Abstract: ［Abstract］ Objective To investigate the effect of case?management care model on initial reexamination rate of breast cancer patients. Methods 145 cases with breast cancer were included in the study. Of them, 64 cases who received routine medical treatment and nursing care were assigned to the routine medical care group in our hospital from January to March 2015, 81 cases who were performed a case?management care model and conventional medical treatment were as the case?management mode group from January to March 2016. The patients in two groups were told to be reexamined 3 months after the completion of the operation (or end of adjuvant therapy). The patient s initial reexamination rates were compared before and after administration of case management care model between two groups. Results In the patients in outine medical care group, the initial reexamination rates were in 65.63%, and case?management care model group, the initial reexamination rates were in 87.65%. The difference between two group was statistically significant（P<0.05）. Conclusion Case management care model would effectively improves initial reexamination rate of breast cancer patients.

Key words: case?management care model, breast cancer, initial re?examination rate

摘要： ［摘要］目的 探讨应用个案管理模式对提高乳腺癌患者治疗后首次复查率的影响。方法 回顾选择2015年1月至2015年3月，在我科新确诊为乳腺癌，接受常规医疗护理治疗的64例患者设为常规医疗护理组；选择2016年1月至2016年3月，在我科接受常规医疗护理治疗并同时应用个案管理模式的81例乳腺癌患者设为个案管理模式组，两组均在完成手术（或结束辅助治疗后）被告知三个月后返院首次复查，比较个案管理模式应用前后患者的首次复查率。结果 常规医疗护理组的首次复查率为65.63%，个案管理模式组的首次复查率为87.65%，提高了22.02%，两组患者的复查率差异有统计学意义（P<0.05），个案管理模式组优于常规医疗护理组。结论 个案管理模式的应用能提高乳腺癌患者治疗后的首次复查率。

关键词: 乳腺癌, 首次复查率, 个案管理