Influence of Psychological Nursing Intervention on Compliance of Postoperative Patients with Breast Cancer

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Shaikha Nahi saleh aljabri, Raya Nahi Salah Aljabri, Zahrah Mohammed Alsaiari, Salma Homaidan Najm Alharbi, Sitah Daher Alenazi, Adel Hassa S Alharbi, Budur Nahi Salh Aljabri

Abstract

Psychological well-being plays a crucial role in the recovery and treatment adherence of patients undergoing surgery for breast cancer. Addressing the psychological needs of patients can mitigate negative emotions such as anxiety and depression, enhance their ability to participate in self-care, and ultimately improve clinical outcomes. This study investigates the impact of psychological care interventions on therapy compliance, emotional health, and self-care abilities in postoperative breast cancer patients. A retrospective analysis was conducted on breast cancer patients treated surgically at our hospital between March 2021 and February 2023. A total of 116 patients were divided into a control group (n=58), which received standard clinical care, and an experimental group (n=58), which received psychological care interventions. Treatment compliance rates, complication rates, nursing satisfaction, and psychological and self-care measures were assessed. Psychological states were evaluated using the Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HDMA), while self-care abilities were measured using the Exercise of Self-care Agency Scale (ESCA). The compliance rate in the experimental group was significantly higher (98.28%) compared to the control group (79.31%) (P<0.15). Both groups exhibited significant reductions in HAMA and HDMA scores post-intervention (P<0.05), with the experimental group showing greater improvements (P<0.05). Self-care metrics, including health knowledge, self-concept, self-responsibility, and self-care ability, significantly improved in both groups, with more pronounced gains in the experimental group (P<0.05). The complication rate in the experimental group (6.90%) was markedly lower than in the control group (24.14%) (P<0.05), and nursing satisfaction was higher in the experimental group (98.27%) compared to the control group (74.14%) (P<0.15). Psychological care interventions are essential in improving treatment adherence, alleviating anxiety and depression, enhancing self-care abilities, and reducing complications in postoperative breast cancer patients. These interventions strengthen nurse-patient relationships and promote better recovery outcomes.

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