Development of a Nursing Care Model for Breast Cancer Patients Undergoing Modified Radical Mastectomy

Authors

  • Oranute Pradubthong Lecturer, Boromarajonani college of nursing, Surin, Faculty of nursing, Praboromrajanok institute.
  • Sasithorn Yenyam Nurse profession, Surin Hospital
  • Pumpoung Tararum Nurse profession, Surin Hospital

Keywords:

Breast Cancer, Modified Radical Mastectomy

Abstract

     This research, centered on research and development, sought to create a nursing care model for the management of breast cancer patients undergoing Modified Radical Mastectomy (MRM). A purposive sampling method was employed, involving 19 female breast cancer patients who met the specified criteria. The research unfolded through key phases: 1) situation analysis, 2) development of the care model, 3) testing the care model in the sample group with subsequent evaluation, and 4) the implementation of the prototype of the care model.

     Results indicated that, post the application of the nursing care model for breast cancer patients undergoing MRM, all 19 patients experienced no complications, achieved a range of arm movement between 70-180 degrees (n=19), and reported seroma and lymphedema rates ≤1.9 out of 89.47 (n=17), with normal anxiety levels also at 89.47 (n=17). Patient satisfaction reached the highest average (M=4.62, SD=0.56), with nurse advice, pain management, and guidance on abnormal symptoms, along with the need for medication before appointments, receiving the highest average ratings (M=4.83, SD=0.39, 0.38). Nurse satisfaction was also high, averaging (M=3.99, SD=0.66), with the benefit for the office obtaining the highest average (M=4.61, SD=0.50).

     In summary, the development of nursing care controls for breast cancer patients undergoing MRM proved effective in reducing the post-surgical complications. Hence, its application is recommended to enhance the quality of nursing care.

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Published

2023-12-30

How to Cite

Pradubthong, O., Yenyam, S., & Tararum, P. (2023). Development of a Nursing Care Model for Breast Cancer Patients Undergoing Modified Radical Mastectomy. The Journal of Faculty of Nursing Burapha University, 31(4), 61–74. retrieved from https://he02.tci-thaijo.org/index.php/Nubuu/article/view/263230