The Effect of Individual Care of Case Manager on Breast Cancer Patients

Lingling Wang,Junnan Lin,Yuhua Ma

doi:10.11648/j.ajns.20200903.18

Abstract

Objective: To assess influence of individual care of case manager on breast cancer patients. Methods: 99 participants who were diagnosed as breast cancer were invested to join our study, their diagnose time is from October 2018 to March 2019. We randomly assign the participants to the two different groups, that include control group (n = 51) and the intervention group (n = 48). In control group, the participants received traditional care services which were follow the standards required by the hospital. Additionally, the intervention group participants receive individual care. our researchers collected the information, that include anxiety information, depression information, patient satisfaction and patient informed. We collected data using the following questionnaires: Self-Rating Anxiety Scale (SAS), Self-rating depression scale (SDS) and some simple questionnaire. Result: In participants characteristics, most participants are early breast cancer in our research result [22 (45.8%) & 25 (49.0%)]. The number of secondary is metaphase of breast cancer group, it is just a few fewer people than early breast cancer group [18 (37.5%) & 20 (39.2%)]. In research of satisfaction and informed intervention group has higher score than that of control group in satisfaction assessment and informed assessment. In anxiety status and depression status, the intervention group has better performance than that of control group in SAS and SDS (53.5+10.44 vs 41.5+8.82 & 49.75+9.45 vs 40.25+5.11). Conclusion: The individual care of case manager has good improvement in breast cancer patient’s mental health. In particular, the intervention group participants who receive individual care of case manager have better performance in satisfaction research, anxiety research and depression research.

Highlights

Breast cancer had estimated new cancer cases and deaths of ranks tops in all types of cancer, it is a major health problem in women [1, 2]
Breast cancer is surrounded with lots of fat pad, which providing the basic niche for tumor initiation and progression [5, 6]
From Orsaria’s report, breast cancer is a heterogeneous disorder that is categorized by gene expression into five major biologically distinct subtypes: luminal A, luminal B, overexpressing, basal, and normal-like epidemics growth factor receptor-2 (HER2) [15]

Summary

Introduction

Breast cancer had estimated new cancer cases and deaths of ranks tops in all types of cancer, it is a major health problem in women [1, 2]. Super-utilizer-associated health care costs decrease by 26.6%to 40.9% when patients seek care for non-emergent con-ditions at appropriate medical facilities. Aim of this study is assess the effect of individual care of case manager on breast cancer patients. Methods depression scale (SDS) and some simple questionnaire [13, 14] Their inclusion criteria were: (1) the patients were diagnosed as breast cancer; (2) Patients volunteered to participate in follow-up; (3) Patients are treated and hospitalized in our medical organization. Their withdraw criteria were: (1) patients had complications in treatment process; (2) The patient had other severe disease

Statistical Analysis

Result

Findings

Discussion