化疗管理表在乳腺癌个案管理中的应用效果研究

目的探讨化疗管理表在乳腺癌个案管理模式中的应用效果。方法采用便利抽样法,选取中山大学肿瘤防治中心2016年1月—2017年12月进入乳腺癌个案管理的乳腺癌患者为研究对象。将2016年1—12月收入的182例患者纳入对照组;将2017年1—12月收入的183例患者纳入干预组。对照组开展乳腺癌个案管理模式,干预组在此基础上应用化疗管理方案表对患者进行护理。比较两组干预效果。结果对照组按时完成化疗患者占98.35%(179/182),干预组为99.45%(182/183),两组化疗依从性比较差异无统计学意义(χ^2=0.258,P>0.05);对照组患者辅助检查按时完成率84.06%(153/182),干预组为98.36%(180/183),两组化疗辅助检查按时完成率比较差异有统计学意义(χ^2=21.559,P<0.01);对照组患者处理异常指标准确率为75.82%(138/182),干预组为92.90%(170/183),两组患者处理化疗辅助检查异常指标准确率比较差异有统计学意义(χ^2=20.182,P<0.01)。干预组患者主动向个案管理师汇报身体状况和检查结果共1020例次,对照组为210例次。结论乳腺癌个案管理模式应用化疗管理表能提高乳腺癌患者术后化疗辅助检查的依从性,提高处理异常检查指标的能力,提高患者主动咨询的积极性和个案管理师的工作效率。

Study on the application effect of chemotherapy management table on breast cancer case management

Objective To explore the application effect of chemotherapy management table in breast cancer case management mode.Methods By using the convenient sampling method,breast cancer patients who recruited the breast cancer case management were selected from January 2016 to December 2017 in the Sun Yat-Sen University Cancer Center as the research objects.182 patients who were admitted from January to December 2016 were included in the control group;183 patients who were admitted from January to December 2017 were included in the intervention group.The control group carried out the breast cancer case management mode,and the intervention group used the chemotherapy management plan table to nurse the patients.The intervention effect of the two groups was compared.Results In the control group,98.35%(179/182)patients completed chemotherapy on time,and in the intervention group,99.45%(182/183)patients completed chemotherapy on time.There was no significant difference in the compliance between the two groups(χ^2=0.258,P>0.05).In the control group,84.06%(153/182)patients completed the auxiliary examination on time,and in the intervention group,98.36%(180/183)patients completed the auxiliary examination on time.There was a significant difference between the two groups(χ^2=21.559,P<0.01).The standard accuracy rate of the treatment of abnormal index in the control group was 75.82%(138/182),and that in the intervention group was 92.90%(170/183).There was statistically significant difference between the two groups in the accuracy rate of the treatment of abnormal index in the auxiliary examination of chemotherapy(χ^2=20.182,P<0.01).Patients in the intervention group actively reported their physical condition and examination results to the case manager for a total of 1020 times,compared with 210 times in the control group.Conclusions The application of chemotherapy management table in breast cancer case management mode can improve the compliance of postoperative chemotherapy auxiliary examination of breast cancer patients,improve the ability to deal with abnormal examination indicators,improve the enthusiasm of patients'active consultation and the work efficiency of case managers.