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.