Abstract: Objective To explore the effect of cancer nursing plan and empathy nursing under the guidance of risk concept for breast cancer patients undergoing radiotherapy. Methods A total of 420 patients with breast cancer from July 2021 to July 2022 who were received radiotherapy in Binzhou Central Hospital were selected as the control group, was given routine nursing intervention, and a total of 420 patients with breast cancer from August 2022 to August 2023 who were selected as the study group, was given tumor nursing plan and empathy nursing intervention under the guidance of risk concept. Cancer related fatigue, shame and quality of life were compared in both groups. Results After intervention, the Cancer Fatigue Scale (CFS) scores in both groups were decreased, and in comparision of the control group, the intervention group was lower, with a statistically significant difference (P<0.05). After intervention, the Social Impact Scale (SIS) scores in both groups were decreased, and in comparision of the control group, the intervention group was lower, with a statistically significant difference (P<0.05). After intervention, Functional Assessment of Cancer Therapy Break (FACT-B) scores in both groups were increased, the score of the intervention group was higher than that of the control group, with a statistically significant difference (P<0.05). Conclusion The application of cancer care plan and empathy nursing under the guidance of risk concept in the intervention of breast cancer patients with radiotherapy can alleviate cancer-related fatigue, alleviate the sense of shame, and improve the quality of life.

Key words: breast cancer, radiation therapy, risk concept, tumor care plan, empathetic care