Abstract
Objective: The study attempts to explore the effect of case management on improving the quality of life of breast cancer patients in chemotherapy. Methods: We selected 138 patients who were pathologically diagnosed with breast cancer and were receiving chemotherapy in our department, and averagely divided them into control group and observation group. The control group was given usual nursing care and telephone follow-up after discharge while in the observation group, case management model was employed besides the intervention the control group received. After that, we observed the quality of life and the total incidence of adverse reactions (myelosuppression, gastrointestinal discomfort, skin reaction, allergic reaction, infusion tube related complications, etc.) of the two groups. We used the quality of life questionnaire made by the European Organization for Research and Treatment of Cancer (EORCTQLQ-C30) to evaluate the quality of life of the two groups and compared that between the two groups before and after intervention. Results: During chemotherapy, the score on somatic function, role function, emotional function, social function, cognitive function and general health of the observation group was higher than that of the control group (P<0.05). Besides, the total incidence of adverse reactions of the observation group (30.43%) was significantly lower than that of the control group (53.62%) (χ2=7.614, P=0.000). Conclusions: Case management for breast cancer patients in chemotherapy can reduce adverse reactions caused by chemotherapy and increase treatment compliance so as to improve the quality of life of patients.
Highlights
Breast cancer is of the highest incidence among female malignant tumors and maintains an upward trend [1]
In order to reduce adverse reactions in chemotherapy and improve the quality of life of patients, we provided one-on-one case management services for 138 breast cancer patients in chemotherapy from December 2017 to November 2018 and achieved satisfactory results
The case management helps alleviate the discomfort caused by the treatment-induced complications and motivate the patients to actively participate in their own treatment and rehabilitation plan, increasing their treatment compliance, which is conducive to their recovery
Summary
Breast cancer is of the highest incidence among female malignant tumors and maintains an upward trend [1]. Chemotherapy as one of the major treatment for breast cancer is likely to cause gastrointestinal discomfort, myelosuppression, hand-foot syndrome, allergic reaction and many other adverse reactions [3,4]. The adverse reactions reduce the quality of life of patients and the treatment effect [5]. The case management, through case manager for tumor, based on multi-specialist team including specialist physicians, professional nurses and other medical staff, provides individualized, thorough and professional guidance and consultation for patients to ensure complete treatment and care for individual patient [6]. In order to reduce adverse reactions in chemotherapy and improve the quality of life of patients, we provided one-on-one case management services for 138 breast cancer patients in chemotherapy from December 2017 to November 2018 and achieved satisfactory results
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