Application value of Neuman's nursing model in the perioperative period of radical mastectomy

纽曼护理模式在乳房根治术围手术期的应用价值

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Abstract

PURPOSE: The purpose of this study was to explore the application value of Neuman's nursing model in perioperative nursing for patients undergoing modified radical mastectomy. METHOD: A retrospective collection of data from breast cancer patients treated at Shanxi Bethune Hospital between January 2019 and December 2022 was conducted. Patients who received conventional nursing interventions were included in the conventional group. Patients who received intervention using Neuman's nursing model were placed in the study group. The psychological and physiological stress levels, quality of life, complications, nursing quality, and patient satisfaction during the perioperative period were compared between the two groups. RESULTS: Postoperatively, the incidences of psychological stress, physiological stress, and complications in breast cancer patients who were intervened by Neuman's nursing model were significantly lower than those of patients receiving conventional nursing (all P < 0.05). Their quality of life was significantly higher than that of patients in the conventional group (P < 0.05). Nursing personnel under Neuman's nursing model scored significantly higher in terms of nursing operations, nursing attitude, completion of nursing work, and patient's cooperation (all P < 0.05). There was a significant difference in the degree of satisfaction between the two groups, with higher rates of "very satisfied" and "satisfied" patients in the Neuman's nursing model group compared to the conventional nursing group (Z=-2.036, P=0.042). CONCLUSION: The use of Neuman's nursing model in perioperative nursing for breast cancer patients can reduce the incidence of psychological and physiological stress. It improves nursing quality, patient's quality of life, and satisfaction with nursing.

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