Effect of health care shared decision-making mode on functional exercise in patients with breast cancer after operation / 中国实用护理杂志

ABSTRACT

Objective To explore the effect of health care shared decision-making mode on functional exercise in patients with breast cancer after operation. Methods Convenient sampling was used to select 41 breast cancer patients who were admitted to surgery in a grade three hospital in February 2017-2018 in February. There were 23 cases in the intervention group and 18 in the control group. The intervention group was given health care shared decision-making mode on the basis of routine nursing, while the control group was given routine nursing. The changes of limb dysfunction, functional exercise compliance and quality of life were observed and compared between the two groups one month, three months and six months after operation. Results There was no significant difference in the outcome indicators between the two groups one month after operation (P>0.05). The scores of limb dysfunction in the intervention group at three months and six months after operation were (16.25±8.84) (13.70±12.97) points, which were significantly lower than those in the control group (30.71±22.91), (21.49±14.25) points (t=-2.682,-2.447, P<0.05). The scores of functional exercise compliance in the intervention group at three months and six months after operation were (57.10±5.55) (62.36±4.81) points respectively, higher than those in the control group (52.99±14.18), (54.99±6.90) points (t=1.228, 3.034, P<0.05). The scores of QOL in the intervention group at three months and six months after operation(98.16±14.17), (116.22± 10.14) points were significantly higher than those in the control group (86.35±20.95), (91.41±24.04) points (t=2.021,3.866, P<0.05). Conclusion Shared decision-making mode changes the patient's medical experience, reduces the information asymmetry in the treatment process, and strengthens the patient's autonomy, thus alleviated the limb dysfunction of the breast cancer patients, improved the patient's functional exercise compliance and the quality of life, and made the patients get the best care.