Case Control Study
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Feb 26, 2020; 8(4): 689-699
Published online Feb 26, 2020. doi: 10.12998/wjcc.v8.i4.689
Application of positive behavior management in patients after breast cancer surgery
Ying-Jie Hao, Hui-Bo Sun, Hong-Wei Li, Bing-Jie Chen, Xiu-Li Chen, Lin Ma, Ying-Li Li
Ying-Jie Hao, Hui-Bo Sun, Hong-Wei Li, Department of Breast Surgery, the Third Affiliated Hospital of Qiqihar Medical University, Qiqihar 161000, Heilongjiang Province, China
Bing-Jie Chen, Xiu-Li Chen, Lin Ma, Department of Nursing, the Third Affiliated Hospital of Qiqihar Medical University, Qiqihar 161000, Heilongjiang Province, China
Ying-Li Li, Department of Otolaryngology, the Third Affiliated Hospital of Qiqihar Medical University, Qiqihar 161000, Heilongjiang Province, China
Author contributions: Hao YJ, Sun HB, Li HW, Chen BJ, Chen XL, and Ma L designed this work, collected and interpreted the data, and drafted the manuscript; Li YL designed this work, critically revised the manuscript, and performed overall supervision; All authors contributed to the final approval and accountability for the manuscript.
Institutional review board statement: This study was reviewed and approved by the Third Affiliated Hospital of Qiqihar Medical University Institutional Review Board Committee.
Informed consent statement: All patients gave informed consent.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE statement checklist, and the manuscript was prepared and revised according to the STROBE statement checklist.
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 in accordance with 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: http://creativecommons.org/licenses/by-nc/4.0/
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 in accordance with 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: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Ying-Li Li, BMed, Chief Nurse, Department of Otolaryngology, the Third Affiliated Hospital of Qiqihar Medical University, 27 Taishun Street, Qiqihar 161000, Heilongjiang Province, China. haoyingjie816@126.com
Received: September 29, 2019
Peer-review started: September 29, 2019
First decision: November 21, 2019
Revised: December 26, 2019
Accepted: January 15, 2020
Article in press: January 15, 2020
Published online: February 26, 2020
Processing time: 150 Days and 6.4 Hours
ARTICLE HIGHLIGHTS
Research background

Although breast cancer surgery has a therapeutic effect, it has a greater psychological impact on patients, which is mainly reflected in the impact on patients' awareness of disease and self-efficacy. In order to better help patients improve their self-management effect, adopting a positive behavior management model based on cognitive architecture can effectively promote patients to cultivate a positive rehabilitation mentality, thereby promoting prognostic recovery.

Research motivation

The motivation of this study is to find a way to provide scientific and effective interventions to improve the overall rehabilitation effect of breast cancer patients, so as to promote the rapid recovery of patients and maintain their physical and mental health. The key issues to be addressed in this study are how to set up the corresponding interventions and how to determine that the interventions have the expected effect. Our article solves the above problems perfectly by formulating comprehensive intervention measures and developing objective evaluation indicators. In the future, more in-depth studies in this area should be conducted through cooperation with other medical institutions or by expanding the sample size and analyzing more detailed measurement indicators to obtain more representative conclusions.

Research objectives

The main objective of this study is to obtain the application effect data of the positive behavior management model based on cognitive architecture, and to verify its effectiveness and feasibility in clinical application. The goal that has been achieved is that the study has clearly identified that this intervention can strengthen the self-efficacy of breast cancer patients, increase their level of hope for disease treatment, and relieve their anxiety and depression, thereby improving the quality of life of individuals. This also points out the direction for future research, which can be studied in more depth or expansion, so as to achieve a wider coverage.

Research methods

The research method is mainly to implement different intervention measures for the two groups, focusing on the analysis of the role of the positive behavior management model based on cognitive architecture. The General Self-Efficacy Scale was used to evaluate self-efficacy, the Herth Hope Scale was used to evaluate hope level, the Self-rating Anxiety Scale and Self-rating Depressive Scale were used to evaluate negative emotions, and the breast cancer patient-specific scale was used to evaluate the quality of life. The characteristic and novelty of this research method lies in the fact that through the analysis of scales in different aspects, we statistically and comprehensively verify the effect of the intervention measures of the observation group, in order to provide clinical guidance.

Research results

The result of this study is that the effect and application value of the positive behavior management model based on cognitive architecture have been confirmed, thus pointing out specific directions for future interventions. The contribution of the study to its field is that it can help the clinical establishment of specific items, operational specifications and evaluation indicators of the positive behavior management model based on cognitive architecture. However, there are also some related problems, such as the need to further refine the research indicators and the evaluation schemes.

Research conclusions

The new findings of the study are the affirmation of the role and value of the positive behavior management model based on cognitive architecture, which has taken a solid step for future clinical applications.

Research perspectives

The lessons learned from this study are that continuing in-depth research and investigation can provide more substantial content for the positive behavior management model based on cognitive architecture, enrich its specific connotation, and thus make it more representative. Future research directions are mainly to expand disease adaptation, refine management models, and enrich survey methods. The best method for future research is to invite other medical institutions to conduct collaborative research, and conduct it more scientifically in the aspects of samples, indications, and so on.