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基于用户画像的“互联网 +”护理模式对乳腺癌术后康复的影响:一项前瞻性随机对照临床试验。

Effects of the "Internet +" nursing model based on user profiling on postoperative recovery in breast cancer: A prospective randomized controlled clinical trial.

作者信息

Xie Xiuyuan, Ren Yuanfang, Yao Jia, Fei Yujie, Liu Fenghe, Tong Qian, Huang Juanjuan, Kou Meihong, Jin Cuifeng, Yang Weijuan, Xu Haiping

机构信息

Department of General Surgery, the First Affiliated Hospital of Nanjing Medical University, Jiangsu, China.

School of Public Health, Boston University, Boston, United States.

出版信息

Int J Nurs Sci. 2025 Jun 11;12(4):361-368. doi: 10.1016/j.ijnss.2025.06.003. eCollection 2025 Jul.

Abstract

OBJECTIVES

This study aimed to explore the effectiveness and advantages of an "Internet +" nursing model based on user profiling in the rehabilitation of postoperative breast cancer patients.

METHODS

Breast cancer patients admitted to the hospital from July 2023 to September 2024 were enrolled. These patients were randomly assigned to a control group and an intervention group, with 52 patients in each group. The control group received routine nursing care, while the intervention group received an "Internet +" nursing intervention based on user profiling in addition to routine care. The intervention period lasted for one month following discharge. Before and one month after the intervention, the Fear of Progression Questionnaire-Short Form (FOP-Q-SF), the Fear of Cancer Recurrence Inventory-Short Form (FCRI-SF), Chinese Posttraumatic Growth Inventory (C-PTGI), and the Functional Assessment of Cancer Therapy-Breast (FACT-B) were applied to assess the effects of interventions.

RESULTS

A total of 104 patients were analyzed. After the intervention, FOP-Q-SF and FCRI-SF scores were significantly lower in the intervention group compared to the control group, with statistical significance ( = 3.98, < 0.001; = -7.59, < 0.001) and Cohen's of 0.781 and 1.49, respectively. Additionally, C-PTGI and FACT-B scores in the intervention group were significantly higher than those in the control group ( -6.534, 0.001 -4.579, 0.001), with Cohen's of 0.585 and 0.656.

CONCLUSIONS

An "Internet +" nursing model based on user profiling could reduce postoperative breast cancer patients fear of disease progression and cancer recurrence, also enhancing posttraumatic growth and overall quality of life.

摘要

目的

本研究旨在探讨基于用户画像的“互联网 +”护理模式在乳腺癌术后患者康复中的有效性和优势。

方法

选取2023年7月至2024年9月入院的乳腺癌患者。这些患者被随机分为对照组和干预组,每组52例。对照组接受常规护理,干预组在常规护理基础上接受基于用户画像的“互联网 +”护理干预。干预期为出院后1个月。在干预前和干预1个月后,应用癌症进展恐惧问卷简表(FOP-Q-SF)、癌症复发恐惧量表简表(FCRI-SF)、中文版创伤后成长问卷(C-PTGI)和乳腺癌治疗功能评估量表(FACT-B)评估干预效果。

结果

共分析104例患者。干预后,干预组的FOP-Q-SF和FCRI-SF评分显著低于对照组,差异有统计学意义( = 3.98, < 0.001; = -7.59, < 0.001),Cohen's 值分别为0.781和1.49。此外,干预组的C-PTGI和FACT-B评分显著高于对照组( -6.534, 0.001; -4.579, 0.001),Cohen's 值分别为0.585和0.656。

结论

基于用户画像的“互联网 +”护理模式可降低乳腺癌术后患者对疾病进展和癌症复发的恐惧,同时促进创伤后成长和提高总体生活质量。

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