Abstract：Objective To explore the effect of fast track surgery (FTS) nursing on negative emotions and postoperative rehabilitation of patients undergoing modified radical mastectomy. Methods Seventy-two patients undergoing modified radical mastectomy between May 2016 and March 2018 were selected and randomly divided into the control group and observation group, with 36 patients in each group. Results The incidence of postoperative complications in the observation group and the control group was respectively 8.33% and 27.78%, with statistically significant difference (P<0.05).There was no significant difference in anxiety and depression scores between the two groups on admission, but the anxiety and depression scores of the observation group upon discharge were significantly lower than those of the control group, and the difference was statistically significant (P<0.01).The number of patients with difficulty in falling asleep before surgery and the length of hospital stay in the observation group were smaller or shorter than those of the control group, and the difference was statistically significant (P<0.05). Conclusions FTS nursing can not only reduce the occurrence of postoperative complications in patients with breast cancer treated by modified radical surgery, but also alleviate the negative emotions in patients and promote postoperative rehabilitation.
于红艳, 曹葆强, 张培松, 李宗寅. FTS护理对乳腺癌改良根治术患者负性情绪及术后康复效果的影响[J]. 武警医学, 2019, 30(1): 31-34.
YU Hongyan, CAO Baoqiang, ZHANG Peisong, and LI Zongyin. Effect of FTS nursing on negative emotions and postoperative rehabilitation of patients undergoing modified radical mastectomy for breast cancer. Med. J. Chin. Peop. Armed Poli. Forc., 2019, 30(1): 31-34.
Forouzanfar M H, Foreman K J, Delossantos A M, et al. Breast and cervical cancer in 187 countries between 1980 and 2010: a systematic analysis [J]. Lancet, 2011, 378(9801): 1461-1484.
Aviadolanger J. Measuring preoperative anxiety in patients with breast cancer using the visual analog scale[J]. Clin J Oncol Nursing, 2014, 18(5):489-491.
[10]
Stirling L, Raab G, Alder E M, et al. Randomized trial of essential oils to reduce perioperative patient anxiety: feasibility study.[J]. J Adv Nursing, 2010, 60(5):494-501.
[11]
陈 平. 乳腺癌术后慢性疼痛的相关因素分析[D]. 杭州:浙江大学,2016.
[12]
Smith I, Kranke P, Mura T, et al. Perioperative fasting in adults and children:guidelines from the European Society of Anaesthesiology[J]. Eur J Anaesthesiol,2011,28(8):556-569.
Egal M, Erler N S, de Geus H R, et al. Targeting oliguria reversal in goal-directed hemodynamic management does not reduce renal dysfunction in perioperative and critically Ill patients: a systematic review and meta-analysis[J]. Anesth & Analg, 2016, 122(1):173-185.
[16]
El-Sharkawy A M, Sahota O, Maughan R J, et al. The pathophysiology of fluid and electrolyte balance in the older adult surgical patient[J]. Clin Nut,2014,33(1): 68-75.
[17]
Srinivasa S,Taylor M H G, Singh P P, et al. Randomized clinical trial of goal-directed fluid therapy within an enhanced recovery protocol for elective colectomy[J]. Br J Surg, 2013,100(1): 45-48.
2019, Vol. 30 
