Current treatments for breast cancer that involve a combination of surgery, radiation, and chemotherapy are saving the lives of patients. But these treatment combinations can cause numerous complications, such as upper limb dysfunction, upper limb lymphedema, subcutaneous effusion, flap necrosis, pain, and fatigue. All of which can severely impact a patient’s quality of life.

A team of researchers based in Chongqing, China, conducted a trial to determine the potential benefits of nursing management based on a prospective monitoring model for patients with breast cancer during the perioperative period. The results of their research was published in Frontiers in Surgery.

For this study, 300 patients with breast cancer were randomly assigned to a control group or a model group. Routine nursing management was used to treat both groups; however, the model group also received nursing management based on a prospective monitoring model. The researchers planned to compare any difference in outcomes, including disability of arm-shoulder-hand (DASH) and exercise of self-care agency (ESCA) scale scores as well as other measures from the 2 groups.

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The total DASH score was higher in both groups at the 3-month-postoperative mark than it was prior to surgery; however, it was lower in the model group compared with the control group. ESCA scores were higher in the preoperative period than in the postoperative period, and also higher in the model group compared with the control group.

A comparison of the quality of surgical nursing in the 2 groups found that the model group had better quality of nursing scores postoperatively than the control group. No statistical difference was noted in upper limb lymphedema between the 2 groups at the 3-month postoperative point.

Patients in the model group also had significantly higher social, behavioral, and appearance self-esteem levels than those in the control group (P <.05). In addition, nurses were possibly able to identify emotional threats and treatment needs in a timely manner, which can help relieve psychological stress.

Ultimately, the prospective monitoring model provided benefits in supportive care for patients with breast cancer.

“The application of the prospective monitoring model of this study in breast cancer patients during perioperative period could effectively address multiple issues, including the quality of surgical nursing for breast cancer patients, protecting musculoskeletal health after surgery, promoting patients’ health self-care behaviors and abilities, rebuilding social self-esteem and self-image, reducing cancer-caused fatigue symptoms, and improving quality of life,” the researchers concluded.


Zhang H, Duayn Y, Zhou F. Explore the application value of a prospective monitoring model in the nursing management of breast cancer patients during perioperative period. Front Surg. Published online February 23, 2022. doi:10.3389/fsurg.2022.850662