rehabilitation programmes were identified: multimodal rehabilitation, comprehensive cancer support and art therapy. Cancer support and rehabilitation programmes offer a variety of activities and therapies which are highly valuable and relevant for people with cancer. The typology of cancer support and rehabilitation programmes and comparability between programmes need further inquiry.
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    • "Breast cancer is one of the most common malignancies affecting women worldwide.[1] Because of modern treatment options, more and more women are being cured of their malignancies.[2] Although mortality rate and the number of people dying from the breast cancer have declined[3] and survival rate has increased due to early detection, with advanced technology and effectiveness of current treatment plans,[4] however, a lot of patients suffer from treatment side effects. "
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    ABSTRACT: The purpose of this study was to compare the quality of life (Qol) of female breast cancer survivors who received rehabilitation intervention beside medical care and survivors who received medical care alone. Fifty-seven female breast cancer survivors were assigned to usual medical care (control group) or to usual medical care plus rehabilitation intervention (experimental group). Qol of all patients was assessed before, 1 week and 3 months after intervention. The intervention consisted of physiotherapy, education and individual counseling. The authors used the European Organization for Research and Treatment of Cancer core questionnaire and breast module (EORTC QLQ-C30/BR23) for the assessment of Qol. Patients who received rehabilitation had significantly better Qol. Overall, mean of Qol scores improved gradually in experimental group from before to 1 week and 3 months after intervention. In contrast, minimal change was observed between pre/post and follow-up measures for control group. Rehabilitation after breast cancer treatment has the potential for physical, psychological and overall Qol benefits.
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