Objective:To construct a plan for relieving fatigue in breast cancer patients undergoing chemotherapy.Methods:We combined literature and clinical experience to construct a fatigue relief plan for breast cancer chemotherapy patients from August to October 2020. A total of 21 domestic two-glandular surgeons, nursing experts, and surgical nursing teachers were invited to conduct 2 rounds of Delphi expert letter inquiries, and analyzed the positive coefficient of experts and the degree of expert authority to evaluate the reliability of experts, and evaluated the coordination degree of expert opinions through the coefficient of variation and Kendall's harmony coefficient.Results:The effective response rate of the two rounds of questionnaires was 100%, the enthusiasm coefficient of experts was very high. The authority coefficients of the 2 rounds of consulting experts were 0.89 and 0.90 respectively (all>0.7), expert authority coefficient was very high. The Kendall harmony coefficients of the first-level and second-level indicators in the first round were 0.160 and 0.086, statistically significant (all P<0.05). In the second round, the Kendall′s harmony coefficients of dimension, first-level and second-level indicators were 0.190, 0.211, 0.378, statistically significant (all P<0.05). The coefficient of variation of each item in the second round was 0.04-0.12, and the full score rate was 28.57%-95.24%. All met the index screening standards established by the scheme. Finally, 3 dimensions, 3 first-level indicators and 16 third-level indicators were determined. Conclusions:The fatigue relief plan for breast cancer chemotherapy patients has necessity, practicality and scientificity.It has guiding significance for standardizing the fatigue relief of patients undergoing chemotherapy after radical mastectomy.

Objective:To explore the perioperative nursing model of endoscopic thyroidectomy through the oral vestibule and its effects.Methods:Totally 127 patients who planned to undergo thyroidectomy from January 2018 to June 2019 were selected. A total of 65 patients receiving traditional surgery between January and June 2018 were included into the control group, while 62 patients who underwent endoscopic thyroidectomy through the oral vestibule from October 2018 to June 2019 were included into the experimental group. Patients in the control group received routine care, while the perioperative nursing model of endoscopic thyroidectomy through the oral vestibule was explored in the experimental group. The differences in pain scores 72 hours after surgery, days of drainage tube indwelling, length of hospital stay and complications were compared between the two groups.Results:There was statistically significant difference in the incidence of postoperative complications between the two groups ( P<0.05) ; the differences in pain scores 72 hours after surgery, days of drainage tube indwelling and length of hospital stay between the two groups were statistically significant ( P< 0.01) . Conclusions:The perioperative nursing practice of endoscopic thyroidectomy through the oral vestibule can effectively reduce the postoperative pain, number of days of drainage tube indwelling, length of hospital stay and postoperative complications in the patients.