Application of "Internet + Multidisciplinary Collaboration" Continuous Nursing Model in the Rehabilitation of Patients after Cervical Cancer Surgery
DOI: 10.23977/tranc.2025.060114 | Downloads: 2 | Views: 80
Author(s)
Panpan Sun 1, Yanhua Li 1
Affiliation(s)
1 The First Gynecology Ward, The Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China
Corresponding Author
Panpan SunABSTRACT
Exploring the comprehensive impact of an "Internet + Multidisciplinary Team (MDT)" continuity of care model on the rehabilitation process, self-care ability, psychological status, and quality of life of postoperative cervical cancer patients, in order to provide high-quality evidence for optimizing postoperative care protocols. A total of 82 patients who underwent radical hysterectomy for cervical cancer in our hospital from December 2023 to December 2024 were selected. They were randomized using computer-generated sequences, with allocation concealment and a single-blind design, and divided into an observation group and a control group, with 41 patients in each group (the sample size was calculated using PASS 15.0 software, considering attrition rates). The control group received conventional continuity of care (telephone follow-up + printed health manuals), while the observation group established an MDT team including gynecologists, nutritionists, and psychologists. Leveraging a WeChat-based platform, the MDT team implemented electronic health record management, video follow-ups, personalized rehabilitation guidance, and online peer support. The team also conducted regular consultations and activated emergency intervention protocols. After 3–6 months of intervention, outcomes were assessed using the PFIQ-7, ESCA, HADS, SAS, and FACT-C scales. Post-intervention, the observation group showed significantly shorter wound healing time (10.5±2.1 days vs. 13.2±2.5 days) and significantly lower PFIQ-7 scores (5.3 ±4.2 points vs. 12.3±2.8 points). The ESCA total score (128.5±15.2 points vs. 102.3± 12.8 points) and FACT-C total score (319.3±25.6 points vs. 282.7±22.3 points) were significantly higher in the observation group, while HADS depression and anxiety scores and SAS scores were significantly lower (all P < 0.001). Patients who underwent laparoscopic surgery demonstrated even greater rehabilitation benefits. The "Internet + Multidisciplinary Team" continuity of care model can significantly promote physiological recovery in postoperative cervical cancer patients (particularly those undergoing laparoscopic surgery), enhance self-care ability, alleviate negative emotions, and improve quality of life. Moreover, the platform demonstrates high accessibility and compliance with privacy regulations, indicating substantial value for clinical promotion.
KEYWORDS
Cervical cancer; Internet Plus; multidisciplinary collaboration; continuous care; self-care ability; quality of life; randomized controlled trialCITE THIS PAPER
Panpan Sun, Yanhua Li, Application of "Internet + Multidisciplinary Collaboration" Continuous Nursing Model in the Rehabilitation of Patients after Cervical Cancer Surgery. Transactions on Cancer (2025) Vol. 6: 109-117. DOI: http://dx.doi.org/10.23977/tranc.2025.060114.
REFERENCES
[1] Chinese Society of Obstetrics and Gynecology. Guidelines for the Diagnosis and Treatment of Cervical Cancer (2021 Edition) [J]. Chinese Journal of Obstetrics and Gynecology, 2021,56(4):221-230. DOI: 10.3760/cma.j.cn112141-20210118-00044.
[2] Yuan CR, Chen GL, Li WP. Reliability and validity study of the self-care ability scale [J]. Nursing Research, 2007,21(1):1-4. DOI: 10.3969/j.issn.1009-6493.2007.01.001.
[3] Wang Zhengyu, Chi Yufen. Application of the Self-Rating Anxiety Scale (SAS) in Psychological Counseling [J]. China Mental Health Journal, 1999,13(2):98-100. DOI: 10.3321/j.issn: 1000-6729.1999.02.014.
[4] Wan CH, Chen MQ, Zhang CZ, et al. Development and evaluation of the Chinese version of the FACT-G (Focal Assessment of Cancer-Related Quality of Life) for cancer patients [J]. Journal of Practical Oncology, 2005,20(4):353-355. DOI: 10.3969/j.issn.1001-1692.2005.04.018.
[5] Zhang L, Ma YF, Wei C, et al. Application of "Internet+" Continuity Care in Postoperative Patients with Cervical Cancer [J]. Chinese Journal of Modern Nursing, 2022, 28(15):2036-2040. DOI: 10.3760/cma.j.cn115682 -20211206-05496.
[6] Li J, Wang H, Liu J. Impact of continuity of care on psychological status and quality of life in postoperative cervical cancer patients [J]. Nursing Practice and Research, 2020,17(12):76-78. DOI: 10.3969/j.issn.1672-9676.2020.12.032.
[7] Zhan Tingting. Application of continuity of care based on WeChat platform in postoperative rehabilitation of cervical cancer patients [J]. Qilu Journal of Nursing, 2019,25(18):89-91. DOI: 10.3969/j.issn.1006-7256.2019.18.034.
[8] Barber MD, Visco AG, Brubaker L, et al. Development and validation of the Pelvic Floor Impact Questionnaire (PFIQ) and the Pelvic Floor Distress Inventory (PFDI)[J]. Obstet Gynecol, 2005, 106(6): 1276-1285. DOI:10.1097/01.AOG.0000184400.63100.38.
[9] Li Xuehui, Yang Zhenzhen, Liu Min. Research progress on continuous nursing model after cervical cancer surgery[J]. Chinese Journal of Nursing, 2023,58(10):1256-1261. DOI: 10.3760/cma.j.cn112141-20230220-00287.
[10] National Comprehensive Cancer Network. NCCN Clinical Practice Guidelines in Oncology: Cervical Cancer (Version 1.2024)[J]. J Natl Compr Canc Netw, 2024, 22(3): 456-489. DOI:10.6004/jnccn.2024.0005.
[11] Li Jiajing. Risk factors analysis of postoperative urinary tract infection in patients undergoing radical cervical cancer surgery and evaluation of targeted nursing intervention effects [J]. Chinese and Foreign Women's Health Research, 2024(4):159-161. DOI: 10.3969/j.issn.2096-0417.2024.04.056.
[12] Nie B, Yu J, Sun W, et al. Analysis of the impact of different postoperative treatment modalities on prognosis in patients with intermediate-risk recurrence factors for stage I B1–II A cervical cancer[J]. Chinese Journal of Radiological Medicine and Protection, 2021,41(11):821-826. DOI: 10.3760/cma.j.issn.0254-5098.2021.11.004.
[13] Yang Zhenzhen, Li Xuehui. Continuity of care in the prevention of mid-to-long-term complications after cervical cancer surgery and its impact on patients' quality of life [J]. Journal of Modern Integrated Traditional Chinese and Western Medicine, 2017,26(32):3646-3648. DOI: 10.3969/j.issn.1008-8849.2017.32.040.
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