Evaluation of Implementation Effect of Cervical Cancer Comprehensive Treatment Patients With Whole-Course High-Quality Care Combined With Network Continuation Care.

Jing Chen,Hui Bai

doi:10.3389/fsurg.2022.838848

Jing Chen, Hui Bai

Open Access

https://doi.org/10.3389/fsurg.2022.838848

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Abstract

PurposeDiscuss the implementation effect of cervical cancer comprehensive treatment patients applying whole-course high-quality care combined with network continuation care.MethodsFrom August 2020 to August 2021, 120 patients who met the inclusion criteria for comprehensive treatment of cervical cancer were divided into the regular group (n = 60) who received conventional care and the joint group (n = 60) who received whole-course high-quality care combined with network continuation care, according to the method of care. The comprehensive treatment cognition level, comprehensive treatment compliance, adverse reaction rate, quality of life questionnaire (QLQ-C30) score, self-rating anxiety/depression scale (SAS/SDS) score, and nursing satisfaction were compared between the two groups.ResultsAfter care, the comprehensive treatment cognition score and comprehensive treatment compliance score were higher in the joint group than in the regular group (P < 0.05). After care, the incidence of radiation cystitis and radiation proctitis was lower in the joint group than that in the regular group (P < 0.05). After care, QLQ-C30 scores on symptom domains, functional domains, and single questions were higher in both groups than before care, and were higher in the joint group than in the regular group (P < 0.05). After care, SAS and SDS scores were lower in both groups than before care, and were lower in the joint group than in the regular group (P < 0.05). After care, the joint group was more satisfied with care than the regular group (P < 0.05).ConclusionThe implementation of cervical cancer comprehensive treatment patients with whole-course high-quality care combined with network continuation care has an ideal implementation effect, which can significantly increase the patient's cognition and compliance with treatment, the incidence of adverse reactions is less, the quality of life and emotional state have also improved significantly, and care satisfaction has also increased accordingly.

Highlights

Cervical cancer is a malignant tumor of the cervical canal and uterus and vagina associated with multiple factors such as human papillomavirus (HPV) infection, unclean sex, smoking, young age at first birth, prolificacy, immunosuppression, etc. [1, 2]
The regular group received conventional care interventions and the joint group received whole-course high-quality care combined with network continuation care interventions
It has been observed that after cervical cancer surgery, the sense of experience such as pain or incompleteness caused by surgical resection can lead to a range of negative emotions such as low self-esteem, loss, and depression [12, 13]; Damage to adjacent organs, fatigue or bone marrow suppression caused by radiotherapy can cause further damage to the patient’s health status and quality of life [14, 15]; the damage to the digestive tract caused by chemotherapy can lead to decreased appetite, nausea and vomiting, and even rejection of food, and the patient’s nutrient intake is insufficient, and the body’s immunity can be further reduced [16, 17]

Summary

Introduction

Cervical cancer is a malignant tumor of the cervical canal and uterus and vagina associated with multiple factors such as human papillomavirus (HPV) infection, unclean sex, smoking, young age at first birth, prolificacy, immunosuppression, etc. [1, 2]. How to improve the physical and mental status and treatment compliance of cervical cancer patients, enhance the quality of post-treatment survival, and reduce the occurrence of adverse reactions has become an urgent issue for medical professionals to address. The network continuous care is an out of hospital extension of in-hospital nursing service with wechat and other information tools as communication media to help patients solve nursing problems after discharge. It has the characteristics of low cost and high efficiency. Our department has applied the whole-course high-quality care combined with network continuation care to the care service of cervical cancer comprehensive treatment patients, and the effect is ideal, which is reported as follows

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