Application effect of case management pattern on tongue neoplasms surgery patients

Abstract

Objective To study the effect of case management pattern on tongue cancer free flap repair patients. Methods A total of 148 cases of tongue cancer patients who were treated in the head and neck surgery department of Hu'nan Cancer Hospital from January 2015 to October 2016 were randomly selected as the research object. They were divided into intervention group (74 cases) and control group (74 cases) . The conventional management model of head and neck cancer was applied in the control group, at the same time, the intervention group adopted the case management pattern by assessing, planning, implementing, evaluating and responding to improve the effect of recovery and the tongue cancer patients' quality of life. University of Washington quality of life questionnaire (UW-QOL) , the health behavior of Omaha evaluation criteria, and mini-mental adjustment to cancer scale (Mini-MAC) were applied to evaluate patients' situation of the two groups 1 week and 6 months after surgery. Results At the time point of 1 week after surgery, the scores of the health behavior of Omaha evaluation criteria and Mini-MAC of the control group were (40.74±2.58) , (33.15±1.90) respectively, while the scores of the intervention group were (46.09±1.83) , (30.38±2.26) respectively, and there were statistical differences (P<0.05) . After 6 months, the scores of UW-QOL, the health behavior of Omaha evaluation criteria and Mini-MAC of the control group were (829.54±65.94) , (63.66±3.63) , (30.68±3.71) , and the intervention group scores were (1 124.13±46.74) , (75.54±1.36) , (27.61±2.31) respectively. The differences between two groups were statistically significant (t=-31.35, -26.38, 6.04; P<0.01) . Conclusions Case management model can effectively improve the quality of life in patients with tongue cancer after surgery. It was suggest to have positive effect on patients' health behavior and mental adaptation. Key words: Tongue neoplasms; Quality of life; Mental adaptation; Postoperative rehabilitation; Case management mode