The application of feedback-based education based on social cognitive theory in postoperative rehabilitation of breast cancer
LU Guanglei
XU Weimin
CHEN Wenjing
Abstract：Objective To explore the efficacy of feedback-based education based on social cognitive theory in the postoperative rehabilitation of breast cancer patients.Methods Patients who underwent modified radical mastectomy at the Second Department of General Surgery,Second Affiliated Hospital of Anhui Medical University between January 2021 and January 2024 were included and divided into the feedback intervention group(feedback-based education intervention combined with routine nursing care)and the control group(routine nursing care only).Baseline characteristics,upper limb lymphedema,postoperative rehabilitation parameters,rehabilitation exercise compliance,nursing satisfaction,and postoperative complications were collected and compared between the two groups after 14 days of intervention.Results A total of 234 patients were enrolled,with 117 patients in each group.The baseline characteristics between two groups were comparable.After 14 days of intervention,the feedback group showed significantly lower upper limb circumference difference and scores of Disability of the Arm,Shoulder and Hand(DASH)compared to the control group(P<0.05).The feedback group also demonstrated significantly shorter time to postoperative eating,rehabilitation exercise initiation,ambulation,and hospital stay(P<0.05).Moreover,the feedback group achieved significantly higher scores in rehabilitation exercise compliance and Newcastle Satisfaction with Nursing Scale(P<0.05).No significant difference was observed in postoperative complication rates between two groups(P>0.05).Conclusion Feedback-based education founded on social cognitive theory effectively improves acute lymphedema of affected limbs,shortens postoperative rehabilitation time,enhances rehabilitation exercise compliance and nursing satisfaction,while maintaining good safety in breast cancer patients.
Keywords：Social cognitive theoryFeedback-based educationBreast cancerModified radical mastectomyPostoperative rehabilitation
Publication Date：2025-03-25
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：8( 281-288 )