Volume 23 Issue 8
Aug.  2025
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SHI Xinru, WANG Fang, MA Xiaolei. Nursing effect of MDT model health education combined with out-of-hospital continuous intervention on patients with modified radical mastectomy for breast cancer[J]. Chinese Journal of General Practice, 2025, 23(8): 1364-1368. doi: 10.16766/j.cnki.issn.1674-4152.004135
Citation: SHI Xinru, WANG Fang, MA Xiaolei. Nursing effect of MDT model health education combined with out-of-hospital continuous intervention on patients with modified radical mastectomy for breast cancer[J]. Chinese Journal of General Practice, 2025, 23(8): 1364-1368. doi: 10.16766/j.cnki.issn.1674-4152.004135

Nursing effect of MDT model health education combined with out-of-hospital continuous intervention on patients with modified radical mastectomy for breast cancer

doi: 10.16766/j.cnki.issn.1674-4152.004135
Funds:

 20221887

  • Received Date: 2025-03-11
    Available Online: 2025-10-31
  •   Objective  To explore the intervention effect of multidisciplinary collaboration (MDT) model health education combined with out-of-hospital continuous intervention on patients with modified radical mastectomy for breast cancer.  Methods  A total of 114 patients with modified radical mastectomy for breast cancer admitted to Zhangjiakou First Hospital from June 2020 to June 2022 were selected as the research objects. The patients were divided into routine group (57 cases, routine health education) and MDT group (57 cases, MDT mode health education) by random number table method. The two groups were followed up for 6 months after discharge, during which continuous intervention outside the hospital was performed. The complications, hospitalization, psychological status, health behavior, health knowledge score, shoulder joint function recovery and compliance behavior were compared between the two groups.  Results  The incidence of postoperative complications in the MDT group (10.53%, 6/57) was lower than that in the conventional group [24.56% (14/57), χ2=9.860, P=0.002]. The hospitalization time of the MDT group was shorter than that of the conventional group, and the hospitalization cost was less than that of the conventional group (P < 0.05). After 6 months of follow-up, the scores of self-rating depression scale (SDS) and self-rating anxiety scale (SAS) in the MDT group were lower than those in the conventional group; the health promotion lifestyle rating scale (HPLS-Ⅱ) and health knowledge score were higher than those in the conventional group (P < 0.05). After 6 months of follow-up, the proportion of patients with normal shoulder joint activity in the two groups was higher than that in the routine group (P < 0.05). During the follow-up period, the scores of compliance behaviors in the MDT group were higher than those in the conventional group (P < 0.05).  Conclusion  MDT mode health education combined with continuous intervention outside the hospital can improve the mastery of health knowledge, compliance behavior and health behavior level of patients with modified radical mastectomy for breast cancer, improve their psychological state, promote the recovery of shoulder joint function, shorten the hospitalization time and reduce the hospitalization cost.

     

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