Our Summary

The aim of this study was to check if applying Neuman’s nursing model, a holistic approach that considers all aspects of patient well-being, can help improve the care of patients undergoing a modified radical mastectomy, a type of surgery for breast cancer.

The researchers collected data from patients treated at Shanxi Bethune Hospital over a four-year period. They divided these patients into two groups: one that received normal nursing care, and another that was cared for using Neuman’s nursing model.

The results showed that the group cared for using Neuman’s nursing model had fewer instances of stress (both psychological and physiological), fewer complications after surgery, and better overall quality of life. The nurses who used Neuman’s model also performed better in terms of their work attitude, the completion of their tasks, and in cooperating with their patients.

Additionally, patients cared for under Neuman’s nursing model were more satisfied with their care. On the whole, the study concluded that using Neuman’s nursing model in caring for patients undergoing breast cancer surgery can lead to better patient outcomes and satisfaction.

FAQs

  1. What is Neuman’s nursing model and how does it apply to patients undergoing a modified radical mastectomy?
  2. What were the main findings of the study regarding the benefits of using Neuman’s nursing model in caring for breast cancer surgery patients?
  3. How did the application of Neuman’s nursing model affect the performance and attitude of the nurses involved in the study?

Doctor’s Tip

One helpful tip a doctor might tell a patient about radical mastectomy is to ensure they have a strong support system in place to help them through the physical and emotional challenges of recovery. This can include family, friends, support groups, and mental health professionals. It’s important for patients to communicate their needs and feelings with their support system and healthcare team to ensure the best possible outcome.

Suitable For

Patients who are recommended radical mastectomy are typically those with advanced or aggressive breast cancer that has spread to nearby tissue or lymph nodes. This type of surgery may also be recommended for patients with a high risk of breast cancer recurrence or for those with large tumors that cannot be effectively treated with less invasive methods. Additionally, patients with a strong family history of breast cancer or a genetic predisposition to the disease may also be recommended radical mastectomy as a preventive measure.

Timeline

  • Before surgery: The patient undergoes various tests and consultations to determine the best course of treatment, including a radical mastectomy. They may also receive counseling and support to prepare them for the surgery.

  • Day of surgery: The patient undergoes the radical mastectomy procedure, which involves the removal of the entire breast, underlying chest muscles, and lymph nodes.

  • Post-surgery: The patient may experience pain, discomfort, and emotional distress following the surgery. They may also need to undergo further treatments such as chemotherapy or radiation therapy.

  • Recovery and rehabilitation: The patient works with healthcare providers to manage their pain, regain mobility, and adjust to their new body image. Physical therapy and counseling may be part of the recovery process.

  • Follow-up care: The patient continues to receive regular check-ups and screenings to monitor for any signs of recurrence or complications. They may also receive support and resources to help them cope with the physical and emotional challenges of living with breast cancer.

Overall, the patient’s journey before and after a radical mastectomy involves a combination of medical treatments, emotional support, and rehabilitation to help them heal and adjust to their new normal.

What to Ask Your Doctor

  1. How will a radical mastectomy impact my daily life and activities?
  2. What are the potential risks and complications associated with a radical mastectomy?
  3. How long is the recovery period after a radical mastectomy?
  4. Are there any alternative treatment options to consider before undergoing a radical mastectomy?
  5. What support services or resources are available to help me cope with the emotional and psychological effects of a radical mastectomy?
  6. How will my breast reconstruction options be affected by a radical mastectomy?
  7. What is the long-term outlook for survival and recurrence after undergoing a radical mastectomy?
  8. How will my follow-up care and monitoring be managed after a radical mastectomy?
  9. What can I do to optimize my overall health and well-being before and after a radical mastectomy?
  10. How can I best communicate and work with my healthcare team to ensure the best possible outcomes from a radical mastectomy?

Reference

Authors: Sun LH, Chen F. Journal: Am J Transl Res. 2024 Sep 15;16(9):4928-4938. doi: 10.62347/UPBL4602. eCollection 2024. PMID: 39398611