Article Data

  • Views 262
  • Dowloads 109

Original Research

Open Access

Research on the application of 4C continued nursing model in postoperative care of breast cancer patients

  • Xiaojie Wu1
  • Li Lin1
  • Yuelan Weng2
  • Chunxi He3
  • Li Huai4
  • Ying He1,*,

1Ambulatory Surgery Center, The Second Affiliated Hospital of Wenzhou Medical University, 325000 Wenzhou, Zhejiang, China

2Department of Cardiothoracic Surgery, The Second Affiliated Hospital of Wenzhou Medical University, 325000 Wenzhou, Zhejiang, China

3Department of Breast Surgery, The Second Affiliated Hospital of Wenzhou Medical University, 325000 Wenzhou, Zhejiang, China

4Gynecology Minimally Invasive, The Second Affiliated Hospital of Wenzhou Medical University, 325000 Wenzhou, Zhejiang, China

DOI: 10.22514/ejgo.2024.126 Vol.45,Issue 6,December 2024 pp.134-140

Submitted: 04 July 2024 Accepted: 03 September 2024

Published: 15 December 2024

*Corresponding Author(s): Ying He E-mail: yhe3707@163.com

Abstract

This study aimed to evaluate the effect of the 4C continued care model (refers to the nursing services of comprehensiveness, coordination, continuity and collaboration) in the continued care of breast cancer patients and its impact on postoperative complications. 180 breast cancer patients were divided into the conventional nursing group, and the 4C continued nursing group. The patient’s mental state, self-efficacy, self-care ability, quality of life, nursing satisfaction, and the occurrence of postoperative complications under the two nursing modes before care and two months after discharge were compared. The self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores of patients in the 4C continued care group were significantly lower than those of the conventional care group two months after discharge. The self-efficacy and self-care ability scores were significantly higher than those of the conventional care group. The scores in the five dimensions of quality of life were significantly higher than those of the conventional care group, and the differences were all statistically significant (p < 0.05). Satisfaction with care was also significantly higher in the 4C continued nursing group compared to the usual care group (93.33% vs. 81.11%, p < 0.05). The overall adverse event rate of subcutaneous effusion and lymphedema was significantly lower in the 4C continued care group (22.22% vs. 48.89%, p < 0.001). The clinical effect of the 4C nursing model of postoperative care of breast cancer patients was significant. The 4C nursing model can effectively improve patients’ mental state, self-efficacy, self-care ability, quality of life and nursing care satisfaction, and reduce the occurrence of postoperative adverse reactions.


Keywords

Breast cancer; 4C continued care model; Ambulatory care; Nursing effect; Postoperative complications


Cite and Share

Xiaojie Wu,Li Lin,Yuelan Weng,Chunxi He,Li Huai,Ying He. Research on the application of 4C continued nursing model in postoperative care of breast cancer patients. European Journal of Gynaecological Oncology. 2024. 45(6);134-140.

References

[1] Jiang J, Jiang S, Ahumada-Canale A, Chen Z, Si L, Jiang Y, et al. Breast cancer screening should embrace precision medicine: evidence by reviewing economic evaluations in China. Advances in Therapy. 2023; 40: 1393–1417.

[2] Wang YJ, Wang F, Yu LX, Xiang YJ, Zhou F, Huang SY, et al. Worldwide review with meta-analysis of women’s awareness about breast cancer. Patient Education and Counseling. 2022; 105: 1818–1827.

[3] Li X, Song F, Liu X, Shan A, Huang Y, Yang Z, et al. Perfluoroalkyl substances (PFASs) as risk factors for breast cancer: a case-control study in Chinese population. Environmental Health. 2022; 21: 83.

[4] Zhang J, Sun X, Zhang F, Guo L. Perioperative nursing of patients with breast cancer undergoing modified radical mastectomy. Asian Journal of Surgery. 2023; 46: 1385–1386.

[5] He P, Zhang B, Shen S. Effects of out-of-hospital continuous nursing on postoperative breast cancer patients by medical big data. Journal of Healthcare Engineering. 2022; 2022: 9506915.

[6] Bagatin D, Bagatin T, Šakić K, Deutsch J, Nemrava J, Šimičević D. Optimal analgesia for breast surgery enhanced recovery in day surgery. Acta Clinica Croatica. 2022; 61: 49–56.

[7] Goodwin PJ, Chen BE, Gelmon KA, Whelan TJ, Ennis M, Lemieux J, et al. Effect of metformin vs placebo on invasive disease-free survival in patients with breast cancer the MA.32 randomized clinical trial. Journal of the American Medical Association. 2022; 327: 1963–1973.

[8] La J, Alqaydi A, Wei X, Shellenberger J, Digby GC, Brogly SB, et al. Variation in opioid filling after same-day breast surgery in Ontario, Canada: a population-based cohort study. CMAJ Open. 2023; 11: E208–E218.

[9] Bogach J, Cordeiro E, Reel E, Cil TD. Axillary surgery and complication rates after mastectomy and reconstruction for breast cancer: an analysis of the NSQIP database. Breast Cancer Research and Treatment. 2022; 192: 501–508.

[10] Knight SR, Gupta RK, Ho A, Pius R, Buchan I, Carson G, et al. Prospective validation of the 4C prognostic models for adults hospitalised with COVID-19 using the ISARIC WHO Clinical Characterisation Protocol. Thorax. 2022; 77: 606–615.

[11] Zhang J, Gu LL, Xu Y, Zhao BB, Li D, Xiao C. Integrated medical care and the continuous 4C nursing model to improve nursing quality and clinical treatment of patients with acute stroke: based on a retrospective case-control study. Contrast Media & Molecular Imaging. 2022; 2022: 4810280.

[12] Williams CN, Hall TA, Francoeur C, Kurz J, Rasmussen L, Hartman ME, et al. Continuing care for critically ill children beyond hospital discharge: current state of follow-up. Hospital Pediatrics. 2022; 12: 359–393.

[13] Burstein HJ, Curigliano G, Thürlimann B, Weber WP, Poortmans P, Regan MM, et al. Customizing local and systemic therapies for women with early breast cancer: the St. Gallen international consensus guidelines for treatment of early breast cancer 2021. Annals of Oncology. 2021; 32: 1216–1235.

[14] Tong QY, Liu R, Gao Y, Zhang K, Ma W, Shen WD. Effect of electroacupuncture based on ERAS for preoperative anxiety in breast cancer surgery: a single-center, randomized, controlled trial. Clinical Breast Cancer. 2022; 22: 724–736.

[15] Sirhan Z, Thyagarajan A, Sahu RP. The efficacy of tucatinib-based therapeutic approaches for HER2-positive breast cancer. Military Medical Research. 2022; 9: 39.

[16] Cheng L, Wang S, Sun J. Effect analysis of continuous care model in the management of chronic diseases in the elderly. Minerva Medica. 2024; 115: 225–227.

[17] Md Yusof K, Mahmud R, Abdullah M, Avery-Kiejda KA, Rosli R. Cross-cultural adaptation of the functional assessment of cancer therapy-breast (FACT-B) in Malaysian breast cancer survivors. Asian Pacific Journal of Cancer Prevention. 2021; 22: 1055–1061.

[18] Teicher S, Whitney RL, Liu R. Breast cancer survivors? Satisfaction and information recall of telehealth survivorship care plan appointments during the COVID-19 pandemic. Oncology Nursing Forum. 2022; 49: 223–231.

[19] Sierla R, Dylke ES, Shaw T, Poon S, Kilbreath SL. Clinician assessment of upper limb lymphedema: an observational study. Lymphatic Research and Biology. 2021; 19: 159–164.

[20] Ben-Dror J, Shalamov M, Sonnenblick A. The history of early breast cancer treatment. Genes. 2022; 13: 960.

[21] McKay JR. Digital approaches to continuing care. Current Opinion in Psychiatry. 2022; 35: 259–264.

[22] Hussain Rawther SC, Pai MS, Fernandes DJ, Mathew S, Chakrabarty J, Devi ES. Specialist nurse initiated interventions in breast cancer care: a systematic review of randomised controlled trials. Journal of Clinical Nursing. 2020; 29: 2161–2180.

[23] Gao T, Luo JL, Guo P, Hu XW, Wei XY, Hu Y. Impact of continuous care on cardiac function in patients with lung cancer complicated by coronary heart disease. World Journal of Clinical Cases. 2024; 12: 314–321.

[24] Vujosevic S, Limoli C, Luzi L, Nucci P. Digital innovations for retinal care in diabetic retinopathy. Acta Diabetologica. 2022; 59: 1521–1530.

[25] Sawaya GF, Dorismond VG. Avoiding low-value care and patient financial harm in cervical cancer screening. Cancer Prevention Research. 2023; 16: 363–364.

[26] Saldanha IJ, Adam GP, Kanaan G, Zahradnik ML, Steele DW, Chen KK, et al. Delivery strategies for postpartum care a systematic review and meta-analysis. Obstetrics and Gynecology. 2023; 142: 529–542.

[27] Abdo J, Ortman H, Rodriguez N, Tillman R, Riordan EO, Seydel A. Quality of life issues following breast cancer treatment. Surgical Clinics of North America. 2023; 103: 155–167.

[28] Sun FK, Lu CY, Yao Y, Chiang CY. Social functioning, depression, and quality of life among breast cancer patients: a path analysis. European Journal of Oncology Nursing. 2023; 62: 102237.

[29] Oh SH, Kim JH, Seong ST, Park JY, Lee JH, Kim GC, et al. Lymphoscintigraphy in patients with breast cancer-related lymphedema after sentinel lymph node dissection and axillary radiation therapy. Medicine. 2022; 101: e31985.

[30] Veverkova L, Koleckova M, Vomackova K, Zlamalova N, Lowova L. Ultrasonographic signs as predictors of metastatic involvement in the axillary lymph nodes in breast cancer patients: from minimal changes to the appearance of the pathological lymph node. A retrospective analysis. To be published in Biomedical Papers-Olomouc. 2023. [Preprint].


Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,500 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Biological Abstracts Easily discover critical journal coverage of the life sciences with Biological Abstracts, produced by the Web of Science Group, with topics ranging from botany to microbiology to pharmacology. Including BIOSIS indexing and MeSH terms, specialized indexing in Biological Abstracts helps you to discover more accurate, context-sensitive results.

Google Scholar Google Scholar is a freely accessible web search engine that indexes the full text or metadata of scholarly literature across an array of publishing formats and disciplines.

JournalSeek Genamics JournalSeek is the largest completely categorized database of freely available journal information available on the internet. The database presently contains 39226 titles. Journal information includes the description (aims and scope), journal abbreviation, journal homepage link, subject category and ISSN.

Current Contents - Clinical Medicine Current Contents - Clinical Medicine provides easy access to complete tables of contents, abstracts, bibliographic information and all other significant items in recently published issues from over 1,000 leading journals in clinical medicine.

BIOSIS Previews BIOSIS Previews is an English-language, bibliographic database service, with abstracts and citation indexing. It is part of Clarivate Analytics Web of Science suite. BIOSIS Previews indexes data from 1926 to the present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Submission Turnaround Time

Conferences

Top