Maselli Deborah, Torreggiani Martina, Guberti Monica
Azienda USL - IRCCS of Reggio Emilia, Reggio Emilia, Italy.
University of Modena and Reggio Emilia, Modena, Italy.
BMC Nurs. 2024 Oct 25;23(1):785. doi: 10.1186/s12912-024-02456-0.
The Nipple-Areola Complex (NAC) tattooing can restore physical and mental integrity after breast cancer, but it is not always easily accessible for women. This paper aims to report on the development of a multidisciplinary nurse-led service for NAC tattooing for women who underwent breast cancer surgery with NAC removal to allow its thorough review and replication.
The Medical Research Council's framework for developing complex healthcare interventions was followed. According to the results of a literature review, and the context analysis, an initial intervention was planned. The Template for Intervention Description and Replication checklist was chosen to ensure the quality and completeness of the intervention description.
The Breast Unit and the Research departments were engaged; three nurse-tattooists were selected; the informative material was created and shared with patients, families and local associations, involving them actively. Finally, the setting and the materials were defined. A monthly schedule of activities was set: patients with the indication for NAC tattooing were contacted by the nurse case manager. Each treatment involves 3-4 sessions, 30-40 days apart, in an ambulatory setting. It consists of NAC shaping and tattooing with a dermographer and sterile needles.
Implementing freely and equally multidisciplinary nurse-led clinics might provide this treatment ensuring the patient's quality of life and nurse competence. The NAC tattooing is a complex intervention that represents the final part of the breast cancer surgical care pathway.
乳头乳晕复合体（NAC）纹身可在乳腺癌后恢复身心完整性，但并非所有女性都能轻易获得这种服务。本文旨在报告为接受乳腺癌手术且乳头乳晕复合体被切除的女性开展多学科护士主导的NAC纹身服务的发展情况，以便对其进行全面审查和推广。
遵循医学研究理事会制定复杂医疗保健干预措施的框架。根据文献综述结果和背景分析，制定了初步干预措施。选择了干预描述与复制模板清单以确保干预措施描述的质量和完整性。
乳腺科和研究部门参与其中；挑选了三名护士纹身师；制作了信息材料并与患者、家属和当地协会分享，让他们积极参与。最后，确定了场地和材料。制定了每月活动时间表：护士个案经理联系有NAC纹身指征的患者。每次治疗包括3至4次疗程，间隔30至40天，在门诊环境中进行。治疗包括使用皮肤描记器和无菌针头进行NAC塑形和纹身。
自由平等地实施多学科护士主导的诊所可能会提供这种治疗，确保患者的生活质量和护士的专业能力。NAC纹身是一种复杂的干预措施，是乳腺癌手术护理路径的最后一部分。
