创新性互动随访模式在乳腺癌术后康复的应用  

Preliminary exploration on interactive follow-up mode for rehabilitation ofpostoperative breast cancer patietns in new medical environment

作　　者：陈显春[1] 宗贝歌[1] 蒋成刚[2] 杨英[1] 王泽惠[1] 谭璇妮[1] 曾令娟[1] 

机构地区：[1]第三军医大学西南医院乳腺外科,重庆400038 [2]第三军医大学大坪医院野战外科研究所心身睡眠科,重庆400042

出　　处：《局解手术学杂志》2015年第4期424-426,共3页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的探讨创新性互动随访模式在乳腺癌患者术后康复中的有效性及应用前景。方法选择2014年1月1日至2014年10月30日我科收治的乳腺癌患者648例,以患者为中心,成立各个地区粉红丝带俱乐部,组成患者互助小组,结合护理门诊并专人电话网络随访患者院外情况进行心理评估,必要时采取有效应对措施,随访患者并填写问卷调查表。将2013年同期患者作为对照组,记录2组患者相关随访信息,统计分析患者有效随访率、术后功能康复和心理康复情况。结果 2014年患者与2013年同期患者比较有效随访率明显提高,且患者满意度高;相比2013年的术后淋巴水肿发生率13%,2014年的患者患肢水肿发生率降低至7%,抑郁自评得分由平均(51.90±8.55)分降低至(35.81±6.21)分。结论互动式随访模式在多个方面有益于乳腺癌患者术后的康复和身心健康,值得进一步推广应用。Objective To evaluate the effectiveness and prospect of innovative interactive follow-up mode for rehabilitation ofpostoperative breast cancer patietns in new medical environment. Methods The novel patient-centered medical care was promoted,and Pink Ribbon Clubs was established in different regions. Meanwhile,the patients＇ self-support groups were formed,and a specialist for out-patients followup of outpatients by telephone or on the internet was arranged to provide psychological assessment,with timely and effective response. All data concerning to the follow-up were recorded and the patients were required to complete the relevant questionnaires. Results Compared with the same period in 2013,the follow-up rate was significantly increased to 80. 25%,and the patients showed higher satisfaction. The incidence of lymphedema in the patients was significantly reduced from 13% in 2013 to 7%. The quality of life was significantly improved and self-rating score on depression was decreased from（ 51. 90 ± 8. 55） to（ 35. 81 ± 6. 21）. Conclusion The kind of＂Trinity＂interactive mode is an effective follow-up mode with the clinical benefit in patients＇ rehabilitation of physical and mental health,which is worthy of further application.

关 键 词：乳腺肿瘤 心理疗法 随访研究 生活质量 

分 类 号：R737.9[医药卫生—肿瘤] R395.5[医药卫生—临床医学]