ArticleDiscover oncology2025
Observation of the impact of applying the fast track surgery concept during the perioperative period of breast-conserving surgery for breast cancer on the effectiveness of patient care and complications.
Article in Discover oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveTo observe the impact of applying the fast track surgery (FTS) concept during the perioperative period of breast-conserving surgery for breast cancer on the effectiveness of patient care and the occurrence of complications.
methodsA retrospective analysis of clinical data was conducted for 92 cases of breast cancer patients admitted to our hospital from January 2022 to January 2023. All patients underwent breast-conserving surgery at our hospital and met the inclusion criteria. Patients were divided into two groups based on the different nursing interventions during the perioperative period: the control group (n = 46) received conventional nursing interventions, while the observation group (n = 46) received nursing interventions based on the fast track surgery concept. The nursing effectiveness, postoperative recovery, serum inflammatory factor levels, psychological negative emotions, and complication occurrence were compared between the two groups.
resultsThe overall nursing effectiveness rate in the control group was 80.43%, while it was 95.65% in the observation group, which was significantly higher than that in the control group (P<0.05). The observation group showed significantly shorter times for getting out of bed, drainage removal, initiation of oral intake, wound healing, and hospital stay, as well as lower levels of pain compared to the control group (P<0.05). Before intervention, there were no significant differences in IL-6, TNF-α, and NF-κB levels between the two groups (P>0.05). However, after intervention, the levels of IL-6, TNF-α, and NF-κB in the observation group were significantly lower than those in the control group (P<0.05). Before intervention, there were no significant differences in SAS and SDS scores between the two groups (P>0.05). However, after intervention, the SAS and SDS scores in the observation group were significantly lower than those in the control group (P<0.05). The complication rate in the control group was 23.91%, while it was 8.70% in the observation group, and the observation group had a significantly lower complication rate than the control group (P<0.05).
conclusionThe application of the fast track surgery concept during the perioperative period of breast-conserving surgery for breast cancer yields favorable results. Compared to conventional nursing interventions, fast track surgery concept-based nursing further enhances patient outcomes, improves the body's inflammatory response, and mitigates adverse emotions, thereby accelerating patient recovery and reducing the risk of surgery-related complications. This approach is worthy of clinical promotion.
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