International Journal of Nursing Research

Objective: To explore the effect of psychological nursing based on Roy-Newman system on breast reconstruction with silicone prosthesis immediately after modified radical mastectomy for breast cancer with skin nipple and areola under suspended breast endoscopy. Methods: In this study, retrospective analysis was used to collect early breast cancer patients who underwent modified radical mastectomy with skin-preserving nipple-areola breast cancer and immediate silicone prosthesis breast reconstruction from January 1, 2019 to November 30, 2020 in Breast Thyroid Surgery of Zibo Central Hospital and Shengjing Hospital Affiliated to China Medical University. The patients were divided into two groups. One group was given postoperative routine nursing intervention (control group), and the other group was added psychological nursing of Roy-Newman system on the basis of postoperative routine nursing (observation group). The daily activity time, discharge time, pain degree before and after intervention, improvement of negative emotions and satisfaction of nursing quality were compared between the two groups. Results: The discharge time of patients in the observation group was significantly shorter than that in the control group (P < 0.05). The daily activity time of the observation group was more than that of the control group (P < 0.05). The degree of pain in the observation group was significantly lower than that in the routine nursing group (P < 0.05). The scores of SAS and SDS in the observation group after intervention were lower than those in the control group (P < 0.05). The nursing quality satisfaction of the observation group was higher than that of the control group (P < 0.05). Conclusion: The psychological nursing intervention of Roy-Newman system for patients with breast cancer undergoing immediate silicone prosthesis breast reconstruction after modified radical mastectomy for breast cancer with skin nipple-areola preserved under suspension-endoscopy can significantly reduce the pain degree of patients and the occurrence of related negative emotions, increase the daily activity time of patients after operation, shorten the discharge time of patients, promote the recovery of patients, and improve the satisfaction of patients with nursing quality.

Endoscopic Surgery; Breast Reconstruction; The Roy-Newman System; Psychological Intervention; Breast Malignancy