Effects of Continuous Care Combined with Evidence-Based Nursing on Mental Status and Quality of Life and Self-Care Ability in Patients with Liver from Breast Cancer: A Single-Center Randomized Controlled Study

Abstract

Objective: To explore the multidisciplinary collaborative extended care combined with EBN to improve breast cancer liver metastasis patients' psychological status and self-care ability.

Background: In the past ten years, the number of breast cancer patients with liver metastases has increased year by year, becoming a global public health problem. Studies have shown that 30% of breast cancer patients with liver metastases show varying degrees of anxiety and depression, and their quality of life is significantly lower than that of the normal population. Multidisciplinary collaborative continuous care can improve the prognosis of breast cancer treatment to a certain extent and is the key to meeting the needs of cancer patients.

Materials and methods: The clinical data of 96 patients with liver metastases from breast cancer were selected as the study subjects and divided into a comparison group and an observation group of 48 cases each according to a random number table. Among them, the comparison group implemented evidence-based nursing (EBN) and the observation group implemented multidisciplinary collaborative extended care based on the comparison group. The effects of psychological status, quality of life, self-care ability, and sleep quality were compared between the two groups before and after nursing care.

Results: After nursing, the sleep quality scores, increased awakening scores, sleep quality that shows weakness because important things are not steady or strong scores, and night terrors scores of the two groups of breast cancer patients with liver the spread of diseases through the body were very much improved, and the sleep quality scores of the instance of watching, noticing, or making a statement group were much lower than those of the comparison group (P < 0.05). After nursing, the fear and stress-related score, depression score, tiredness and distress score, and anger score of the two groups of breast cancer patients with liver (the spread of diseases through the body) were very much improved, and the mental state score of the instance of watching, noticing, or making a statement group was much lower than that of the comparison group (P < 0.05). The scores of self-care skills, self-responsibility, health knowledge, and self-idea of patients in the instance of watching, noticing, or making a statement group after nursing were higher than those in the comparison group (P < 0.05). After nursing, the scores of mental energy, social interaction, emotional restriction, and mental status of patients in (instance of watching, noticing, or making a statement) were much higher than those in the comparison group (P < 0.05).

Conclusion: Multidisciplinary collaborative continuous nursing combined with EBN can effectively improve the sleep quality and psychological state of patients with breast cancer and liver metastases and improve self-care ability.

Figure 1

Comparison of sleep quality scores (according to the test standard of α = 0.05, the scores of sleep quality (a), increased arousal score (b), sleep instability score (c), sleep disturbance scores of the two groups of breast cancer patients with liver metastases after nursing care, and night terrors scores (d) were significantly improved, and the sleep quality score in the instance of watching, noticing, or making a statement group was much lower than that in the comparison group. Values are expressed as mean ± SD and carefully studied by an independent sample t-test. After nursing, the instance of watching, noticing, or making a statement group's sleep quality score increased with a more excited or awake state than before, sleep quality shows weakness because important things are not steady or strong score, and night terrors score were lower than those of the comparison group (P < 0.05)).

Figure 2

Comparison of mental state scores (fear and stress scores (a), depression scores (b), tiredness and distress scores (c), and anger scores (d) were very much improved in both groups of breast cancer patients aftercare for liver (the spread of diseases through the body); (d) according to the $\widehat{I}\pm =0.05$, test judging requirements and the mental state scores in the instance of watching, noticing, or making a statement group were much lower than those in the control group. Values are expressed as $\text{mean\hspace{0.17em}}\widehat{A}\pm \text{standard}$ moving away and were analyzed by independent sample t-test. The fear and stress-related score, depression score, tiredness distress score, and anger score in the instance of watching, noticing, or making a statement group were lower than those in the control group aftercare (P < 0.05)).

Figure 3

Self-care ability score comparison (health knowledge score (c) and self-concept score (d) were significantly improved, and the observation group's self-care ability score was significantly higher than that of the comparison group. According to the test standard of α = 0.05, the values were expressed as mean ± SD which indicates that, using independent sample t-test analysis, the nursing skill score, self-responsibility score, health knowledge score, and self-concept score of the observation group after nursing were higher than those of the comparison group (P < 0.05)).

Figure 4

Comparison of quality of life scores (there was no big difference in the quality of life scores between the two groups before nursing (P > 0.05). After nursing, the scores of mental energy (a), social interaction (b), emotional restriction score (c), and mental status score (d) were very much improved, and the self-protection ability score of the instance of watching, noticing, or making a statement group was much higher than that of the comparison group. According to the test standard of $\widehat{I}\pm =0.05$, the value was expressed as $\text{mean\hspace{0.17em}}\widehat{A}\pm \text{SD}$, and the independent samples t-test was used for analysis. After nursing, the instance of watching, noticing, or making a statement group had higher scores of mental energy, social interaction, emotional limitation, and mental status than the comparison group (P < 0.05).