INFLUENCES OF MENTAL HEALTH INTERVENTION AND FAMILY CARE ON THE QUALITY OF LIFE OF PATIENTS UNDERGOING RADICAL MASTECTOMY FOR BREAST CANCER

Xianfen Xu¹, Chunjuan Liu¹, Xiaotong Zhai1, Qian Li¹, Yuping Cui^{2, *}

¹Department of General Surgery, The Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, Shandong, 250002, China - ²Department of Medical center, The Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, Shandong, 250002, China

Introduction: The aim of this research project was to clarify the influence of psychological nursing intervention plus family care on negative mood and prognosis of patients undergoing radical mastectomy for breast carcinoma. 

Materials and methods: Seventy-six patients with early breast carcinoma (BC) admitted to our hospital were selected as the participants of this experiment. Among them, 33 patients receiving routine nursing after admission were collected as the control group (CG), and 43 patients receiving psychological nursing intervention plus family care were set as the research group (RG). The incidence of complications, psychological scores, general self-efficacy, hope level scores, disease coping style scores, nursing satisfaction and quality of life (QoL) before and after intervention were observed in the two cohorts. 

Results: The incidence of complications was noticeably lower in RG than in CG (P=0.034). The scores of anxiety and depression decreased notably in both groups after intervention, especially in RG (P<0.05). Increased scores of self-efficacy and hope level were determined in both cohorts after intervention, with higher scores in RG (P<0.05). After intervention, the disease confrontation score increased in both groups (P<0.05), and the avoidance and resignation scores decreased, with better attitude towards the disease in RG (P<0.05). RG presented evidently higher satisfaction (P=0.016) and QoL than CG (P<0.05). 

Conclusions: Psychological nursing intervention plus family care can effectively mitigate the adverse mood and improve the prognosis of patients undergoing radical mastectomy for BC, which is worthy of clinical application and promotion.