Effect of case management based extended care model on mental state and quality of life of breast cancer patients

Background: Breast cancer is the most prevalent cancer among women. Anxiety, depression negatively impact their psychological well-being. Through extended care, and a holistic nursing approach, breast cancer patients may benefit more from this model in terms of psychological well-being and quality of life. This study assessed the impact of the extended care model, based on case management, on the self-management and psychological well-being of breast cancer patients. Methods: A retrospective analysis of 96 breast cancer patients’ clinical records was conducted based on existing case records. Based on the different care methods recorded, 48 patients were included in the intervention group and 48 in the control group. All patients underwent a modified radical mastectomy. Standard treatment was administered to the control group, whereas the extended care mode intervention of case management was administered to the intervention group. Self-management effectiveness, self-management capacity, mental state, quality of life and patient satisfaction were assessed for both groups. Results: After intervention, the intervention group showed significant improvements in the Strategies Used by People to Promote Health (SUPPH) score (p < 0.05, −10.445, −6.805; −13.005, −8.286; −7.961, −5.914). The self-care agency scale (ESCA) score was significantly higher in the intervention group than in the control group (p < 0.05, −6.357, −2.685; −6.152, −2.307; −5.867, −1.841; −5.700, −3.050). The intervention group also showed significant improvements in Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) scores than the control group (p < 0.05, 1.372, 4.294; 0.715, 1.618). The intervention group scored significantly higher on quality of life scores (p < 0.05, −4.641, −1.484; −6.097, −2.695; −4.294, −1.831; −6.800, −4.408; −3.989, −1.386). Overall, the intervention group was more satisfied than the control group. Conclusions: A case management-based extended care model has shown positive results in improving self-care capabilities and reducing negative mental states in breast cancer patients.

Breast cancer; Extended care model based on case management; Self-management; Mental state

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