Research on the application of internet platform management in enhancing compliance with functional exercise after breast cancer surgery
网络平台管理在提升乳腺癌术后功能锻炼依从性中的应用研究

摘要

目的 分析网络平台管理对于乳腺癌手术患者自我管理效能、功能锻炼依从性的影响，探究提升乳腺癌术后患者功能锻炼依从性的有效策略。方法 于2023年01月~06月、2023年07月~12月，分别纳入51例于我院行乳腺癌根治术治疗患者，设置为A、B两组，予以A组患者常规出院指导、随访，在A组基础上予以B组患者持续院外网络平台管理。主要观察干预3个月的功能锻炼依从性评分，次要观察干预前、后《癌症自我管理效能感量表》（Strategies Used by People to Promote Health，SUPPH）评分。结果 干预3个月，B组患者功能锻炼依从性评分高于A组，差异有统计学意义（P<0.05）。干预前，两组患者SUPPH评分相近，差异无统计学意义（P>0.05）；干预后，B组患者SUPPH评分高于A组，差异有统计学意义（P<0.05）。结论 对乳腺癌术后患者予以网络平台管理，能够增强患者自我管理效能，提升患者术后功能锻炼依从性，效果显著。

Abstract

Objective To analyze the impact of network platform management on self-management efficacy and adherence to functional exercise in patients undergoing breast cancer surgery, and to explore effective strategies to enhance adherence to functional exercise in postoperative breast cancer patients.
Methods From January to June 2023 and from July to December 2023, 51 patients who underwent radical mastectomy at our hospital were included and divided into two groups: A and B. Group A received standard discharge guidance and follow-up, while group B received continuous management through an online platform in addition to the guidance provided to group A. The primary observation was the adherence score for functional exercise after 3 months of intervention, and the secondary observation was the scores from the Cancer Self-management Efficacy Scale (Strategies Used by People to Promote Health, SUPPH) before and after the intervention.
Results After 3 months of intervention, the adherence score for functional exercise in group B was significantly higher than that in group A (P<0.05). Before the intervention, the SUPPH scores of both groups were similar with no statistically significant difference (P>0.05); after the intervention, the SUPPH score in group B was higher than that in group A, with a statistically significant difference (P<0.05).
Conclusion   Managing postoperative breast cancer patients through a network platform can enhance their self-management efficacy and significantly improve their adherence to functional exercise.