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全程个案管理模式对乳腺癌患者全程规范化治疗依从性及满意度的效果

Efficacy of the Whole-Course Case Management Model on Compliance and Satisfaction of Breast Cancer Patients with Whole-Course Standardized Treatment.

作者信息

Jin Lijun, Zhao Yunyan, Wang Peng, Zhu Ran, Bai Jie, Li Jie, Jia Xue, Wang Zunyi

机构信息

Department of Thyroid and Breast Surgery Department III, Cangzhou Central Hospotal, Cangzhou, China.

Department of Tumour Medicine Ward, Cangzhou Central Hospital, Cangzhou, China.

出版信息

J Oncol. 2022 Jun 24;2022:2003324. doi: 10.1155/2022/2003324. eCollection 2022.

DOI:10.1155/2022/2003324
PMID:35783153
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9249505/
Abstract

OBJECTIVE

To explore the influence of the whole-course case management model on the compliance and satisfaction of breast cancer patients with the whole-course standardized treatment.

METHODS

Eighty breast cancer patients admitted to our hospital between April 2020 and June 2021 were assigned to receive either conventional nursing (routine group,  = 40) or whole-process case management (experimental group,  = 40) according to different nursing methods. Outcome measures included self-rating anxiety scale (SAS) scores, self-rating depression scale (SDS) scores, adverse reactions, treatment compliance, and nursing satisfaction.

RESULTS

After nursing, the SAS and SDS scores of the experimental group were significantly lower than those of the routine group ( < 0.05). The whole case management mode was associated with a significantly lower incidence of adverse reactions versus routine nursing ( < 0.05). The whole case management resulted in higher compliance of patients versus routine nursing ( < 0.05). The experimental group had a significantly higher nursing satisfaction versus the routine group ( < 0.05).

CONCLUSION

The whole-process case management mitigates patients' negative emotions, strengthens their treatment compliance, lowers the incidence of postoperative adverse reactions, and improves nursing satisfaction, which may provide a viable nursing alternative for patients with breast cancer.

摘要

目的

探讨全程个案管理模式对乳腺癌患者全程规范化治疗依从性及满意度的影响。

方法

选取2020年4月至2021年6月在我院收治的80例乳腺癌患者,根据不同护理方法分为常规护理组(常规组,n = 40)和全程个案管理组(实验组,n = 40)。观察指标包括焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、不良反应、治疗依从性及护理满意度。

结果

护理后,实验组的SAS和SDS评分显著低于常规组(P < 0.05)。与常规护理相比,全程个案管理模式的不良反应发生率显著降低(P < 0.05)。与常规护理相比,全程个案管理使患者的依从性更高(P < 0.05)。实验组的护理满意度显著高于常规组(P < 0.05)。

结论

全程个案管理可减轻患者负面情绪,增强其治疗依从性,降低术后不良反应发生率,提高护理满意度,可为乳腺癌患者提供一种可行的护理方式。

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