The Effect of Case Management on Improving the Quality of Life of Breast Cancer Patients in Chemotherapy
World Journal of Public Health
Volume 5, Issue 2, June 2020, Pages: 42-46
Received: Apr. 19, 2020; Accepted: May 11, 2020; Published: Jun. 4, 2020
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Litao Zhang, Department of Breast Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, China
Ming Xie, Department of Breast Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, China
Caimei Hong, The First Affiliated Hospital, Jinan University, Guangzhou, China
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Objective: The study attempts to explore the effect of case management on improving the quality of life of breast cancer patients in chemotherapy. Methods: We selected 138 patients who were pathologically diagnosed with breast cancer and were receiving chemotherapy in our department, and averagely divided them into control group and observation group. The control group was given usual nursing care and telephone follow-up after discharge while in the observation group, case management model was employed besides the intervention the control group received. After that, we observed the quality of life and the total incidence of adverse reactions (myelosuppression, gastrointestinal discomfort, skin reaction, allergic reaction, infusion tube related complications, etc.) of the two groups. We used the quality of life questionnaire made by the European Organization for Research and Treatment of Cancer (EORCTQLQ-C30) to evaluate the quality of life of the two groups and compared that between the two groups before and after intervention. Results: During chemotherapy, the score on somatic function, role function, emotional function, social function, cognitive function and general health of the observation group was higher than that of the control group (P<0.05). Besides, the total incidence of adverse reactions of the observation group (30.43%) was significantly lower than that of the control group (53.62%) (χ2=7.614, P=0.000). Conclusions: Case management for breast cancer patients in chemotherapy can reduce adverse reactions caused by chemotherapy and increase treatment compliance so as to improve the quality of life of patients.
Breast Cancer, Chemotherapy, Adverse reaction, Case Management, Quality of Life
To cite this article
Litao Zhang, Ming Xie, Caimei Hong, The Effect of Case Management on Improving the Quality of Life of Breast Cancer Patients in Chemotherapy, World Journal of Public Health. Vol. 5, No. 2, 2020, pp. 42-46. doi: 10.11648/j.wjph.20200502.13
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License ( which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Chen Wanqing, Sun Kexin, Zheng Rongshou, et al. Report of Cancer Incidence and Mortality in Different Areas of China, 2014 [J]. China Cancer, 2018, 27 (01): 1-14.
Kawamura T, Sobue T. Comparison of breast cancer mortality in five countries: France, Italy, Japan, the UK and the USA from the WHO mortality database (1960-2000) [J]. Jpn J Clin Oncol, 2005, 35 (12): 758-759.
Partridge AH, Rumble RB, Carey LA, et al. Chemotherapy and targeted therapy for women with human epidermal growth factor receptor 2-negative (or unknown) advanced breast cancer: American society of clinical oncology clinical practice guideline. J Clin Oncol, 2014, 32 (29): 3307-3329.
Hu Yan, Lu Zhenqi. Shiyong Zhongliu Huli [M], 2nd edition. Shanghai: Shanghai Science and Technical Publishers, 2013: 12.
Li An, Niu Guifen, Li Jieqing, et al. Correlation between Adverse Reactions and Curative Effect in Neoadjuvant Chemotherapy for Breast Cancer [J]. Chinese Journal of Bases and Clinics in General Surgery, 2019, 26 (08): 954-958.
Song Yi, Gong Min, Yu Xiaojia. Concept and Application of Case Management [J]. Chinese Nursing Management, 2011, 11 (12): 92-93.
Kang Y, Jang D H, Jeon JY, et a1. Pressure monitoring of multilayer in elastic bandaging and the effect of padding in breast cancer-related lymphedema patients [J]. Am J Phys Med Rehabil, 2012, 91 (9): 768-773.
Liu Wei, Li Jianbin, Wang Tao, et al. Efficacy and Safety of Anthracyclines in Combination with Taxanes for Neo-adjuvant Chemotherapy in Patients with Breast Cancer [J]. Chinese Clinical Oncology, 2016, 21 (03): 228-232.
Knobel H, Loge JH, Brenne E, et al. Evalidity of EORCT QLQC30 fatigue scale in advanced cancer patients and cancer survivors [J]. Palliat Med, 2003, 17 (8): 664-672.
Yu Yamei, Zhang Yongfang, Shi Jiewen, et al. The Influence of the Whole Course Professional Nursing Case Management Model on the Disease Uncertainty for Breast Cancer Patients with Chemotherapy [J]. Journal of Nurses Training, 2018, 33 (02): 99-101+111.
Zhang Huiting, Zhang Jingjing, Wu Xiaodan, et al. Exploration of Case Management Model for Breast Cancer Patients [J]. Journal of Nursing Science, 2017, 32 (14): 19-21.
Chen Yuzhi, Zou Yizhen. Experiecne of Case Management for Tumors of Taipei Veterans General Hospital [J]. Chinese Nursing Management, 2010, 10 (3): 21-22.
Lv Shihua. Influence of Continuous Nursing on the Compliance Behavior, Health Knowledge Acquirement and Quality of Life of Breast Cancer Patients in Postoperative Chemotherapy [J]. Journal of Nurses Training, 2018, 33 (22): 2104-2106.
Wei Tingting, Wang Li, Wang Chunhui, et al. Influence of Case Nursing Combined with Multidisciplinary Cooperation on Patients with Malignant Tumor Undergoing Chemotherapy [J]. Journal of Qilu Nursing, 2020, 26 (01): 29-32.
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