Study design
fatigue, diarrhea, Pain, breast cancer, Discuss communication skills, constipation
BREAST CANCER
Control group: the control group received routine nursing, the nursing content formulated by the Department, giving patients a comfortable environment, and routine admission education, diet guidance, medication guidance, activity guidance and discharge guidance during hospitalization.Intervention group: patients in the intervention group were given routine care and personalized care based on OPT model during hospitalization. The personalized nursing services were selected by questionnaire survey among patients with BC, and the researchers formulated a personalized nursing intervention plan according to the assessment results of patients’ care needs. There are four nursing intervention including Supportive Care Intervention, Psychological Health Education (PHE), Chinese Medicine Foot Bath Bombined with Bassage (CMFB-M) and Progressive Muscle Relaxation Training (PMRT), etc. According to OPT theoretical model, a total of three sessions were provided in the program at lest during hospitalization. Each session, we provide personalized nursing services for patients according to their current nursing needs; Timely assess and understand patients’ satisfaction with nursing services, and constantly compare the current situation with the expected results to ensure the effectiveness of nursing services. The next session, patients are encouraged to choose the care method that is most suitable for them.Supportive care intervention is according to the results of supportive care needs questionnaire (SCNS-SF34), provide targeted nursing services for patients.PHE was delivered by a research team comprising three nurses and a psychologist. In this study, the psychoeducational intervention included psychoeducation on managing common symptoms in breast cancer patients and relaxation techniques. The general content of the psychoeducational intervention as follow: (1) Encourage personal introduction, expectations, and goals. Help patients find positive survival goals and build their confidence in life; (2) Encourage expression of feelings, thoughts, perceptions, anxieties and fears; (3) Provide accurate knowledge about BC and information about the common treatments; Pain control education; Provide nausea/vomiting and fatigue control education; Provide constipation and diarrhea control education; Sleep hygiene education; Coping improvement strategies; Problem-solving technique; Relaxation technique; Discuss communication skills.CMFB-M was given to patients once a day for 30 min between 21:00 and 22:30 in the ward during hospitalization. The patients of this group were asked to sit on a chair with back support, then they immersed their feet in 40–45°C water of medicine prescription in electrical foot bath vessels for 20 min. The prescription mainly included Angelica sinensis, dried ginger and artemisia argyi leaves, etc. After that, patients receive massages focusing on the back, shoulder and arms for 10 min.PMRT is the technique including continuous and systematic stretching and relaxing of the muscles until the whole body becomes relaxed (