THE EFFECT OF COLLABORATIVE MEDICAL MANAGEMENT IN BREAST SPECIALIST NURSING CLINICS ON LACTATION MASTITIS PATIENTS

Ya Juan Chen^{1, #}, Wenqiong Wei^{2, #}, Xiaowen Liu³, Rui Zhou⁴, Li He¹, Li Yao^{5, *}, Na Li ^{6, *}

¹Department of Breast Surgery, Wuhan Children’s Hospital, (Wuhan Maternal and Child Healthcare Hospital). Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430016, PR China - ²Department of Digestive, Wuhan Children’s Hospital, (Wuhan Maternal and Child Healthcare Hospital). Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430016, PR China - ³General Affairs Department, Wuhan Children’s Hospital, (Wuhan Maternal and Child Healthcare Hospital).Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430016, PR China - ⁴Department of orthopedics, Wuhan Children’s Hospital, (Wuhan Maternal and Child Healthcare Hospital). Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430016, PR China - ⁵Department of neonatal isolation ward ,Wuhan Children’s Hospital, (Wuhan Maternal and Child Healthcare Hospital). Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430016, PR China - ⁶Department of Nursing, Wuhan Children’s Hospital, (Wuhan Maternal and Child Healthcare Hospital). Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430016, PR China

Introduction: To explore the effect of collaborative medical management in breast specialist nursing clinics on patients with lactation mastitis. 

Materials and methods: From January 2019 to December 2020, 787 patients with acute mastitis who were transferred to breast specialist nursing clinics from other medical facilities were divided into two groups for this study (455 cases in the control group and 332 cases in the observation group). The control group was given routine diagnosis and treatment at the breast specialist nursing clinic, and the observation group was given collaborative medical management. The knowledge, beliefs, and behaviours of patients with acute mastitis were collected by using the questionnaire of knowledge, beliefs, and practices of mastitis prevention and treatment jointly created by doctors and nurses. 

Results: The incidence of breast abscess in the control group and the observation group was 2.19% and 0.90%, respectively. The recurrence rates of mastitis after one month were 14.94% and 8.43%, respectively. The breastfeeding rates at one, two and three months were 98.91%, 99.68%, 98.81% and 99.60%, respectively. The cure rate for the control and observation groups was 99.20% and 99.50%. There was statistical significance between the two groups (P<0.05). 

Conclusions: The implementation of collaborative medical management based on breast specialist nursing clinics for patients with lactation mastitis is conducive to reducing the incidence of breast abscess and the recurrence rate of mastitis and improving the treatment effect for mastitis and the rate of breastfeeding.