腫瘤個案管理師主導E化存活照護計畫對乳癌婦女治療相關生活品質的影響

Purpose: This study examined the effectiveness and related factors of E-based survivorship care plan on treatment-related functional symptom quality of life, and satisfaction with the care plans delivered by oncology nurse case manager for breast cancer survivors. Methods: The E-based survivorship care plan computerized application as an intervention was delivered by oncology nurse case manager in this study. Patients diagnosed with breast cancer, who had completed their primary treatment within one years and had smartphone (N = 162) were recruited from March 2019 to March 2020. Chinese version of the EORTC QOL-BR23, and the modified satisfaction scale for evaluating the satisfaction of providing survivorship care plan by the oncology case manager were administered on baseline and 3 month after the intervention. Results: After controlling age, cancer stage, surgical treatments, chemotherapy and hormonal therapy, sexual functioning (p = .043) and sexual enjoyment (p ＜ .001) improved significantly after receiving ＂E-based Survivorship Care Plan＂. Compared to women with older age and receiving chemotherapy, sexual functioning improved significantly among women with younger age and without received chemotherapy. In addition, the domain of quality on future perspectives improved significantly for women with older age, earlier stage and receiving chemotherapy. Arm symptoms improved significantly for women with advanced cancer stage. Upset by hair loss improved significantly in women with younger age and receiving hormone therapy. All survivors were satisfied with the care by oncology case manager and recognized nurse's role in ＂having good clinical knowledge and skills＂ and ＂providing appropriate health care information＂. Conclusions/Implications for practice: The breast cancer survivors found the ＂E-based Survivorship Care Plan＂ helpful and satisfying. Results of this study support the implementation of E-based survivorship care plan in clinical oncology care.