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Effect of ACE-star model-based nursing on recovery of breast cancer patients after modified radical mastectomy |
SHI Na, YE Shan, Long Yifang, LU Ping, LI Yeting, WANG Xiaojie, GUO Hailing |
Department of Breast Surgery,Peking Union Medical College Hospital ,Beijing 100730,China |
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Abstract Objective To explore the effect of ACE-star model-based nursing on the recovery of breast cancer patients after modified radical mastectomy. Methods Breast cancer patients who came to Peking Union Medical College Hospital for modified radical mastectomy between January and December 2017 were selected. Ninety-two patients who underwent modified radical mastectomy between January and June were selected as the control group via convenient sampling, while another 92 patients who received the same surgery between July and December served as the experimental group. After the same modified radical mastectomy, the patients in the control group received conventional nursing only while those in the experimental group received conventional nursing plus ACE-star evidence-based nursing model intervention. The incidence of postoperative complications was compared between the two groups. The levels of satisfaction of patients with nursing were determined and the psychological state of patients before and after operation was evaluated. Results The incidence of subcutaneous hydrops and lymphedema in the experimental group was lower than that of the control group (2.2% vs 16.3%,1.1% vs 13.0%, P<0.05). Patients in the experimental group were more satisfied with nursing than in the control group (97.83% vs 82.61%, P<0.05).The scores of somatization, hostility and terror in the experimental group were lower than those of the control group (2.2±0.3 vs 1.5±0.5;2.3±0.5 vs 1.7±0.6; 1.9±0.7 vs 1.2±0.5, P<0.05). Conclusions ACE-star evidence-based nursing model intervention can not only reduce the incidence of postoperative complications of breast cancer patients, but also improve patient satisfaction and quality of life. It is worthy of clinical application.
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Received: 13 April 2020
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