Retrospective Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 26, 2024; 12(27): 6070-6076
Published online Sep 26, 2024. doi: 10.12998/wjcc.v12.i27.6070
Application effect of case management nursing based on patient safety in patients with prostate cancer
Ru Zhou, Chan-Ling Xu
Ru Zhou, Chan-Ling Xu, Department of Comprehensive Surgery II, Jiangnan University Affiliated Hospital, Wuxi 214101, Jiangsu Province, China
Author contributions: Zhou R designed the research study and was responsible for revising the manuscript for important intellectual content; Zhou R and Xu CL performed the primary literature search and data extraction, analyzed the data, wrote the manuscript, read and approved the final version.
Institutional review board statement: This study was reviewed and approved by the Institutional Review Committee of Jiangnan University Affiliated Hospital.
Informed consent statement: All study participants or their legal guardians provided written informed consent for personal and medical data collection before study enrolment.
Conflict-of-interest statement: The authors declare no conflicts of interest.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed under the Creative Commons Attribution-Noncommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Chan-Ling Xu, MMed, Nurse, Department of Comprehensive Surgery II, Jiangnan University Affiliated Hospital, No. 200 Huihe Road, Wuxi 214101, Jiangsu Province, China. xc1992081@126.com
Received: May 10, 2024
Revised: June 10, 2024
Accepted: July 2, 2024
Published online: September 26, 2024
Processing time: 79 Days and 21.7 Hours
Abstract
BACKGROUND

Globally, prostate cancer has become a major threat to men's health, with an increasing incidence and causes serious effects on the quality and length of life of patients. Despite the rapid development of medical technology, which provides treatments, including surgery, radiotherapy, and endocrine therapy, the treatment of patients with prostate cancer, especially with endocrine therapy, has become a major challenge in clinical treatment owing to the lengthy course of treatment, side effects of drugs, and impact of the disease on the psychological and physiological functioning of the patient, producing poor treatment adherence and a decline in quality of life.

AIM

To explore effects of nursing intervention prioritizing patient safety and case management in patients with prostate cancer undergoing endocrine therapy.

METHODS

Eighty patients with prostate cancer who received endocrine therapy at our hospital between January 2022 and January 2024 were divided into observation and control groups with 40 cases per group. The control group was treated using a routine nursing workflow while the observation group received case management nursing guidance prioritizing patient safety. Scores for anxiety and depression, prostate cancer symptoms, and quality of life and patient compliance and satisfaction were compared between the groups after three months of intervention.

RESULTS

After the nursing intervention, the anxiety and depression scores of the observation group were significantly lower than those of the control group (P < 0.05). The quality of life score, sexual function, and hormone function were significantly higher than those in the control group (P < 0.05).

CONCLUSION

Case management guidance based on patient safety effectively reduced anxiety and depression in patients undergoing endocrine therapy for prostate cancer and improved their quality of life, treatment compliance, and satisfaction.

Keywords: Prostate cancer, Case management, Endocrine therapy, Quality of life, Patient safety

Core Tip: Case management nursing based on patient safety aims to provide personalized, comprehensive, and continuous medical care services for each patient, especially in treating chronic diseases such as prostate cancer, which highlights its value. We used systematic evaluation, individualized intervention plan formulation, efficient communication, and coordination between doctors and patients, as well as dynamic monitoring of treatment effects and timely adjustment of treatment plans to maximize patient compliance with endocrine therapy, reduce side effects, improve psychological status, improve quality of life, and enhance disease self-management.