卵巢癌患者个案管理实践方案的构建及初步应用.

Objective To develop a nurse-led case management practice program for ovarian cancer patients, and to investigate its application effect initially. Methods The case management practice model of ovarian cancer was formed through literature analysis, qualitative research and expert meeting method. Ovarian cancer patients who were given conventional nursing interventions from Aug 2022 to Jun 2023 and from Jul 2023 to Mar 2024 in Obstetrics and Gynecology Hospital, Fudan University were selected as the control group (n=16) and the intervention group (n=16). The patients’supportive care needs, disease symptoms and unplanned readmission rates were compared before and after intervention between two groups. Supportive Care Needs Survey Shortform 34 (SCNS-SF34) was used to collect patients’ supportive care needs, and M. D. Anderson Symptom Inventory (MDASI) was used to assess disease symptoms. Results The ovarian cancer case management practice program was constructed and revised to determine the qualification and professional competence of the ovarian cancer case manager, the core of practice, and the specific implementation pathway. After intervention, the total score and scores of all dimensions of SCNS-SF34 in the intervention group were lower than those of the control group (P< 0.001), the total score and scores of all dimensions of MDASI in the intervention group were lower than those of the control group (P<0.05). There was no statistically significant difference in unplanned readmission rates between the two groups. Conclusion The case management practice program for ovarian cancer patients was constructed with scientific validity, which can effectively meet the care needs of patients and alleviate their disease symptoms. [ABSTRACT FROM AUTHOR]