The Application of Pain Care Based on CICARE Communication Model in Patients Undergoing Minimally Invasive Breast Surgery during the Day

Abstract

Objective: This study aims to investigate the effects of pain care based on the CICARE communication model on perioperative pain control, anxiety, and nursing satisfaction in patients undergoing minimally invasive breast surgery during the day. Methods: Using a randomized controlled trial design, 200 patients who underwent minimally invasive breast surgery at our hospital’s day surgery center from January 2023 to June 2024 were selected and randomly divided into the experimental group and the control group, with 100 cases in each group. The control group received routine perioperative care, while the experimental group received standardized pain care based on the CICARE communication model in addition to routine care. The Visual Analogue Scale (VAS) was used to assess pain levels at 2 hours, 6 hours, and 24 hours after surgery, the State-Trait Anxiety Scale (STAI) was used to assess anxiety levels before and after the intervention, and a self-made nursing satisfaction questionnaire was used to evaluate patient satisfaction. Results: The VAS scores of the experimental group at 2 hours, 6 hours, and 24 hours after surgery [(3.2 ± 0.8) points, (2.1 ± 0.7) points, (1.2 ± 0.5) points] were significantly lower than those of the control group [(4.8 ± 1.1) points, (3.6 ± 0.9) points, (2.3 ± 0.6) points] (P < 0.01). After the intervention, the state anxiety score of the experimental group (38.5 ± 6.2) was significantly lower than that of the control group (46.8 ± 7.1) (P < 0.01). The total score of nursing satisfaction in the experimental group (94.2 ± 4.3) was significantly higher than that in the control group (82.6 ± 5.7) (P < 0.01). Conclusion: Pain care based on the CICARE communication model can effectively relieve postoperative pain in patients undergoing minimally invasive breast surgery during the day, reduce anxiety, and improve nursing satisfaction. It is worthy of promotion and application in day surgery care.