Objective To explore the impact and significance of a multidimensional intervention based on the Fogg Behavior Model (FBM) on postoperative self-management behaviors and health outcomes in patients with early invasive breast cancer (EIBC). Methods A retrospective analysis was conducted on 150 patients with EIBC admitted to our hospital from January 2018 to June 2020. Based on the different intervention methods recorded in the medical records system, the subjects were divided into an observation group (n=75) and a control group (n=75). The control group received conventional postoperative care management for breast cancer, while the observation group received an additional FBM-based intervention on top of conventional care. The self-management behaviors, medication adherence, quality of life, anxiety and depression levels, participation rate, and satisfaction were compared between the two groups at 1 month, 3 months, 6 months, and 1 year postoperatively. The 5-year survival rate was also analyzed. Results After the intervention, the SMSCP score of the observation group was significantly higher than that of the control group, and it remained higher even at 1 year post-intervention (65.44±6.99 vs 53.56±8.27). The anxiety and depression scores of the observation group were significantly lower than those of the control group, while medication adherence, FACT score, family participation rate (84.00% vs 40.00%), and overall satisfaction (82.67% vs 68.00%) were significantly higher. The 5-year survival analysis showed no significant difference in overall survival rate between the observation group and the control group (95.12% vs 91.78%). After the intervention, the risk of disease progression or death was reduced by 37% (HR=0.625). Conclusion The systematic intervention based on the FBM theoretical framework, integrating the three core elements of “Motivation-Ability-Trigger”, can effectively enhance the self-management efficacy of patients with early invasive breast cancer, improve their quality of life, and demonstrate strong application potential.
Key words
Fogg behavior model /
early invasive breast cancer /
self-management /
survival analysis
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