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The Effect of Case Management on Improving the Quality of Life of Breast Cancer Patients in Chemotherapy

Received: 19 April 2020     Accepted: 11 May 2020     Published: 4 June 2020
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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.

Published in World Journal of Public Health (Volume 5, Issue 2)
DOI 10.11648/j.wjph.20200502.13
Page(s) 42-46
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Breast Cancer, Chemotherapy, Adverse reaction, Case Management, Quality of Life

References
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[3] Partridge AH, Rumble RB, Carey LA, et al. Chemotherapy and targeted therapy for women with human epidermal growth factor receptor 2-negative (or unknown) advanced breast cancer: American society of clinical oncology clinical practice guideline. J Clin Oncol, 2014, 32 (29): 3307-3329.
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[6] Song Yi, Gong Min, Yu Xiaojia. Concept and Application of Case Management [J]. Chinese Nursing Management, 2011, 11 (12): 92-93.
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[8] Liu Wei, Li Jianbin, Wang Tao, et al. Efficacy and Safety of Anthracyclines in Combination with Taxanes for Neo-adjuvant Chemotherapy in Patients with Breast Cancer [J]. Chinese Clinical Oncology, 2016, 21 (03): 228-232.
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  • APA Style

    Litao Zhang, Ming Xie, Caimei Hong. (2020). The Effect of Case Management on Improving the Quality of Life of Breast Cancer Patients in Chemotherapy. World Journal of Public Health, 5(2), 42-46. https://doi.org/10.11648/j.wjph.20200502.13

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    ACS Style

    Litao Zhang; Ming Xie; Caimei Hong. The Effect of Case Management on Improving the Quality of Life of Breast Cancer Patients in Chemotherapy. World J. Public Health 2020, 5(2), 42-46. doi: 10.11648/j.wjph.20200502.13

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    AMA Style

    Litao Zhang, Ming Xie, Caimei Hong. The Effect of Case Management on Improving the Quality of Life of Breast Cancer Patients in Chemotherapy. World J Public Health. 2020;5(2):42-46. doi: 10.11648/j.wjph.20200502.13

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  • @article{10.11648/j.wjph.20200502.13,
      author = {Litao Zhang and Ming Xie and Caimei Hong},
      title = {The Effect of Case Management on Improving the Quality of Life of Breast Cancer Patients in Chemotherapy},
      journal = {World Journal of Public Health},
      volume = {5},
      number = {2},
      pages = {42-46},
      doi = {10.11648/j.wjph.20200502.13},
      url = {https://doi.org/10.11648/j.wjph.20200502.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjph.20200502.13},
      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 (P2=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.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - The Effect of Case Management on Improving the Quality of Life of Breast Cancer Patients in Chemotherapy
    AU  - Litao Zhang
    AU  - Ming Xie
    AU  - Caimei Hong
    Y1  - 2020/06/04
    PY  - 2020
    N1  - https://doi.org/10.11648/j.wjph.20200502.13
    DO  - 10.11648/j.wjph.20200502.13
    T2  - World Journal of Public Health
    JF  - World Journal of Public Health
    JO  - World Journal of Public Health
    SP  - 42
    EP  - 46
    PB  - Science Publishing Group
    SN  - 2637-6059
    UR  - https://doi.org/10.11648/j.wjph.20200502.13
    AB  - 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 (P2=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.
    VL  - 5
    IS  - 2
    ER  - 

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Author Information
  • Department of Breast Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Breast Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • The First Affiliated Hospital, Jinan University, Guangzhou, China

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