目的

评价个案管理模式在提高乳腺癌患者复查随访率方面的作用。

方法

回顾分析本院乳腺疾病诊疗中心2008 年8 月至2010 年4 月病理确诊为乳腺癌患者273 例病例资料,其中施行个案管理模式前132 例(A 组),施行个案管理模式后141 例(B组)。 患者完成手术和/或化学药物治疗及放射治疗等临床治疗,医嘱患者3 个月后返院复查。 比较个案管理模式管理前、后患者的首次复查随访率。 统计分析采用卡方检验和秩和检验。

结果

A 组患者的首次复查随访率为78.79%(104/132),B 组的首次复查随访率为91.49% (129/141),较A 组提高了12.70% (P=0.003)。

结论

应用个案管理模式能够提高乳腺癌患者的有效复查随访率,便于早期发现复发转移倾向,抓住最佳治疗时机,采取相应的治疗和护理措施。

Objective

To evaluate the role of the Case Caring Management Model in the follow-up rate of breast cancer patients.

Methods

We retrospectively studied the data of 273 breast cancer patients confirmed pathologically and treated in our hospital from August 2008 to April 2010. Among them 132 patients were not managed with the Case Caring Management Model (group A) and 141 managed with the Case Caring Management Model(group B). All patients were asked to go back to the hospital for reexamination, the first scheduled 3-month-post-primary-treatment check-ups 3 months after the patients completed the first operation treatment and/or chemotherapy and radiotherapy. Comparison of the valid follow-up rates between the two groups was done. Statistical analysis of the data of the two groups was performed using chi-square test and rank sum test.

Results

The valid follow-up rate was 78.79% (104/132)in group A and 91. 49% (129/141) in group B. The valid follow-up rate was raised by 12. 70% in group B compared with group A (P=0. 003).

Conclusions

The application of the Case Caring Management Model for breast cancer patients can raise the valid follow-up rate, which is very important for early detection and management of local recurrence and/ or metastasis.