Objective: To investigate the status of family resilience and spiritual well -being in young patients with postoperative breast cancer and explore the correlation between the two. Methods: A survey was conducted using a general information questionnaire, the Family Resilience Assessment (FRA) scale, and the Functional Assessment of Chronic Illness Therapy-Spiritual Well-being(FACIT-Sp-12) scale among 186 young patients with postoperative breast cancer who were treated in the breast oncology department of a Class A tertiary hospital in Tianjin from March 2022 to December 2022. Results: The scores of family resistance and spiritual well-being of young patients with postoperative breast cancer were 104.07±15.94 and 30.41±6.84. There was a positive correlation between family resilience and spiritual well-being ( r=0.717, P<0.01). Conclusion: There is still room for improvement in the family resilience and spiritual well-being of young patients with postoperative breast cancer. The higher the level of family resilience, the better the spiritual well-being of the patients. Healthcare professionals should implement targeted nursing interventions to enhance patients′ family resilience, thereby improving their spiritual well-being.

Objective: To explore the needs and real experience of home rehabilitation in breast cancer patients with wound drainage tube after surgery，and to provide reference for effective development of continuous nursing. Methods: Purposeful sampling was used and a semi-structured interview was conducted in 14 breast cancer patients with indwelling drainage tube after surgery. Data were coded, classified and extracted by Colaizzi seven-step analysis method. Results: The home rehabilitation needs in breast cancer patients with wound drainage tube after surgery can be summarized into four themes, they were the need to improve home self -management skills, multi -dimensional support requirements, psychological needs and emotional needs and rehabilitation environmental needs. Conclusion: As the length of stay decreases，the number of patients discharged from the hospital with drainage tubes after breast cancer surgery will continue to increase. According to the needs and real experience of patients with wound drainage after breast cancer surgery, medical staffs should provide targeted and continuous nursing，so as to provide quality care for patients，and promote their recovery to health.

Objective: To systematically summarize the experience of weight management in patients with breast cancer and comprehensively understand the needs of patients in the process of weight management, so as to provide evidence for better weight management suggestions. Methods: Pubmed、Scopus、Embase、Web of Science、CINAHL、PsycINFO、CBM、CNKI、 VIP、Wanfang were retrieved from inception to October 2021.The qualitative researches on weight management in patients with breast cancer were extracted. The quality of included studies was evaluated according to JBI critical appraisal tool for qualitative studies in Australia. The results were integrated by integrating methods. Results: A total of nine studies were included. Thirty-four complete findings were grouped according to similarities and nine new categories were formed. These categories resulted in three synthesized findings. They were effects of illness on weight management，the journey of the weight management process，factors affecting weight management. Conclusion: As a common side effect of breast cancer treatment, weight gain has a negative impact on physical and mental health of patients with breast cancer. Healthcare workers should help patients to make effective decisions according to their own conditions.

Objective: From the perspective breast specialized medical staff, to explore the promoting and hindrance factors of home care for wound catheter in patients with breast cancer after surgery, so as to provide more humanized home care services for patients with wound catheters. Methods: A total of 19 breast specialized medical staffs were included and in-depth interviews were conducted with semi-structured interview outlines. Field recordings and transcripts were made, and the interview data were sorted and analyzed by Nvivo 12.0 and Colaizzi method of phenomena observation in qualitative study. Results: The promoting factors of home care in patients with wound catheter were including obtaining good family and social support, diversified and personalized health education forms.The hindrance factors were including patient factors such as insufficient voluntary learning ability and cognition, poor compliance, and caregiver factors such as elderly family caregivers, changing family supervision and care, and other factors such as patients living alone and geographical factors. Conclusion: Clinical medical staffs should actively provide targeted professional guidance and information support for patients, so as to solve their actual problems, help patients safely pass the period of wound catheterization at home, reduce the occurrence of complications, promote rehabilitation, and then improve their quality of life.

Objective: To explore the mediating role of social support in coping style and health-related hardiness in unmarried women after breast cancer surgery. Methods: The research objects were selected by target sampling, including 115 unmarried women after radical mastectomy for breast cancer from a tertiary A hospital in Tianjin. The simplified coping style questionnaire(SCSQ), social support rating scale(SSRS), revised health-related hardiness inventor(RHHI-24) questionnaire and self-designed general information questionnaire were used. Results: The total score of social support in 115 unmarried women after breast cancer surgery was 36.65±7.38; the score of positive coping was 24.36±6.68; the score of negative coping was 11.39±4.15； the score of health-related hardiness was 76.83±21.46. The score of health-related hardiness was significantly correlated with total score of social support and score of positive coping style( P<0.05), while was negatively correlated with the score of negative coping style( P<0.05). Structural equation model analysis showed that social support significantly positively predicted health-related hardiness（ β=0.65， P<0.001）, Negative coping significantly negatively predicted health-related hardiness( β=-0.28, P<0.001), and social support was a complete mediator between positive coping and health-related hardiness. Conclusion: Unmarried women had a moderately low level of health toughness after breast cancer surgery. In clinical work, we should pay attention to patients’ coping styles and social support status, encourage them to adopt more positive coping styles, provide all-round social support for patients to the greatest extent, in order to alleviate negative emotions, and improve the quality of life.

Objective: To explore the relationship among self-image, coping style and social support of unmarried young women after radical mastectomy. Methods: A cross-sectional survey was conducted to select 155 young unmarried women after radical mastectomy from three grade-A hospitals in Tianjin. The simplified coping style questionnaire(SCSQ), social support rating scale(SSRS), body image after breast cancer questionnaire (BIBCQ) and self-designed general information questionnaire were used. Results: The self-image score of 155 unmarried young women after radical mastectomy was 150.58±25.22. Self-image was positively correlated with positive coping and social support( P<0.05), and negatively correlated with negative coping（ P<0.05）. Structural equation model analysis showed that social support significantly positively predicted self-image（ β=-0.28, P<0.001）; social support and positive coping（ β=0.40, P<0.001）; positive coping significantly positively predicted self-image( β=-0.14, P=0.019); active coping is a partial mediator between social support and self-image. Conclusion: The self-image level of unmarried young women after radical mastectomy was lower. In order to improve the self-image level and living quality of the patients, we should encourage them to take more positive coping strategies and provide full range of social support in clinical work.