The nursing care for patients receiving acellular bovine pericardium with implant based breast reconstruction / 中国实用护理杂志

ABSTRACT

Objective:This article explored the experience of nursing care for patients receiving acellular bovine pericardium with implant based breast reconstruction.Methods:A total of 100 cases from February 2017 to March 2019 were retrospectively analyzed. Preoperative use AIDS decision-making to reduce the decision-conflict of patients, and correctly assess the risk factors and aesthetic needs of patients, to assist the selection of appropriate prosthesis. Intraoperative use of antibiotics immersion prosthesis and mesh to prevent infection, and follow the principle of no contact; Postoperative attention should be paid to breast reconstruction, skin observation and catheter care, to avoid infection, skin necrosis and seroma and other complications. And for patients to develop a detailed discharge plan, do a good job of continuing care.Results:Of the 100 patients in this group, local skin necrosis occured in 1 patient, 1 had nipple necrosis, 1 had "red breast" syndrome and 2 had infection.All 100 patients successfully completed the surgery, with high satisfaction for breast reconstruction. The follow-up time ranged from 3 to 21 months, among which the score of breast satisfaction was 96.63 (on a 100-point scale), and the score of patients′ satisfaction with the medical team was 98.78.Conclusions:Careful perioperative nursing can reduce the incidence of related complications, make patients correctly predict the outcome of surgery, and improve the success rate of mesh and prosthesis implantation.