基于移动APP平台的多学科协作干预在乳腺癌改良根治术后患者中的应用

Application of multidisciplinary collaborative intervention based on mobile APP platform in patients after modified radical mastectomy

目的探讨基于移动APP平台的多学科协作(MDT)干预在乳腺癌改良根治术后患者中的应用效果。方法选取2018年5月—2020年6月武汉大学人民医院接受改良根治术的240例乳腺癌患者,采用随机数字表法将其分为对照组和观察组,每组120例。对照组行MDT干预,观察组行基于移动APP平台的MDT干预,均干预3个月。干预前、干预3个月时,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)评估两组心理状态,自护能力量表(ESCA)评估自护能力;记录并发症发生情况。结果干预前,两组SAS、SDS评分比较,差异无统计学意义(P>0.05);干预3个月时,两组SAS、SDS评分均较治疗前降低,且观察组低于对照组,差异有统计学意义(P<0.05);干预前,两组ESCA量表各维度评分及总评分比较,差异无统计学意义(P>0.05);干预3个月时,两组ESCA量表各维度评分及总评分均较治疗前升高,观察组高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论基于移动APP平台的MDT干预更利于改善乳腺癌改良根治术后患者的心理状态、提高患者的自护能力,且可有效降低并发症发生率。

Objective To explore the application effect of multidisciplinary collaborative intervention based on mobile APP platform in patients after modified radical mastectomy,to observe the postoperative recovery of patients,to guide the formulation of effective nursing program after modified radical mastectomy in the future.Methods From May 2018 to June 2020,240 patients with breast cancer who received modified radical mastectomy in the Renmin Hospital of Wuhan University were selected,according to the random number table method,they were divided into control group and observation group,with 120 cases in each group.The control group was given conventional multidisciplinary collaborative intervention,and the observation group was given multidisciplinary collaborative intervention based on mobile APP platform,both were intervened for three months.Before intervention and three months after intervention,self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were used to evaluate the psychological state of the two groups,and exercise self-care agency(ESCA)was used to evaluate the self-care ability.The incidence of complications was recorded.Results Before intervention,there were no significant differences in SAS and SDS scores between the two groups(P>0.05).After three months of intervention,SAS and SDS scores in both groups were lower than before treatment,and observation group was lower than the control group,the differences were statistically significant(P<0.05).Before intervention,there was no significant difference between the two groups in the scores and total scores of ESCA scale(P>0.05).After three months of intervention,the each dimensions scores and total scores of ESCA scale in the two groups were higher than before treatment,and those in the observation group were higher than the control group,with statistical significance(P<0.05).The incidence of complications in the observation group was lower than that in the control group,with statistical significance(P<0.05).Conclusion The multidisciplinary collaborative intervention based on mobile APP platform is more conducive to improve the mental state of patients with breast cancer after modified radical mastectomy,improve their self-care ability,and can effectively reduce the incidence of complications.