Practical results of three dimensional evaluation model based on preparation-process-outcome in transitional care in patients with breast cancer / 中国实用护理杂志

ABSTRACT

Objective To investigate the practical results of three dimensional evaluation model based on preparation-process-outcome in transitional care in patients with breast cancer. Methods A total of 142 cases of patients with breast cancer received postoperative endocrine drugs adjuvant therapy for the first time were randomly divided into transitional care group (n=78) and control group (n=64). Patients in the control group were received routine follow-up care outside the hospital. Patients in transitional care group were accepted transitional care based on three dimensional evaluation model based on preparation-process-outcome, and structure, process and results of the transitional care were evaluated and monitored. After intervention 3, 6 and 12 months, the medication compliances of patients were evaluated. Before the patients discharged and after intervention 3, 6 and 12 months, the qualities of life were assessed. Results After intervention 6 and 12 months, the scores of Chinese Perceived Stress Scale (CPSS) in the transitional care group were (30.4 ± 3.2), (27.9 ± 2.5) points, respectively, and in the control group were (33.7 ± 3.6), (31.5 ± 3.4) points, respectively, the differences were statistically significant (t=5.746, 12.834, P<0.01). After intervention 3, 6 and 12 months, the scores of Self- rating Anxiety Scale (SAS) in the transitional care group were (49.3±3.9), (44.7±3.5), (37.6±2.9) points, respectively, and in the control group were (52.2±4.1), (47.8±3.9), (42.9±4.4) points, respectively, the differences were statistically significant ( t=3.696, 5.304, 9.682, P<0.01). After intervention 3, 6 and 12 months, the values of the medicine possession ratio (MPR) in the transitional care group were (99.1 ± 0.8)％, (98.7 ± 1.1)％, (96.7 ± 1.3)％, respectively, and in the control group were (93.5±3.6)％, (92.3±4.1)％, (87.2±3.8)％, the differences were statistically significant (t=14.524, 13.568, 16.834, P<0.01). After intervention 3, 6 and 12 months, the quality of life score in the transitional care group were (107.6 ± 4.2), (107.1 ± 4.3), (109.7 ± 4.4) points, respectively, and in the control group were (103.6 ± 4.8), (101.4 ± 4.2), (97.5 ± 3.9) points, the differences were statistically significant (t=5.524, 7.967, 18.623, P<0.01). Conclusions From the preparation, process and outcomes of the three dimensions to control the development and implementation of transitional care could improve the recent stress, anxiety and other negative emotions of the patients, improve the medication compliance of patients, and thus contribute to improving the overall quality of life of patients.