Construction and application of a perioperative management program of breast reconstruction with deep inferior epigastric perforator flap in patients with breast cancer
10.3761/j.issn.0254-1769.2023.21.001
- VernacularTitle:乳腺癌患者腹壁下动脉穿支皮瓣乳房重建围手术期护理方案的构建及应用研究
- Author:
Ying LI
1
;
Xiaofen YU
;
Xiaofeng MEI
;
Lufei ZHANG
Author Information
1. 310014 杭州市 浙江省人民医院/杭州医学院附属人民医院乳腺外科
- Keywords:
Breast Neoplasms;
Deep Inferior Epigastric Perforator Flap;
Mammaplasty;
Perioperative Nurs-ing;
Delphi Technique
- From:
Chinese Journal of Nursing
2023;58(21):2565-2575
- CountryChina
- Language:Chinese
-
Abstract:
Objective To construct a perioperative management program for breast reconstruction with deep inferior epigastric perforator flap with breast cancer,and to provide references for clinical practice.Methods The databases at home and abroad were searched to obtain the relevant literature,and the perioperative management program of breast reconstruction with inferior epigastric artery perforator flap for breast cancer was preliminarily constructed.3 rounds of expert inquiries were conducted by Delphi method from October 2022 to January 2023 to determine the final content of the program.14 patients who received breast reconstruction with deep inferior epigastric perforator flap in a tertiary hospital in Zhejiang Province from January to May in 2023 were selected as application subjects to implement the modified program and evaluate the clinical effect.Results A total of 15 experts completed 3 rounds of consultation.In the third round of consultation,the Kendall's concordance coefficient of the importance of the first-level indicators was 0.347(P<0.05);the Kendall's concordance coefficients of the importance of the second and third-level indicators were 0.388 and 0.200(P<0.001);the coefficient of variation of each indicator was 0～0.224.The final program included 3 first-level indicators,18 second-level indicators and 67 third-level indicators.The incidence of flap complications in 14 patients decreased by 11.9%.Conclusion The perioperative management program of breast reconstruction with deep inferior epigastric perforator flap for breast cancer is preliminarily applied in clinical practice,which is scientific,reliable and practical,and it can provide references for clinical nursing.
