Whole case management in perioperative period of locally advanced breast cancer patients with skin grafting

  Objective  To explore the perioperative case management of locally advanced breast cancer patients with skin grafting.

  Methods  Thirty-two locally advanced breast cancer patients were selected for the whole case management. The whole case management mode was set up in the form of a group. In perioperative period and after discharge, case nurses provided comprehensive care to patients.

  Results  All the skin grafts on the chest of 32 patients survived at Ⅰ stage, and the survival rate was 100%. Postoperative skin graft infection occurred in 1 case, the infection rate was 3.1%. The average wound healing time was 14 days. The score of Self-rating Anxiety Scale (SAS) at three months after discharge was significantly lower than that at discharge and admission (P < 0.01).

  Conclusion  Positive and effective perioperative whole case management can relieve patients' emotions and promote their recovery.