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01.02.2013 | Original Article

Nurse-led follow-up care for head and neck cancer patients: a quasi-experimental prospective trial

verfasst von: Jacqueline de Leeuw, Judith B. Prins, Steven Teerenstra, Matthias A. W. Merkx, Henri A. M. Marres, Theo van Achterberg

Erschienen in: Supportive Care in Cancer | Ausgabe 2/2013

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Abstract

Purpose

The aim of this study was to compare conventional medical follow-up with follow-up containing additional nursing consultations regarding the psychosocial adjustment and health-related quality of life (HRQOL) of head and neck cancer patients.

Methods

Using a quasi-experimental design, patients were enrolled consecutively into two groups. Experimental care covered six 30-min bimonthly nursing follow-up consultations during the first year posttreatment. Data were collected at posttreatment months 1 (baseline), 6, and 12 for both groups.

Results

The intervention group was significantly worse at baseline, based on two of the seven adjustment scales and on the majority of HRQOL scales. However, their outcome at 6 and 12 months was consistent with that of the group which received conventional follow-up. Thus, the intervention group had a larger improvement in scores, and this was significant for one of the seven adjustment scales and 19 of the 33 HRQOL scales at 6 and 12 months, respectively. Most of the differences in HRQOL scales were clinically relevant at 6 months.

Conclusion

These results suggest that nurse-led consultations for patients with head and neck cancer have a positive effect, primarily with respect to HRQOL. Nurse-led follow-up leads to a similar psychosocial adjustment as conventional follow-up, even among patients who showed worse performance at the start of follow-up. Thus, nurse-led follow-up may be a cost-effective way to improve follow-up care for this patient group.

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Titel: Nurse-led follow-up care for head and neck cancer patients: a quasi-experimental prospective trial
verfasst von: Jacqueline de Leeuw
Judith B. Prins
Steven Teerenstra
Matthias A. W. Merkx
Henri A. M. Marres
Theo van Achterberg
Publikationsdatum: 01.02.2013
Verlag: Springer-Verlag
Erschienen in: Supportive Care in Cancer / Ausgabe 2/2013
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-012-1553-1

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Nurse-led follow-up care for head and neck cancer patients: a quasi-experimental prospective trial