Development of a Nursing Model for Breast Cancer Patients Undergoing Modified Radical Mastectomy (MRM), the Operating Room, Loei Hospital

Abstract

Introduction: The number of breast cancer patients undergoing modified radical mastectomy (MRM) has the tendency to increase. If there not's proper care nursing model, post-operative complications may occur, such as severe pain, infection, and slow recovery.

Objective: To develop a nursing model for breast cancer patients undergoing MRM and study the outcomes in the operating room, Loei Hospital.

Methodology: This research is research and development. It is divided into 3 stages: situational analysis, nursing model development, and result study. The sample group are breast cancer patients who underwent full mastectomy, a total of 60 patients and 50 professional nurses in the operating room, with the operations being from April to September 2022. Data collection was through care result data collection form, nurse’s knowledge measure form, nursing practice assessment form, and nurse’s satisfaction assessment form.

Research results: The institution has a clear nursing model for breast cancer patients who have undergone MRM. Such as preoperative preparation perioperative care and postoperative follow-up. After the development, patients have fewer complications (p=0.010), higher control of severe postoperative pain 48 - 72 hours after operation (p=0.005, p<0.001), and reduced length of stay (p=0.005). Nurses have an increased mean in knowledge score (p=0.001), an increased mean in nursing practice score (p<0.001), and an increase in satisfaction at the highest level.

Conclusion: The developed breast cancer nursing model for breast cancer patients undergoing MRM can increase nursing coverage, reduce complications, and can manage postoperative pain.