| 周广华,王丹,李玉翠,刘洪梅,杨文红.基于个案管理模式的出院计划对乳腺癌术后化疗患者的干预效果[J].济宁医学院学报,2025,48(4):320-324 |
| 基于个案管理模式的出院计划对乳腺癌术后化疗患者的干预效果 |
| Intervention effect of discharge plan based on case management model on postoperative chemotherapy patients with breast cancer |
| 投稿时间：2025-01-02 |
| DOI：10.3969/j.issn.1000-9760.2025.04.007 |
| 中文关键词: 乳腺癌;个案管理;出院计划;出院准备度;出院指导质量;自我管理效能 |
| 英文关键词: Breast cancer;Case management;Discharge planning;Discharge readiness;Quality of discharge guidance;Self-management efficacy |
| 基金项目:济宁市重点研发计划项目(2023JNZC110) |
| 作者 | 单位 | E-mail | | 周广华 | 济宁市第一人民医院护理部 | | | 王丹 | 济宁市第一人民医院护理部 | wangliuxu2001@163.com | | 李玉翠 | 济宁市第一人民医院乳腺中心, 济宁 272000 | | | 刘洪梅 | 济宁市第一人民医院护理部 | | | 杨文红 | 济宁市第一人民医院护理部 | |
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| 中文摘要: |
| 目的 探讨基于个案管理模式的出院计划对乳腺癌术后化疗患者的干预效果。方法 选取山东省济宁市某三甲医院乳腺中心2023年4月到2024年3月收治的160例乳腺癌术后化疗患者,随机分为干预组和对照组各80例,对照组采取常规护理,干预组在常规护理基础上实施基于个案管理模式的出院计划,组建个案管理团队、建立个性化电子档案、动态调整康复目标、实施模拟居家场景训练、开展多周期延续随访。比较两组患者的出院指导质量、出院准备度、自我管理效能、30 d非计划再入院率。结果 干预组出院指导质量(203.66±22.65)分,出院准备度(105.30±11.55)分,自我管理效能(118.01±15.1)分,分别高于对照组的(160.73±28.48)分、(85.21±14.72)分、(81.69±20.1)分,差异均有统计学意义(P＜0.05);干预组30 d非计划再入院率为(3.75%)低于对照组(13.75%),差异有统计学意义(P=0.047)。结论 基于个案管理模式的出院计划,有助于提高乳腺癌术后化疗患者的出院指导质量、出院准备度及自我管理效能,降低30 d非计划再入院率。 |
| 英文摘要: |
| Objective To explore the intervention effect of discharge plan based on case management model on breast cancer patients undergoing postoperative chemotherapy. Method 160 breast cancer patients who received chemotherapy after surgery in a tertiary A hospital breast center in Jining,Shandong Province from April 2023 to March 2024 were selected and randomly divided into an intervention group and a control group with 80 cases each.The control group received routine nursing care,while the intervention group received a case management model-based discharge plan on the basis of routine nursing care,including forming a case management team,establishing personalized electronic health records,dynamically adjusting rehabilitation goals,conducting simulated home environment training,and performing multi-cycle continuous follow-ups.The quality of discharge guidance,discharge readiness,self-management efficacy,and 30-day unplanned readmission rate were compared between the two groups. Results The intervention group demonstrated significantly higher scores in discharge guidance quality,discharge readiness,and self-management efficacy compared to the control group.The scores for the intervention group were 203.66±22.65,105.30±11.55,and 118.01±15.1,respectively,whereas the control group scored 160.73±28.48,85.21±14.72,and 81.69±20.1.All differences were statistically significant (P＜0.05).Additionally,the 30-day unplanned readmission rate in the intervention group (3.75%) was lower than that in the control group (13.75%). Conclusion The discharge plan based on case management mode is helpful to improve the discharge guidance quality,discharge preparation and self-management efficiency of breast cancer patients receiving chemotherapy after surgery,and reduce the 30-day unplanned readmission rate. |
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