Xu et al.: Extended care based on the WeChat platform for postoperative breast cancer patientsTo explore the effects of extended care based on the WeChat platform on self-efficacy and quality of life of postoperative breast cancer patients. 126 patients who underwent modified radical breast cancer surgery in our hospital from January 2018 to March 2019 were divided into a control group (n=63) and an observation group (n=63) according to a randomly generated numerical table. The control group was given regular nursing care, and the observation group was given extended nursing care using the WeChat public platform on the basis of the control group. The Hospital Anxiety and Depression Scale was used to assess the anxiety and depression of the two groups; the Breast Cancer Treatment Discomfort Rating Scale was developed with reference to the National Cancer Society's Common Symptom Assessment Criteria and the American Cancer Treatment Collaborative's classification criteria; and the Generic Quality of Life Inventory-74 was used to assess the quality of life of the postoperative patients and to conduct a patient satisfaction survey. The results showed that there were no significant differences in hospital anxiety and depression scores and anxiety status between the two groups before the intervention care, and the differences in hospital anxiety and depression scores, anxiety status and depression status were statistically significant after the treatment care. After the nursing intervention, the time effect, group effect, and interaction effect were statistically significant when comparing the discomfort scores of the two groups. After the nursing intervention, patients self-efficacy scores and quality of life scores were significantly higher in the observation group than in the control group. Before the intervention, there was no statistically significant difference in nursing satisfaction between the two groups; after the intervention, the satisfaction of the observation group was higher than that of the control group, and the difference was statistically significant. Professional case management based on the WeChat mobile platform helps to improve the effectiveness of out-of-hospital care for breast cancer and adapt to the rapidly developing medical model.
Fei et al.: Safety and accuracy of intracavitary electrocardiography and ultrasound in breast cancer patientsThis study aims to explore the safety and accuracy of the intracavitary electrocardiography and ultrasound in the peripherally inserted central venous catheter tip positioning of breast cancer patients. A total of 176 breast cancer patients who were treated in the breast surgery department of our hospital from January 2018 to January 2019 were selected. They were randomly divided into the Electrocardiogram-UI group (n=88) and the control group (n=88). In the Electrocardiogram-UI group, the peripherally inserted central venous catheter tip positioning was under the guidance of the bedside Electrocardiogram combined with ultrasound, while the peripherally inserted central venous catheter insertion in the control group was performed by the traditional technology. The accuracy of peripherally inserted central venous catheter tip positioning, psychological state, anxiety, pain degree, and complications were compared between the two groups after surgery. The results showed that the positioning accuracy rate of the catheter tip in the Electrocardiogram-UI group was 99.40 %, while that in the control group was 92.10 %. In the control group, the accuracy rate of the catheter tip positioning in the 6th, 7th and 8th ribs was 20.30 %, 64.10 %, and 14.70 % respectively, while that in the Electrocardiogram-UI group was 32.20 %, 40.30 % and 19.60 % respectively, with a significant difference between the two groups. And 24 h before the catheter insertion, there was no significant difference in the anxiety scores between the two groups. However, 24 h after the catheter insertion, the anxiety and pain scores in the Electrocardiogram-UI group were significantly lower than that of the control group. In terms of the complications, in the first w, two patients in the Electrocardiogram-UI group had thrombosis, while four patients in the control group. No patients had the symptoms of the chest discomfort, arrhythmia, or infection in both groups. At the end of three and six mo, the incidence of thrombosis in the Electrocardiogram-UI group was significantly lower than that of the control group. The peripherally inserted central venous catheter tip positioning technology guided by Electrocardiogram combined with ultrasound is an ideal method for peripherally inserted central venous catheter insertion. It can improve the quality of life of the breast cancer patients and promote the prognosis of the breast cancer patients.
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