ZENG Cuifang 1,2 , WU Wenjuan 3 , ZHANG Xingxia 4 , JIA Ying 2,5 , HOU Ping 3 , YANG Xiaoqin 2,5
  • 1. Department of General Surgery, West China Hospital, Sichuan University / West China School of Nursing, Sichuan University , Chengdu, Sichuan 610041, P. R. China;
  • 2. Breast Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
  • 3. Department of General Surgery, Shangjin Hospital, West China Hospital, Sichuan University, Chengdu, Sichuan 611700, P. R. China;
  • 4. West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
  • 5. Department of General Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
YANG Xiaoqin, Email: 1240118009@qq.com
Breast cancer; implantable venous access port; IMPACT management mode; self-care ability; self-management ability
10.7507/1002-0179.202201114
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Objective  To observe the effectiveness of IMPACT management mode on self-care and management abilities of breast cancer patients undergoing chemotherapy with implantable venous access port (VAP). Methods  Breast cancer patients who underwent chemotherapy with VAP at Shangjin Hospital, West China Hospital, Sichuan University between March 2020 and June 2021 were prospectively included. IMPACT mode was used for self-management training guidance. The patient self-care abilities before training and at 1 month, 2 months, and 3 months of training were compared, and the patient self-management abilities at 1 month and 3 months of training were compared. Results  A total of 74 patients with breast cancer undergoing chemotherapy with VAP were included. The total score of self-care ability of patients before training and at 1 month, 2 months, and 3 months of training was 112.11±14.63, 123.20±15.73, 127.95±13.89, and 131.92±13.60, respectively, and all the between-time-point differences were statistically significant (P<0.05). In terms of self-concept score, all the between-time-point differences were statistically significant (P<0.05) with increasing score over time, except the difference between the score at 3 months of training and that at 2 months of training (P>0.05). In terms of self-responsibility and self-care skill scores, all the between-time-point differences were statistically significant (P<0.05) with increasing scores over time, except the difference between the score at 2 months of training and that at 1 month of training (P>0.05). In terms of health knowledge level, the scores at 1 month, 2 months, and 3 months of training were higher than that before training (P<0.05), and the score at 3 months of training was higher than that at 1 month of training (P<0.05). The self-management ability scores in all dimensions at 3 months of training were higher than those at 1 month of training, and the differences were statistically significant (P<0.05). Conclusion  The IMPACT management mode can effectively improve the self-care and management abilities of breast cancer patients undergoing chemotherapy with VAP, thereby ensuring the normal use of VAP, reducing the occurrence of complications, and reducing the burden on families and society.

Citation： ZENG Cuifang, WU Wenjuan, ZHANG Xingxia, JIA Ying, HOU Ping, YANG Xiaoqin. Effect of IMPACT management mode on self-care and management abilities of patients with breast cancer undergoing chemotherapy with implantable venous access port. West China Medical Journal, 2023, 38(6): 878-883. doi: 10.7507/1002-0179.202201114 Copy

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