Zhou Ru, Xu Chan-Ling
Department of Comprehensive Surgery II, Jiangnan University Affiliated Hospital, Wuxi 214101, Jiangsu Province, China.
World J Clin Cases. 2024 Sep 26;12(27):6070-6076. doi: 10.12998/wjcc.v12.i27.6070.
Globally, prostate cancer has become a major threat to men's health, with an increasing incidence and causes serious effects on the quality and length of life of patients. Despite the rapid development of medical technology, which provides treatments, including surgery, radiotherapy, and endocrine therapy, the treatment of patients with prostate cancer, especially with endocrine therapy, has become a major challenge in clinical treatment owing to the lengthy course of treatment, side effects of drugs, and impact of the disease on the psychological and physiological functioning of the patient, producing poor treatment adherence and a decline in quality of life.
To explore effects of nursing intervention prioritizing patient safety and case management in patients with prostate cancer undergoing endocrine therapy.
Eighty patients with prostate cancer who received endocrine therapy at our hospital between January 2022 and January 2024 were divided into observation and control groups with 40 cases per group. The control group was treated using a routine nursing workflow while the observation group received case management nursing guidance prioritizing patient safety. Scores for anxiety and depression, prostate cancer symptoms, and quality of life and patient compliance and satisfaction were compared between the groups after three months of intervention.
After the nursing intervention, the anxiety and depression scores of the observation group were significantly lower than those of the control group ( < 0.05). The quality of life score, sexual function, and hormone function were significantly higher than those in the control group ( < 0.05).
Case management guidance based on patient safety effectively reduced anxiety and depression in patients undergoing endocrine therapy for prostate cancer and improved their quality of life, treatment compliance, and satisfaction.
在全球范围内，前列腺癌已成为男性健康的主要威胁，其发病率不断上升，对患者的生活质量和寿命产生严重影响。尽管医疗技术迅速发展，提供了包括手术、放疗和内分泌治疗在内的治疗方法，但前列腺癌患者的治疗，尤其是内分泌治疗，由于治疗疗程长、药物副作用以及疾病对患者心理和生理功能的影响，已成为临床治疗中的一项重大挑战，导致治疗依从性差和生活质量下降。
探讨以患者安全为优先的护理干预和个案管理对接受内分泌治疗的前列腺癌患者的影响。
选取2022年1月至2024年1月在我院接受内分泌治疗的80例前列腺癌患者，分为观察组和对照组，每组40例。对照组采用常规护理流程，观察组接受以患者安全为优先的个案管理护理指导。干预三个月后，比较两组患者的焦虑和抑郁评分、前列腺癌症状、生活质量以及患者的依从性和满意度。
护理干预后，观察组的焦虑和抑郁评分显著低于对照组（<0.05）。生活质量评分、性功能和激素功能显著高于对照组（<0.05）。
基于患者安全的个案管理指导有效地降低了接受前列腺癌内分泌治疗患者的焦虑和抑郁，提高了他们的生活质量、治疗依从性和满意度。
