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Application of multidisciplinary collaborative intervention based on mobile APP platform in patients after modified radical mastectomy |
HU Linlin1 HU Baohong2▲ |
1.Department of Breast and Thyroid Surgery, Renmin Hospital of Wuhan University, Hubei Province,Wuhan 430000, China;
2.Department of Surgery, Renmin Hospital of Wuhan University, Hubei Province, Wuhan 430000, China |
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Abstract Objective To explore the application effect of multidisciplinary collaborative intervention based on mobile APP platform in patients after modified radical mastectomy, to observe the postoperative recovery of patients, to guide the formulation of effective nursing program after modified radical mastectomy in the future. Methods From May 2018 to June 2020, 240 patients with breast cancer who received modified radical mastectomy in the Renmin Hospital of Wuhan University were selected, according to the random number table method, they were divided into control group and observation group, with 120 cases in each group. The control group was given conventional multidisciplinary collaborative intervention, and the observation group was given multidisciplinary collaborative intervention based on mobile APP platform, both were intervened for three months. Before intervention and three months after intervention, self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were used to evaluate the psychological state of the two groups, and exercise self-care agency (ESCA) was used to evaluate the self-care ability. The incidence of complications was recorded. Results Before intervention, there were no significant differences in SAS and SDS scores between the two groups (P > 0.05). After three months of intervention, SAS and SDS scores in both groups were lower than before treatment, and observation group was lower than the control group, the differences were statistically significant (P < 0.05). Before intervention, there was no significant difference between the two groups in the scores and total scores of ESCA scale (P > 0.05). After three months of intervention, the each dimensions scores and total scores of ESCA scale in the two groups were higher than before treatment, and those in the observation group were higher than the control group, with statistical significance (P < 0.05). The incidence of complications in the observation group was lower than that in the control group, with statistical significance (P < 0.05). Conclusion The multidisciplinary collaborative intervention based on mobile APP platform is more conducive to improve the mental state of patients with breast cancer after modified radical mastectomy, improve their self-care ability, and can effectively reduce the incidence of complications.
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