Effect of psychological nursing intervention on compliance, psychological state and self-care ability of patients after breast cancer surgery
Abstract
Postoperative trauma and breast defects following radical mastectomy often lead to anxiety and depression, diminishing treatment compliance and adversely affecting both surgical outcomes and postoperative rehabilitation. Therefore, nursing interventions are critical for patients after radical mastectomy. This study investigates the effects of psychological versus conventional nursing interventions on treatment compliance, psychological well-being, self-care ability, complication rates, and patient satisfaction among patients with breast cancer treated at our hospital. The findings indicate that proactive psychological nursing interventions significantly enhance treatment compliance, alleviate negative emotions such as anxiety and depression, improve self-care capabilities, reduce complication risks, and foster a more positive nurse-patient relationship.
Copyright (c) 2025 Hongmei Tian, Xiaoqing Li, Zhi Yan, Xiaoqing Wang
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
1. Han Y, Katayama S, Futakuchi M, et al. Targeting c-Jun is a potential therapy for luminal breast cancer bone metastasis. Molecular Cancer Research. 2023; 21(9): 908–921.
2. Zeng Y, Pan Z, Yuan J, et al. Inhibiting Osteolytic Breast Cancer Bone Metastasis by Bone-Targeted Nanoagent via Remodeling the Bone Tumor Microenvironment Combined with NIR-II Photothermal Therapy. Small. 2023; 19(8): e2301003.
3. Karavasiloglou N, Matthes KL, Pestoni G, et al. Risk for Invasive Cancers in Women with Breast Cancer in Situ: Results from a Population Not Covered by Organized Mammographic Screening. Frontiers in Oncology. 2021; 11: 606747.
4. El Masri J, Phadke S. Breast Cancer Epidemiology and Contemporary Breast Cancer Care: A Review of the Literature and Clinical Applications. Clinical Obstetrics and Gynecology. 2022; 65(3): 461–481.
5. Jokar N, Velikyan I, Ahmadzadehfar H, et al. Theranostic Approach in Breast Cancer: A Treasured Tailor for Future Oncology. Clinical Nuclear Medicine. 2021; 46(8): e410–e420.
6. Silverthorne C, Daniels J, Thompson M, et al. Health professionals’ perspectives on psychological distress and meeting patients’ support needs in rheumatology care settings: A qualitative study. Musculoskeletal Care. 2023; 21(2): 537–544.
7. He H, Zhu N, Lyu B, Zhai S. Relationship between nurses’ psychological capital and satisfaction of elderly cancer patients during the COVID-19 pandemic. Frontiers in Psychology. 2023; 14: 1121636. doi: 10.3389/fpsyg.2023.1121636
8. Lores T, Goess C, Mikocka-Walus A, et al. Integrated Psychological Care Reduces Health Care Costs at a Hospital-Based Inflammatory Bowel Disease Service. Clinical Gastroenterology and Hepatology. 2021; 19(1): 96–103.e3.
9. Faija CL, Connell J, Welsh C, et al. What influences practitioners’ readiness to deliver psychological interventions by telephone? A qualitative study of behaviour change using the Theoretical Domains Framework. BMC Psychiatry. 2020; 20(1): 371.
10. Huang L, Zhang C, Xu J, et al. Function of a Psychological Nursing Intervention on Depression, Anxiety, and Quality of Life in Older Adult Patients with Osteoporotic Fracture. Worldviews on Evidence-Based Nursing. 2021; 18(4): 290–298.
11. Dedoncker J, Baeken C, De Raedt R, Vanderhasselt MA. Combined transcranial direct current stimulation and psychological interventions: State of the art and promising perspectives for clinical psychology. Biological Psychology. 2021; 158: 107991.
12. Flor H. Psychological pain interventions and neurophysiology: Implications for a mechanism-based approach. American Psychologist. 2014; 69(2): 188–196.
13. Roy M, Fowler AM, Ulaner GA, Mahajan A. Molecular Classification of Breast Cancer. PET Clinics. 2023; 18(4): 441–458.
14. Ahn S, Park JH, Grimm SL, et al. Metabolomic Rewiring Promotes Endocrine Therapy Resistance in Breast Cancer. Cancer Research. 2024; 84(2): 291–304.
15. Li W, Xu Y, Luo X, et al. Alleviating Excessive Worries Improves Co-Occurring Depression and Pain in Adolescent and Young Adult Cancer Patients: A Network Approach. Neuropsychiatric Disease and Treatment. 2022; 18: 1843–1854.
16. Yu J, Du Y, Liu C, et al. Low GPR81 in ER+ breast cancer cells drives tamoxifen resistance through inducing PPARα-mediated fatty acid oxidation. Life Sciences. 2024; 350: 122763.
17. Zamanian MY, Golmohammadi M, Nili-Ahmadabadi A, Alameri AA, Al-Hassan M, Alshahrani SH, Hasan MS, Ramírez-Coronel AA, Qasim QA, Heidari M, Verma A. Targeting autophagy with tamoxifen in breast cancer: From molecular mechanisms to targeted therapy. Fundamental & Clinical Pharmacology. 2023; 37(6): 1092–1108.
18. Yang Y, Sun H, Luo X, et al. Network connectivity between fear of cancer recurrence, anxiety, and depression in breast cancer patients. Journal of Affective Disorders. 2022; 309: 358–367.
19. Liu W, Liu J, Ma L, Chen J. Effect of mindfulness yoga on anxiety and depression in early breast cancer patients received adjuvant chemotherapy: A randomized clinical trial. Journal of Cancer Research and Clinical Oncology. 2022; 148(9): 2549–2560.
20. Guo Y, Zhang Y, Guo X, et al. The comparison between experimental nursing and routine nursing interventions on the quality of life of stoma patients: A systematic review and meta-analysis. International Wound Journal. 2023; 20(3): 861–870.
21. Levey N, Krishna I. Breast Cancer in Pregnancy: Caring for the Very Young Breast Cancer Patient from Diagnosis Through Survivorship. Obstetrics and Gynecology Clinics of North America. 2022; 49(1): 181–193.
22. He X, Ng MSN, Choi KC, So WKW. Effects of a 16-week dance intervention on the symptom cluster of fatigue-sleep disturbance-depression and quality of life among patients with breast cancer undergoing adjuvant chemotherapy: A randomized controlled trial. International Journal of Nursing Studies. 2022; 133: 104317.
23. Salahuddin NH, Schütz A, Pitschel-Walz G, et al. Psychological and psychosocial interventions for treatment-resistant schizophrenia: a systematic review and network meta-analysis. The Lancet Psychiatry. 2024; 11(7): 545–553.
24. Mehta LS, Churchwell K, Coleman D, et al. Fostering Psychological Safety and Supporting Mental Health Among Cardiovascular Health Care Workers: A Science Advisory from the American Heart Association. Circulation. 2024; 150(2): e51–e61.
25. Navarro-Carrillo G, Torres-Marín J, Corbacho-Lobato JM, Carretero-Dios H. The effect of humour on nursing professionals’ psychological well-being goes beyond the influence of empathy: A cross-sectional study. Scandinavian Journal of Caring Sciences. 2020; 34(2): 474–483.
26. Ambrosio L, Navarta-Sánchez MV, Portillo MC, et al. Psychosocial Adjustment to Illness Scale in family caregivers of patients with Parkinson’s Disease: Spanish validation study. Health & Social Care in the Community. 2021; 29(4): 1030–1040.
27. Ransing R, Kukreti P, Raghuveer P, et al. Development of a brief psychological intervention for perinatal depression (BIND-P). Asia-Pacific Psychiatry. 2021; 13(1): e12436.
28. Davison TE, Bhar S, Wells Y, et al. Psychological therapies for depression in older adults residing in long-term care settings. Cochrane Database of Systematic Reviews. 2024; 3(3).
29. Berry K, Raphael J, Wilson H, et al. A cluster randomised controlled trial of a ward-based intervention to improve access to psychologically-informed care and psychological therapy for mental health in-patients. BMC Psychiatry. 2022; 22(1): 82.
30. Wang X, Liu J, Wu Y, et al. Enhancing the effectiveness of infectious disease health education for children and adolescents in China: A national multicenter school-based trial. BMC Public Health. 2023; 23(1): 1161.
31. Taylor Miller PG, Sinclair M, Gillen P, et al. Early psychological interventions for prevention and treatment of post-traumatic stress disorder (PTSD) and post-traumatic stress symptoms in post-partum women: A systematic review and meta-analysis. PLOS ONE. 2021; 16(11): e0258170.
32. Bidstrup PE, Johansen C, Kroman N, et al. Effect of a Nurse Navigation Intervention on Mental Symptoms in Patients with Psychological Vulnerability and Breast Cancer: The REBECCA Randomized Clinical Trial. JAMA Network Open. 2023; 6(6): e2319591.
