Abstract:

Objective To construct an intelligent management platform for continuous nursing care based on the needs of breast cancer patients and to evaluate its application effect，providing a reference for the improvement of the quality of continuous care services for breast cancer patients. Methods A platform research and development team was formed. Through interviews with the continuous care needs of 10 breast cancer patients，combined with literature review and experts group discussion results，the functional modules and service contents of the intelligent management platform were constructed. Using the convenient sampling method，a total of 156 breast cancer patients who had undergone surgery in the breast surgery department of a tertiary A hospital in Wuhan were selected as the application subjects. 78 postoperative breast cancer patients who were hospitalized from March to April 2025 were set as an experimental group，and continuous nursing services were implemented through the intelligent management platform. 78 postoperative breast cancer patients who were hospitalized from July to August 2024 were set as a control group，and the responsible nurses implemented the conventional continuous nursing service model. The intervention period lasts for 6 months. The Post-Study System Usability Questionnaire was adopted to evaluate the users’ experience of the platform. The differences in the occurrence of breast cancer symptom clusters and self-care ability were compared between the 2 groups after the intervention. Results 6 cases in the experimental group dropped out，and 9 cases in the control group were lost to follow-up，so 72 cases in the experimental group and 69 cases in the control group completed the study. The Post-Study System Usability Questionnaire scores of nurses and patients were >4 points. The incidence and severity of gastrointestinal symptom clusters，fatigue symptom clusters，and emotional symptom clusters in the experimental group were lower than those in the control group，and the difference was statistically significant（P<0.05）. The scores of self-care ability in the experimental group were higher than those in the control group，and the difference was statistically significant（P<0.05）. Conclusion The application of the intelligent management platform can effectively enhance the self-care ability of breast cancer patients after discharge，reduce the incidence and severity of symptom clusters，and improve the quality of life of patients. The platform has good usability and good application.

Key words: Breast Cancer, Continuous Nursing Care, Intelligent Management Platform, Symptom Management, Self-Care Ability

摘要：

目的 构建基于乳腺癌患者需求的延续性护理智慧化管理平台，并评价其应用效果，为乳腺癌患者延续性护理服务质量的提升提供参考。方法 组建平台研发团队，通过访谈10例乳腺癌术后患者的延续性护理需求，并结合文献分析及专家小组会议结果，构建智慧化管理平台功能模块及服务内容。采取便利抽样法，选取武汉市某三级甲等医院乳腺外科156例乳腺癌术后患者为应用对象，将2025年3—4月住院的78例乳腺癌术后患者设为试验组，采用智慧化管理平台实施延续性护理服务；将2024年7—8月住院的78例乳腺癌术后患者设为对照组，由责任护士落实常规的延续性护理服务模式，干预时长为6个月。干预后，采用系统可用性问卷评估用户对平台的使用体验，并比较两组症状群发生情况、自我照护能力的差异。结果 试验组中途退出6例，对照组中途失访9例，最终试验组有72例、对照组有69例完成研究。护士和患者的系统可用性问卷得分均>4分。试验组胃肠道症状群、疲乏症状群、情绪症状群发生率及症状严重程度低于对照组，差异有统计学意义（P<0.05）；试验组自我护理能力评分高于对照组，差异有统计学意义（P<0.05）。结论 应用延续性护理智慧化管理平台可有效提高乳腺癌患者出院后的自我护理能力，降低症状群的发生率及严重程度，改善患者的生活质量，且平台可用性良好。

关键词: 乳腺癌, 延续性护理, 智慧化管理平台, 症状管理, 自我护理能力