To Study the Effect of Individualized Nursing Model Based on MDT Concept on Limb Function Recovery and Quality of Life in Patients with Breast Cancer

Overview

Journal Comput Math Methods Med

Publisher Hindawi

Specialty Medical Informatics

Date 2022 Sep 19

PMID 36118838

Authors

Yue Chen

Feng Luo

Guo Shi

Affiliations

Soon will be listed here.

Abstract

Objective: To study the value of the individualized nursing model based on the concept of multidisciplinary team (MDT) on recovery of limb function and quality of life in patients with breast cancer.

Methods: A total of 110 breast cancer patients admitted to our hospital from January 2021 to December 2021 were selected as the research objects. The 110 breast cancer patients were divided into the research group ( = 55) and the control group ( = 55) according to the random number table method. The control group received routine care. The research group implemented individualized nursing based on the MDT concept on the basis of routine nursing. The disabilities of the arm, shoulder, and hand (DASH) scores before nursing and 1 month after nursing were studied in the two groups, Hamilton anxiety scale (HAMA) score, Hamilton depression scale (HAMD) score, and Functional Assessment of Cancer Therapy-B (FACT-B) score.

Results: After 1 month of nursing, the DASH score of the research group was lower than that of the control group, and the difference was statistically significant ( < 0.05), and after 1 month of nursing, the HAMA score of the research group was lower than that of the control group ( < 0.05). After 1 month of nursing, the HAMD scale score of the research group was lower than that of the control group, and the difference was statistically significant ( < 0.05). After 1 month of nursing, the FACT-B score of the research group was higher than that of the control group, and the difference was statistically significant ( < 0.05).

Conclusion: The individualized nursing model based on the MDT concept has high application value for breast cancer patients. This nursing model can improve the function of limb movement, relieve the patient's anxiety and depression, and improve the patient's quality of life. This nursing model is worthy of clinical promotion.

Citing Articles

Multidisciplinary diagnosis and treatment nutritional support intervention for gastrointestinal tumor radiotherapy: Impact on nutrition and quality of life.

Hui L, Zhang Y, Hu X World J Gastrointest Surg. 2024; 15(12):2719-2726.

PMID: 38222015 PMC: 10784837. DOI: 10.4240/wjgs.v15.i12.2719.

Retracted: To Study the Effect of Individualized Nursing Model Based on MDT Concept on Limb Function Recovery and Quality of Life in Patients with Breast Cancer.

Methods In Medicine C Comput Math Methods Med. 2023; 2023:9790685.

PMID: 38094451 PMC: 10718672. DOI: 10.1155/2023/9790685.

The effect of multidisciplinary team on survival rates of women with breast cancer: a systematic review and meta-analysis.

Pangarsa E, Rizky D, Tandarto K, Setiawan B, Santosa D, Hadiyanto J Ann Med Surg (Lond). 2023; 85(6):2940-2948.

PMID: 37363480 PMC: 10289736. DOI: 10.1097/MS9.0000000000000914.

References

Kensinger C, Brownie E, Bream Jr P, Moore D . Multidisciplinary team approach to end-stage dialysis access patients. J Surg Res. 2015; 199(1):259-65. PMC: 4604008. DOI: 10.1016/j.jss.2015.04.088. View

Chen W, Li H, Sun K, Zheng R, Zhang S, Zeng H . [Report of Cancer Incidence and Mortality in China, 2014]. Zhonghua Zhong Liu Za Zhi. 2018; 40(1):5-13. DOI: 10.3760/cma.j.issn.0253-3766.2018.01.002. View

Prades J, Remue E, Van Hoof E, Borras J . Is it worth reorganising cancer services on the basis of multidisciplinary teams (MDTs)? A systematic review of the objectives and organisation of MDTs and their impact on patient outcomes. Health Policy. 2014; 119(4):464-74. DOI: 10.1016/j.healthpol.2014.09.006. View

Gish R, Lencioni R, Di Bisceglie A, Raoul J, Mazzaferro V . Role of the multidisciplinary team in the diagnosis and treatment of hepatocellular carcinoma. Expert Rev Gastroenterol Hepatol. 2012; 6(2):173-85. DOI: 10.1586/egh.11.105. View

Hayes K, Callanan M, Walton J, Paxinos A, Murrell G . Shoulder instability: management and rehabilitation. J Orthop Sports Phys Ther. 2002; 32(10):497-509. DOI: 10.2519/jospt.2002.32.10.497. View

Kane B, Luz S . "Do no harm": fortifying MDT collaboration in changing technological times. Int J Med Inform. 2013; 82(7):613-25. DOI: 10.1016/j.ijmedinf.2013.03.003. View

Fan L, Strasser-Weippl K, Li J, St Louis J, Finkelstein D, Yu K . Breast cancer in China. Lancet Oncol. 2014; 15(7):e279-89. DOI: 10.1016/S1470-2045(13)70567-9. View

Siegel R, Miller K, Jemal A . Cancer statistics, 2016. CA Cancer J Clin. 2016; 66(1):7-30. DOI: 10.3322/caac.21332. View

Zekri J . The impact of a coordinated joint multidisciplinary breast cancer clinic. Ecancermedicalscience. 2017; 11:741. PMC: 5464561. DOI: 10.3332/ecancer.2017.741. View

10.

Wiggans M, Jackson S, Fox B, Mitchell J, Aroori S, Bowles M . The Preoperative Assessment of Hepatic Tumours: Evaluation of UK Regional Multidisciplinary Team Performance. HPB Surg. 2013; 2013:861681. PMC: 3766576. DOI: 10.1155/2013/861681. View

11.

De Lena M, Brambilla C, Morabito A, Bonadonna G . Adriamycin plus vincristine compared to and combined with cyclophosphamide, methotrexate, and 5-fluorouracil for advanced breast cancer. Cancer. 1975; 35(4):1108-15. DOI: 10.1002/1097-0142(197504)35:4<1108::aid-cncr2820350414>3.0.co;2-z. View

12.

Winchester D . The national accreditation program for breast centers: a multidisciplinary approach to improve the quality of care for patients with diseases of the breast. Breast J. 2008; 14(5):409-11. DOI: 10.1111/j.1524-4741.2008.00639.x. View

13.

Kesson E, Allardice G, George W, Burns H, Morrison D . Effects of multidisciplinary team working on breast cancer survival: retrospective, comparative, interventional cohort study of 13 722 women. BMJ. 2012; 344:e2718. PMC: 3339875. DOI: 10.1136/bmj.e2718. View

14.

Blackwood O, Deb R . Multidisciplinary team approach in breast cancer care: Benefits and challenges. Indian J Pathol Microbiol. 2020; 63(Supplement):S105-S112. DOI: 10.4103/IJPM.IJPM_885_19. View

15.

Fisher B, Fisher E . The interrelationship of hematogenous and lymphatic tumor cell dissemination. Surg Gynecol Obstet. 1966; 122(4):791-8. View

16.

Torre L, Bray F, Siegel R, Ferlay J, Lortet-Tieulent J, Jemal A . Global cancer statistics, 2012. CA Cancer J Clin. 2015; 65(2):87-108. DOI: 10.3322/caac.21262. View

17.

Nyquist J, Radecki S, Gates J, Abrahamson S . An educational intervention to improve hospital tumor conferences. J Cancer Educ. 1995; 10(2):71-7. DOI: 10.1080/08858199509528338. View