个案管理师主导的骨安全分级预防方案在乳腺癌患者中的应用  

Application of graded prevention program for bone safety led by case manager in patients with breast cancer

作　　者：褚彦香[1] 邓妍 熊欢[1] Chu Yanxiang;Deng Yan;Xiong Huan(Department of Nursing,Tongji Hospital Affiliated to Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院护理部,湖北武汉430030

出　　处：《护理学杂志》2024年第20期51-54,63,共5页Journal of Nursing Science

摘　　要：目的探讨以个案管理师为主导的骨安全分级预防方案在乳腺癌患者中的应用效果。方法选取乳腺癌患者272例,按入院时间分为对照组和干预组各136例。对照组采取骨质疏松常规预防护理措施,干预组给予以个案管理师为主导的骨安全分级预防方案,对两组患者持续随访2年,分析比较两组患者骨质疏松风险等级、骨质疏松发生率以及骨质疏松性骨折发生率。结果对照组119例和干预组127例完成全程研究及随访。干预组骨质疏松风险等级、骨质疏松发生率以及骨质疏松性骨折发生率显著低于对照组(均P<0.05)。结论以个案管理师为主导的骨安全分级预防方案可有效提高乳腺癌患者骨安全管理成效,改善患者预后。Objective To investigate the effect of graded prevention program for bone safety led by case manager in patients with breast cancer.Methods A total of 272 breast cancer patients were selected and divided into 2 groups of 136 cases each according to the admission time.The control group was given routine preventive measures for osteoporosis,while the intervention group joined in a graded prevention program for bone safety led by case manager.Patients in the two groups were continuously followed up for two years,and the risk levels of osteoporosis,the incidence rate of osteoporosis,and the incidence rate of osteoporotic fractures were analyzed and compared between the two groups.Results Totally,119 patients in the control group and 127 patients in the intervention group completed the entire study and follow-ups.The risk levels of osteoporosis,the incidence of osteoporosis,and the incidence rate of osteoporotic fracture in the intervention group were significantly lower than those in the control group(all P<0.05).Conclusion The graded prevention program for bone safety led by case managers can effectively improve the effectiveness of bone safety management in breast cancer patients,and improve the prognosis of patients.

关 键 词：乳腺癌 个案管理师 骨安全 骨质疏松 骨折 分级预防 多学科协作团队 全程管理 

分 类 号：R473.6[医药卫生—护理学]