Nursing intervention using a whole-process escort playing a relative role combined with mind mapping in patients undergoing breast cancer surgery: a randomized trial

Abstract

Breast cancer is the most common malignant tumor affecting women worldwide. Surgery is the main treatment for breast cancer and can obtain a good curative effect. However, it can also entail trauma and stress for patients, leaving them susceptible to negative emotions, poor sleep quality, and various postoperative complications, which can affect the treatment effect and prognosis. Therefore, it is of great significance to explore scientific and effective nursing methods for patients with breast cancer. This study aimed to examine the application effect of whole-process nursing and mind mapping in patients with breast cancer. The present study enrolled 256 patients with breast cancer who were admitted to the hospital from March 2019 to October 2020. The study participants were divided into a control group (routine nursing intervention) and an observation group (nursing intervention including a whole-process escort playing a relative role combined with mind mapping) according to the random number table method, with 128 cases in each group. At admission and before surgery, the psychological status [Hamilton anxiety scale (HAMA) and Hamilton depression scale (HAMD)], physiological stress [cortisol (Cs) and adrenocorticotrophic hormone (ACTH)], fatigue degree (Piper fatigue scale), and sleep quality [Pittsburgh sleep quality index (PSQI)] were compared between the two groups, and the incidence of complications in the two groups was also compared. The psychological status (HAMA and HAMD) scores, physiological stress levels (Cs and ACTH), fatigue degree (Piper fatigue scale), and sleep quality (PSQI) score were all significantly higher before surgery than at admission in both groups, and were significantly lower in the observation group than in the control group (P<0.05). There were no significant differences in the incidence of complications between the two groups (P>0.05). Nursing intervention using a whole-process escort playing a relative role combined with mind mapping can effectively relieve the anxiety and depression felt by patients undergoing breast cancer surgery, and can reduce their physiological stress and fatigue degree, as well as improve their sleep quality. Chinese Clinical Trial Registry ChiCTR2100054024.