Influence of nursing intervention on disease uncertainty of patients undertaking immediate breast reconstruction surgery after modified radical mastectomy

Abstract

Objiective To investigate the influence of nursing intervention on the disease uncertainty of patients undertaking immediate breast-reconstruction surgery after modified radical mastectomy.Methods Twenty patients were selected from Mar.2011 to Oct.2012.10 cases receiving immediate breastreconstruction surgery after modified radical mastectomy were enrolled into the observation group and the other 10 cases receiving modified radical mastectomy were grouped as the control group.Standard nursing was received by the control group,while standard nursing plus case management were given to the observation group.Mishel' s uncertainty in illness scale (MUIS) was used to assess the effect of the intervention on all patients.Results Before the nursing intervention,the disease uncertainty rate was (97.100 ± 3.900) in the observation group and was (96.900± 2.923) in the control group on the admission day,with no statistical difference (P＞0.05).After the nursing intervention,the disease uncertainty rate was (67.800 ± 6.088) in the observation group and was (73.000 ± 1.687) in the control group on the discharge day,with a statistical difference (P＜0.05).Conclusions Nursing intervention with case management can significantly reduce the MUIS scores and improve the quality of life of the patients unertaking immediate breast-reconstruction surgery after modified radical mastectomy. Key words: Nursing intervention; Breast cancer; Breast-reconstruction surgery; Disease uncertainty