Ying Li1,2, Xiaofei Zhang2, Lufei Zhang2, Wei Wang1. 1. The First Affiliated Hospital, College of Medicine, Zhejiang University Hangzhou 310006, Zhejiang Province, China. 2. Deparment of Breast Surgery, Zhejiang Provincial People's Hospital, People's Hospital of Hangzhou Medical College Hangzhou 310014, Zhejiang Province, China.
Abstract
OBJECTIVE: To evaluate the influence of evidence-based nursing (EBN) on psychological well-being, postoperative complications and quality of life (QOL) after breast cancer (BC) surgery. METHODS: A total of 263 patients with BC who were surgically treated in Zhejiang Provincial People's Hospital from May, 2018 to August, 2019 were as assigned to observation group (EBN, n=142) and control group (routine nursing care, n=121). Clinical indicators and any complications after intervention were recorded. And the exercise compliance in the affected limbs was evaluated. Barthel index (BI), self-rating anxiety scale (SAS) and self-rating depression scale (SDS), Pittsburgh Sleep Quality Index (PSQI) were employed for the assessment of self-care ability, psychological status, and sleep quality, respectively. In addition, we utilized the numerical rating scale (NRS) to evaluate postoperative pain, the functional assessment of cancer therapy-breast (FACT-B) scale to assesse the quality of life (QOL), and the self-made questionnaire to quantify patient satisfaction. RESULTS: After intervention, the observation group presented greater improvement in symptoms, higher exercise compliance and BI scores, as well as lower SAS, SDS, and PSQI scores; the incidence of postoperative pain and complications decreased in observation group, and FACT-B scores and patient satisfaction increased. CONCLUSION:EBN is effective in relieving symptoms, reducing negative emotions and postoperative complications, as well as enhancing the QOL of patients undergoing BC surgery. AJTR
RCT Entities:
OBJECTIVE: To evaluate the influence of evidence-based nursing (EBN) on psychological well-being, postoperative complications and quality of life (QOL) after breast cancer (BC) surgery. METHODS: A total of 263 patients with BC who were surgically treated in Zhejiang Provincial People's Hospital from May, 2018 to August, 2019 were as assigned to observation group (EBN, n=142) and control group (routine nursing care, n=121). Clinical indicators and any complications after intervention were recorded. And the exercise compliance in the affected limbs was evaluated. Barthel index (BI), self-rating anxiety scale (SAS) and self-rating depression scale (SDS), Pittsburgh Sleep Quality Index (PSQI) were employed for the assessment of self-care ability, psychological status, and sleep quality, respectively. In addition, we utilized the numerical rating scale (NRS) to evaluate postoperative pain, the functional assessment of cancer therapy-breast (FACT-B) scale to assesse the quality of life (QOL), and the self-made questionnaire to quantify patient satisfaction. RESULTS: After intervention, the observation group presented greater improvement in symptoms, higher exercise compliance and BI scores, as well as lower SAS, SDS, and PSQI scores; the incidence of postoperative pain and complications decreased in observation group, and FACT-B scores and patient satisfaction increased. CONCLUSION: EBN is effective in relieving symptoms, reducing negative emotions and postoperative complications, as well as enhancing the QOL of patients undergoing BC surgery. AJTR
Authors: Maria Charalampopoulou; Flora Bacopoulou; Konstantinos N Syrigos; Evaggelos Filopoulos; George P Chrousos; Christina Darviri Journal: Breast Date: 2019-12-20 Impact factor: 4.380
Authors: Jibba Amraoui; Camille Pouliquen; Julien Fraisse; Jacques Dubourdieu; Sophie Rey Dit Guzer; Gilles Leclerc; Hélène de Forges; Marta Jarlier; Marian Gutowski; Jean-Pierre Bleuse; Chloé Janiszewski; Jésus Diaz; Philippe Cuvillon Journal: JAMA Netw Open Date: 2018-08-03