Observation of the difficulties and personalized intervention pathways in postoperative nursing of breast plastic surgery
乳房整形术后护理的难点与个性化干预路径观察

摘要

目的 探讨乳腺癌切除术后乳房整形患者的护理难点，验证个性化干预路径的应用效果，为提升护理质量提供依据。方法 选取2023年1月7日至2025年12月7日收治的86例乳腺癌切除术后乳房整形患者，采用回顾性分析与前瞻性干预结合的方式，构建并实施含生理、心理、并发症防控、康复训练的个性化护理路径。结果 术后并发症发生率8.14%，干预后患者SAS、SDS评分显著降低（P＜0.05），护理满意度96.51%。结论 个性化干预路径可降低并发症发生率，改善心理状态，提升护理满意度，具重要临床价值。

Abstract

Objective To explore the nursing difficulties of patients undergoing breast reconstruction after mastectomy, verify the application effect of the personalized intervention pathway, and provide a basis for improving nursing quality.
Methods A total of 86 patients undergoing breast reconstruction after mastectomy for breast cancer, admitted between January 7, 2023, and December 7, 2025, were enrolled. A combination of retrospective analysis and prospective intervention was adopted to construct and implement a personalized nursing pathway covering physical care, psychological intervention, complication prevention and control, and rehabilitation training.
Results The incidence of postoperative complications was 8.14%. After intervention, the scores of Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) of patients decreased significantly (P < 0.05), and the nursing satisfaction rate was 96.51%.
Conclusion   The personalized intervention pathway can reduce the incidence of complications, improve patients' mental state, and enhance nursing satisfaction, which has important clinical value.