THE 4th CONGRESS OF THE WORLD SOCIETY FOR BREAST HEALTH The Announcement&Call for Abstract

October 18-21, 2007 Tianjin, ChinaSponsored by World Society for Breast Health Chinese Medical Association Co-Sponsored by Department of Medicine and Health, Chinese Academy of Engineering Tianjin

Knowledge Practical Attitude of Health Professionals on Breast Cancer at the Hospital of the District of the Commune IV of Bamako

Introduction: The level of knowledge and attitude of health professionals about breast cancer are important determinants. General objective: To study the knowledge, attitude and practice of health professionals of the hospital of the district of the commune IV on breast cancer. Methodology: This was a cross-sectional, prospective, descriptive, qualitative and quantitative study. The study period was from 01 October 2022 to December 2022. Results: In one week of survey, 110 health workers (intern, obstetrician nurse, general practitioners and specialists) received the survey sheet, 80 health workers informed it, a participation rate of 73%. The male sex was most represented at 63.75% with a sex ratio of 1.76. The average age was 39.59 years with extremes of 22 and 61 years. The clinical signs evoked by the participants were: breast nodule (81.25%), followed by breast discharge (48.75%). In relation to risk factors: interns and obstetrician nurses had no good knowledge, 51.72% of general practitioners had good knowledge, 43.48% of specialist doctors had good knowledge, and 5.88% of the wise had good knowledge. Conclusion: Breast cancer is a common pathology around the world, health professionals are at the forefront of the fight against breast cancer, and this fight cannot be effective without trained personnel.

Assessment of Breast Cancer Prevention Practices among Women Attending Primary Health Care in Abha City, Aseer Region, Saudi Arabia

Cancer is a leading cause of death worldwide, with breast cancer being the most common (2.26 million new cases and 685,000 deaths). In Saudi Arabia, breast cancer ranked the first among females in 2014, accounting for 15.9% of all cancers reported among Saudi nationals and 28.7% of all cancers reported among females of all ages. Early detection of breast cancer could decrease the risks, have a better prognosis, and have better outcomes/more successful treatments. Prevalence of breast cancer reached more than 25% of all diagnosed cancer in the kingdom among women. Aim: This study aims to assess the knowledge and performance of women attending primary care centers about breast self-examination and mammogram screening for prevention and early detection of breast cancer in Abha city primary healthcare centers, Kingdom of Saudi Arabia. Research Method: cross sectional design was conducted by using questionnaire, which was distributed to primary care center nurses. The collected data was statistically analyzed using the Statistical Package for Social Sciences, version 25. Results: The study found that participants had poor awareness and knowledge about breast self-examination, risk factors for breast cancer, and trends and practices in early diagnosis of breast cancer. Conclusion and Recommendations: It recommends increasing awareness campaigns and providing educational programs to improve knowledge and practices.

Physical activity engagement after breast cancer: Advancing the health of survivors

Background: Physical inactivity is identified as the fourth leading risk factor for global mortality and associated with increased breast cancer diagnosis and risks of recurrence. Objectives: To investigate the level of physical activity engagement after breast cancer in survivors and healthy controls. Design: A descriptive casecontrol study on survivors and matched (ethnic, gender, age) healthy controls was surveyed using a pre-post questionnaire and a 1-minute cancer control media. The socio- and medical demographic data, physical activity status information were obtained from self report questionnaires. Results: Breast cancer survivors (n = 51) were found to participate in low-moderate level of physical activity while healthy controls (n = 45) participated in moderate-vigorous level of physical activity. Healthy adults reported more barriers and excuses but all participants (90% survivors and control) were unaware of the strong inverse relationship between level of physical activity and risks of cancer recurrence. The post test on video showed an increased awareness and intention to re-engagement in physical activity for cancer control (M = 7.1 ± 1.53, p < 0.01). Conclusion: The finding suggests that simple public health message within the Model of cancer survivorship care must be disseminated. The “teachable moments” after a cancer diagnosis should be optimised to promote rehabilitation for physically active lifestyle.

Caring for the breast cancer survivor's health and wellbeing

The breast cancer care continuum entails detection, diagnosis, treatment, and survivorship. During this time, focus on the whole woman and medical concerns beyond the breast cancer diagnosis itself is essential. In this comprehensive review, we critically review and evaluate recent evidence regarding several topics pertinent to and specific for the woman living with a prior history of breast cancer. More specifically, we discuss the most recent recommendations for contraceptive options including long-acting reversible contraception and emergency contraception, fertility and pregnancy considerations during and after breast cancer treatment, management of menopausal vasomotors symptomsand vulvovaginal atrophy which often occurs even in young women during treatment for breast cancer. The need to directly query the patient about these concerns is emphasized. Our focus is on non-systemic hormones and non-hormonal options. Our holistic approach to the care of the breast cancer survivor includes such preventive health issues as sexual and bone health,which are important in optimizing quality of life. We also discuss strategies for breast cancer recurrence surveillance in the setting of a prior breast cancer diagnosis. This review is intended for primary care practitioners as well as specialists caring for female breast cancer survivors and includes key points for evidence-based best practice recommendations.

多媒体视频健康知识宣教对乳腺癌化疗患者疾病认知及自我管理的作用效果

目的探讨多媒体视频健康知识宣教对乳腺癌化疗患者疾病认知及自我管理的作用效果。方法选取2019年1月至2022年1月于江苏省人民医院接受化疗的92例乳腺癌患者,按随机数字表法将其分为对照组和试验组,每组46例。对照组接受传统常规护理宣教,试验组在对照组基础上接受多媒体视频健康知识宣教,两组均宣教6周。比较两组干预前后化疗知识掌握情况、自我管理效能及化疗不良反应。结果干预前,两组化疗调查问卷各维度评分比较,差异无统计学意义(P>0.05);干预后,两组化疗调查问卷各维度评分均高于干预前,且试验组高于对照组,差异有统计学意义(P<0.05)。干预前,两组健康促进策略问卷(SUPPH)各维度评分比较,差异无统计学意义(P>0.05);干预后,两组SUPPH各维度评分均高于干预前,且试验组高于对照组,差异有统计学意义(P<0.05)。试验组化疗不良反应总发生率低于对照组,差异有统计学意义(P<0.05)。结论多媒体视频健康知识宣教可提升乳腺癌化疗患者对化疗知识认知及自我效能水平,降低不良反应发生率。

生命早期1000天的养育对全程生长发育的影响

生命早期的1000天对组织和器官的发育有着重要而持久的影响,对个体成长和健康发展至关重要,良好的营养支持可以降低慢性疾病的风险。文章概述生命早期1000天的营养状况对个体生长发育的重要意义,指出孕前、产前、哺乳期、辅食和早期普食期4个阶段需均衡营养,提出通过生命早期的健康饮食和生活方式,特别是母乳喂养,为个体健康打下坚实基础。

Perceived health-related stigma among patients with breast cancer

Breast cancer survivors face many challenges(particularly changes in body image) on their road to restoring physical and psychosocial health following diagnosis. Perceived health-related stigma(PHS)refers to the attachment of negative connotations to some types of disease diagnoses. PHS is common among patients with breast cancer and is associated with adverse emotions, attitudes and behaviors. This article summarizes the latest advances and new perspectives on PHS of breast cancer patients and approaches to block this deleterious process. Effects of PHS on patients with breast cancer, in this paper,and measures, predictors and interventions of PHS have been discussed in depth. Future studies should continue to develop more effective instruments that are specialized for measuring PHS of breast cancer patients, explore the predictors of PHS, and discuss effective interventions on the basis of the predictors.

数字心理健康干预在乳腺癌病人中应用的研究进展

概述数字心理健康干预的概念及相关政策、数字心理健康干预在乳腺癌病人中应用方式、应用效果,并对未来发展提出建议,以期为我国今后数字心理健康干预的进一步发展提供参考。

围生期抑郁信息化管理方案的构建与应用

目的 构建围生期抑郁信息化管理方案并应用于临床,降低孕产妇围生期抑郁的发生。方法 将375例孕产妇按照入院时间分为对照组185例与干预组190例。对照组实施常规干预;干预组汇总围生期抑郁管理的最佳证据,构建围生期抑郁管理方案,开发围生期抑郁信息化管理系统对孕产妇进行干预。干预前后比较两组抑郁评分、抑郁管理知信行评分及分娩结局。结果 对照组157例、干预组155例完成研究。干预组抑郁评分显著低于对照组,抑郁管理知识及行为评分显著高于对照组(均P<0.05),干预组自然分娩及纯母乳喂养率显著高于对照组(均P<0.05)。结论 围生期抑郁信息化管理方案的应用可有效改善孕产妇围生期抑郁水平,从而改善分娩结局。

乳腺健康监测智能内衣的研究及趋势

文章梳理了智能内衣的相关研究及文献,并针对智能文胸进行市场调研。阐述乳腺健康监测智能内衣的发展过程及现状,具体包括智能内衣和柔性传感技术的应用实例。基于乳腺癌相关医学理论,对女性健康监控智能内衣的功能性、舒适性的设计要素以及使用中存在的问题进行探讨。最后,从时尚度、舒适度、便利度、信任度等方面,对未来乳腺健康监测智能内衣的发展进行展望。

临床护士乳腺癌筛查保护动机现状及影响因素分析

目的调查安徽省临床护士乳腺癌筛查保护动机现状,并分析其影响因素。方法于2022年9-10月采用便利抽样法选取安徽省864名临床护士作为研究对象,采用一般资料调查表、乳腺癌意识量表、健康信念量表、护士组织支持感量表和乳腺癌筛查保护动机量表进行调查,并对数据进行分析。结果864名临床护士乳腺癌筛查保护动机总分为(53.51±6.87)分,条目均分为(3.15±0.40)分。乳腺癌意识得分、健康信念得分、护士组织支持感得分与乳腺癌筛查保护动机得分均呈正相关(r分别为0.264、0.362、0.178,均P<0.01)。多元回归分析结果显示,亲属是否患乳腺癌、乳腺癌意识、健康信念和护士组织支持感是乳腺癌筛查保护动机的影响因素,共解释乳腺癌筛查保护动机总变异的19.8%。结论临床护士乳腺癌筛查保护动机处于中等水平,有待进一步提升。医院管理者应注重提高临床护士乳腺癌预防意识,改善健康信念水平,给予临床护士充足的组织支持,进而提高其乳腺癌筛查保护动机水平。

乳腺癌患者健康信息需求研究的范围综述

目的对乳腺癌患者健康信息需求相关研究进行范围综述,为未来有关研究提供参考。方法计算机检索PubMed、Web of Science、CINAHL、Embase、Cochrane Library、中国知网、维普、万方数据库中有关乳腺癌患者健康信息需求的文献,检索时限从建库至2023年7月2日,并由2名研究者对文献进行筛选阅读、提取归纳、分析结果。结果本研究共纳入15篇文献。患者存在治疗相关、疾病基本知识、康复保健、社会心理方面健康信息需求,不同疾病阶段乳腺癌患者的信息需求有差异。结论未来应进一步完善乳腺癌健康信息需求评估工具,通过纵向追踪探讨患者不同疾病阶段信息需求的变化规律,构建乳腺癌患者信息需求干预方案并验证干预效果。

乳腺癌患者使用移动医疗工具质性研究的Meta整合

目的系统整合乳腺癌患者使用移动医疗工具的体验和感受,为研发更符合患者需求的移动医疗工具提供参考。方法在Web of Science、PubMed、Cochrane Library、Embase、中国知网、万方数据、维普网检索关于乳腺癌患者使用移动医疗工具的质性研究,检索时限为建库至2024年3月,按照JBI质性研究质量评价标准进行文献质量评价,采用汇集性整合法对结果进行整合。结果共纳入12篇文献,提炼出70个明确的研究结果,将相似的研究结果归纳形成11个新类别,最终得出3个整合结果:乳腺癌患者使用移动医疗工具的有益体验;影响乳腺癌患者使用移动医疗工具的因素;乳腺癌患者使用移动医疗工具的期望。结论乳腺癌患者对移动医疗工具的使用体验较好,但也从功能设计、信息支持、社会支持等方面提出多样化的需求。医护人员及研发人员需关注患者在使用移动医疗工具过程中的体验和感受,完善相关配套支持体系,以帮助患者实现自我管理。

引导式健康教育对乳腺癌放疗患者心理状态的影响

目的探讨引导式健康教育对乳腺癌(BC)放疗患者心理状态的影响。方法将65例BC放疗患者按干预方式的不同分为观察组32例和对照组33例,观察组患者行引导式健康教育干预,对照组患者行常规干预。比较两组患者心理状态[正性负性情绪自评量表(PANAS)]、疾病进展恐惧[恐惧疾病进展简化量表(FoP-Q-SF)]、不良反应发生情况及满意度[纽卡斯尔护理满意度量表(NSNS)]。结果干预后,两组患者正性情绪评分均较干预前升高,负性情绪评分均较干预前降低,且观察组患者正性情绪评分高于对照组,负性情绪评分低于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者FoP-Q-SF量表评分均较干预前降低,且观察组患者FoPQ-SF量表评分低于对照组,差异均有统计学意义(P﹤0.05)。观察组患者不良反应总发生率低于对照组,满意度高于对照组,差异均有统计学意义(P﹤0.05)。结论引导式健康教育可改善BC放疗患者心理状态,减少对疾病进展的恐惧,降低不良反应发生风险,有利于提高整体满意度。

骨质疏松症特殊人群的健康管理及综合治疗进展

骨质疏松症患者中包含骨折术后、长期使用糖皮质激素,以及患有乳腺癌、前列腺癌、类风湿性关节炎等疾病的特殊人群。针对这些患者,治疗和健康管理方案与一般骨质疏松症患者有所不同,需要进行一定的改进和优化。同时,当患者合并其他严重疾病时,骨质疏松的治疗和随访监测往往被忽视,错过了最佳治疗时机。本文通过对不同种类的抗骨质疏松治疗方法和最新进展进行分析,分类综述骨质疏松特殊人群的治疗和健康管理方案,旨在为临床治疗提供更多参考。

患者学习需求量表指导健康教育模式在乳腺癌手术患者中的应用研究

目的 探讨患者学习需求量表(PLNS)指导健康教育模式在乳腺癌手术患者中的应用研究。方法 选取2020年2月至2022年10月安徽省阜阳市肿瘤医院收治乳腺癌手术患者128例作为研究对象,按照随机数字表法将其分为对照组和观察组,每组64例。对照组实施常规健康教育模式,观察组实施PLNS指导健康教育模式。比较两组手术次日和干预24周后的健康素养和生存质量。结果 两组各1例失访。干预24周后,两组信息获取能力、交流互动能力、改善健康意愿、经济支持意愿评分及总分均高于手术次日,且观察组高于对照组(P<0.05)。干预24周后,两组躯体功能、心理功能、社会功能、共性模块及副作用、特异模块评分及量表总分均高于手术次日,且观察组高于对照组(P<0.05)。结论 PLNS指导健康教育有助于乳腺癌手术患者健康素养的改善,对提高生存质量有积极影响。

健康教练技术在超重乳腺癌幸存者管理中应用的研究进展

对健康教练技术的研究进展以及其对超重乳腺癌幸存者管理的启示进行综述,阐述了健康教练技术的概念、基本步骤、优势特征以及实施干预模式(包括实施人员、干预方式、效果评价3个方面)。思考对我国超重乳腺癌幸存者管理的影响与启示,并展望我国健康教练技术的应用前景,以求更好地应用于临床,为癌症病人带来福祉。

ITHBC理论下康复方案对乳腺癌术后上肢功能障碍患者的影响

目的研究健康行为改变整合(ITHBC)理论下的康复方案对乳腺癌术后上肢功能障碍患者肩关节活动情况、自我管理效能的影响。方法本研究为前瞻性研究,选取郑州大学第三附属医院2022年3月至2024年3月收治的80例乳腺癌术后上肢功能障碍患者,采用随机数字表法随机分为两组。常规组40例,均为女性,年龄42~64(54.12±4.83)岁;肿瘤分期:Ⅰ期19例、Ⅱ期18例、Ⅲ期3例;给予常规康复方案。研究组40例,均为女性,年龄43~65(55.61±5.28)岁;肿瘤分期:Ⅰ期19例、Ⅱ期17例、Ⅲ期4例;给予ITHBC理论下的康复方案。两组患者均持续干预8周。对比两组患者治疗前后肩关节活动情况、自我管理效能、创伤后成长、生活质量。统计学方法采用χ^(2)检验、t检验。结果干预后,研究组患肢肩关节外展、后伸、前屈活动度均高于常规组[(172.45±7.62)°比(145.88±8.64)°、(54.28±5.10)°比(40.30±5.23)°、(168.77±9.20)°比(148.66±8.69)°],差异均有统计学意义(t=14.59、12.10、10.05,均P<0.05);研究组自我效能感评分(GSES)、中文版创伤后成长评定量表(PTGI)评分均高于常规组[(33.41±2.79)分比(30.88±2.68)分、(81.53±5.69)分比(76.80±4.48)分],差异均有统计学意义(t=4.14、4.13,均P<0.05);研究组物质、社会、心理、躯体功能评分均高于常规组,差异均有统计学意义(t=5.28、4.57、6.23、5.52,均P<0.05)。结论ITHBC理论下的康复方案能够有效促进乳腺癌术后上肢功能障碍患者创伤后成长,提高自我管理效能,改善肩关节活动情况,提高生活质量。

基于卡诺模型的社区乳腺癌患者健康服务需求分析

目的为乳腺癌患者提供满意的医疗服务,可有效减轻患者的负担和医疗资源压力。本研究的目的是利用卡诺模型探讨社区乳腺癌患者的健康服务需求。方法2023年1月—3月对某三级肿瘤医院出院的乳腺癌患者进行横断面调查。患者填写了基于卡诺模型自行设计的健康服务需求调查问卷,同时也提供了社会人口学信息。调查问卷中包括30项健康服务内容,基于卡诺模型对这些项目的属性进行分类和优先级排序。结果共回收有效问卷296份。对30项医疗服务的需求属性进行评价的结果显示,30项服务中有1项被归类为“必备型属性”(身体形象管理),13项被归类为“期望型属性”(侧重于医疗保障支持、健康管理和健康咨询),3项被归类为“魅力型属性”(侧重于沟通需求和远程保健服务),11项被归类为“无差异型属性”(主要集中在社会心理服务领域)。结论社区乳腺癌患者对不同健康服务项目的需求程度不同。医务工作者应根据患者需求确定有效的健康服务策略,优先提供必备型和期望型属性的服务,努力提供魅力型属性服务,以提高社区乳腺癌患者的生活质量。