Construction of case management care blueprint for breast reconstruction after breast cancer operation based on action research
10.3760/cma.j.issn.1672-7088.2017.19.008
- VernacularTitle:基于行动学研究的乳腺癌术后显微皮瓣乳房重建患者个案管理照护蓝图的构建
- Author:
Cui'e PENG
;
Zan LI
;
Bo ZHOU
;
Chunliu LYU
;
Yanwu ZHOU
;
Xiaowei PENG
;
Dajiang SONG
;
Huangxing MAO
;
- Keywords:
Breast neoplasm;
Action research method;
Microsurgical flap;
Breast reconstruction;
Case management
- From:
Chinese Journal of Practical Nursing
2017;33(19):1471-1476
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate operation method in with microscopic flap breast reconstruction after breast cancer case management care blueprint. Methods According to the building of case management care blueprint, according to the questions, plan, action, observation and reflection, improvement of summarizing the research process, formulate, modify with microscopic flap breast reconstruction after breast cancer case management care blueprint, and applied to clinical. Results Through the research of two phase research analyses the results after the intervention. Microscopic flap breast reconstruction after breast cancer patients′ quality of life evaluation, cancer, mental adaptation level, determination of postoperative body image, adjust the importance of breast score in the first stage, respectively (28.54 ± 3.78), (13.56±2.51), (2.71±1.08), (3.00±0.87) points, the second phase, respectively (80.32 ± 5.94), (45.02 ± 3.51), (6.85 ± 0.36), (7.34 ± 0.66) points. Two phase comparison difference was statistically significant (-47.070--21.551, P<0.05 or 0.01). Conclusions Based on the study of action with microscopic flap breast reconstruction after breast cancer case management care blueprint to build, implement the evaluation, plan, service, coordination and monitoring of health care management system, improve the patients′ life quality, standardize nursing process, improve the effect of nursing quality.
