Retrospective Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatry. Jun 19, 2024; 14(6): 876-883
Published online Jun 19, 2024. doi: 10.5498/wjp.v14.i6.876
Personalized and continuous care intervention affects rehabilitation, living quality, and negative emotions of patients with breast cancer
Ling-Xia Kong, Yan-Hong Zhao, Zhi-Lin Feng, Ting-Ting Liu
Ling-Xia Kong, Zhi-Lin Feng, Ting-Ting Liu, Department of Breast Surgery, The First Affiliated Hospital of Hebei North University, Zhangjiakou 075000, Hebei Province, China
Yan-Hong Zhao, Operating Room, The First Affiliated Hospital of Hebei North University, Zhangjiakou 075000, Hebei Province, China
Author contributions: Kong LX designed the research and wrote the paper; Zhao YH analyzed the data and reviewed the paper; Feng ZL and Liu TT collected the information and revised the paper; all authors have read and approve the final manuscript.
Supported by Zhangjiakou Science and Technology Plan Project, No. 2322112D.
Institutional review board statement: This study was reviewed and approved by the Institutional Ethics Committee of The First Affiliated Hospital of Hebei North University.
Informed consent statement: The Institutional Ethics Committee approved an exemption from informed consent.
Conflict-of-interest statement: Dr. Kong has nothing to disclose.
Data sharing statement: The data used in this study can be obtained from the corresponding author upon request.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ling-Xia Kong, MBBS, Nurse, Department of Breast Surgery, The First Affiliated Hospital of Hebei North University, No. 12 Changqing Road, Qiaoxi District, Zhangjiakou 075000, Hebei Province, China. konglingxia1975@163.com
Received: February 29, 2024
Revised: April 22, 2024
Accepted: April 25, 2024
Published online: June 19, 2024
Processing time: 111 Days and 4.1 Hours
Abstract
BACKGROUND

Breast cancer is among the most common malignancies worldwide. With progress in treatment methods and levels, the overall survival period has been prolonged, and the demand for quality care has increased.

AIM

To investigate the effect of individualized and continuous care intervention in patients with breast cancer.

METHODS

Two hundred patients with breast cancer who received systemic therapy at The First Affiliated Hospital of Hebei North University (January 2021 to July 2023) were retrospectively selected as research participants. Among them, 134 received routine care intervention (routing group) and 66 received personalized and continuous care (intervention group). Self-rating anxiety scale (SAS), self-rating depression scale (SDS), and Functional Assessment of Cancer Therapy-Breast (FACT-B) scores, including limb shoulder joint activity, complication rate, and care satisfaction, were compared between both groups after care.

RESULTS

SAS and SDS scores were lower in the intervention group than in the routing group at one and three months after care. The total FACT-B scores and five dimensions in the intervention group were higher than those in the routing group at three months of care. The range of motion of shoulder anteflexion, posterior extension, abduction, internal rotation, and external rotation in the intervention group was higher than that in the routing group one month after care. The incidence of postoperative complications was 18.18% lower in the intervention group than in the routing group (34.33%; P <0.05). Satisfaction with care was 90.91% higher in the intervention group than in the routing group (78.36%; P <0.05).

CONCLUSION

Personalized and continuous care can alleviate negative emotions in patients with breast cancer, quicken rehabilitation of limb function, decrease the incidence of complications, and improve living quality and care satisfaction.

Keywords: Breast cancer; Personalized care; Continuous care; Negative emotions; Living quality; Rehabilitation effect

Core Tip: Surgery is currently the treatment of choice for breast cancer. Long-term rehabilitation exercises are necessary after surgery due to surgical trauma. At the same time, surgery alters breast structure, increases the patient's psychological stress response, and makes them prone to negative emotions, affecting quality of life and adherence to recovery. Therefore, there is a need to find a care model that improves the negative emotions and quality of life of patients and promotes their recovery.