多渠道自我管理模式的构建对乳腺癌术后化疗患者生活质量的影响

目的 观察构建多渠道自我管理模式对乳腺癌术后化疗患者生活质量的影响.方法 选取2018年10月～2019年10月西安交通大学第一附属医院行乳腺癌改良根治术或保乳术后化疗女性患者120例.随机数表法分为多渠道自我管理组(60例)和常规对照组(60例).常规对照组向患者发放健康宣教资料后电话随访;多渠道自我管理组指导患者通...

Effect of multi-channel self-management model on quality of life of breast cancer patients undergoing chemotherapy

Objective To observe the effect of multi-channel self-management model on the quality of life of breast cancer patients after chemotherapy.Methods A total of 120 female patients with breast cancer after modified radical mastectomy or breast conserving surgery in the First Affiliated Hospital of Xi’an Jiaotong University were selected. They were randomly divided into multichannel self-management group(60 cases)and conventional control group(60 cases).The patients in the control group were followed up by phone calls. The multi-channel self-management group guided patients to construct self-management mode through online app,WeChat group and offline talk. The Chinese version of cancer self-management efficacy(c-supply)and the Chinese version of breast cancer patients’ quality of life(FACT-B)were used to evaluate the self-management efficacy and quality of life. The scores of the two groups before and after 6 cycles of chemotherapy were compared,and the correlation between FACT-B and self-efficacy was analyzed.Results 117 patients completed the study.Before chemotherapy intervention,there was no significant difference in the total score and each dimension score between the two groups(P > 0.05).After 6 cycles of chemotherapy,the total score of FACT-B in the multi-channel management group increased to(92.76 ± 12.95)points,while that of the conventional control group was(84.22 ± 10.76)points. There were significant differences between the two groups in the total score and the scores of five dimensions(P < 0.05).The total score of c-supply in the multi-channel management group was(102.52 ± 11.86),the total score and the scores of three dimensions were significantly improved,compared with the conventional control group,the differences were statistically significant(P <0.01).The FACT-B score of patients was positively correlated with positive attitude of self-management,self-pressure and self-decision-making,with correlation coefficients of 0.814,0.627 and 0.732,respectively. Conclusion Comprehensive writing diary,mindfulness meditation,self-help group and other methods,through online APP,WeChat group and offline talk,can significantly improve the self-efficacy of patients,and then improve the quality of life of breast cancer patients with chemotherapy.