Construction and application of case management platform for breast cancer extended care led by oncology specialist nurses
Year: 2025
Type: article
Study designs: Randomized Controlled Trial, Clinical Trial
Abstract: Background: To construct a breast cancer extended care case management platform led by oncology specialist nurses and verify its application effect in breast cancer patients. Methods: A total of 120 breast cancer patients in a grade-A cancer hospital in Hangzhou from April to October 2022 were selected as the study objects and randomly divided into the experimental group (60 cases) and the control group (60 cases). The experimental group was provided with breast cancer case management platform to support intervention based on breast cancer case nursing, while the control group was provided with breast cancer case nursing. Self-management behavior, self-efficacy, disease uncertainty, and quality of life were compared between the two groups before intervention, 3 months and 6 months after intervention. Findings: 56 patients in the experimental group and 55 in the control group completed the study. The intergroup effect, time effect and interaction effect of self-management behavior and self-efficacy of two groups were statistically significant (P < 0.05). The time and interaction effects of disease uncertainty and quality of life were statistically significant (P < 0.05). The inter-group effect and time effect of upper arm and shoulder joint function scores were statistically significant (P < 0.05). After 3 months and 6 months of intervention, all indexes of the experimental group were better than those of the control group (P < 0.05). The rate of unplanned visits between 3 months and 6 months of intervention in both groups was 17.9%, which was lower than 36.4% in the control group (P < 0.05). Interpretation: The breast cancer extended care case management platform realizes home self-health management of breast cancer patients during the interval of chemotherapy, which not only helps to improve the self-management ability and quality of life of breast cancer patients during the interval of chemotherapy, enhances the upper arm and shoulder joint function of patients, but also reduces the disease uncertainty and unplanned re-visit rate of breast cancer patients during the interval of chemotherapy. Clinical Relevance: The development of WeChat Mini program for breast cancer case management could meet the clinical requirements of oncology nurse specialists, and self-management needs of patients. It might be a practical nursing tool to facilitate oncology transitional care in the future.
Institution: Hangzhou Normal University
Language: English
Topic: Cancer survivorship and care
Subfield: Oncology
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $4,250
OpenAlex ID: W4407631361