Effect of Multivariate Management Pathway on Prevention of Upper Limb Lymphedema and Improvement of Self-Care Ability in Patients After Radical Mastectomy
DOI: https://doi.org/10.62517/jmhs.202605229
Author(s)
Zhang Huiqi, Xie Jingjing*
Affiliation(s)
Taihe Hospital of Shiyan City, Shiyan, China
*Corresponding author
Abstract
To observe the effect of multivariate management pathway on postoperative upper limb lymphedema and self-care ability in patients undergoing radical mastectomy. A total of 76 patients undergoing radical mastectomy from March 2024 to October 2025 were selected and randomly divided into two groups using a random number table, with 38 cases in each group. The control group received routine postoperative nursing, while the observation group received multivariate management pathway nursing. The incidence of upper limb lymphedema, self-care ability and psychological resilience were compared between the two groups. The incidence of upper limb lymphedema in the observation group was lower than that in the control group (P<0.05). After nursing, the self-care ability in the observation group was higher than that in the control group (P<0.05). After nursing, the psychological resilience in the observation group was higher than that in the control group (P<0.05). The implementation of multivariate management pathway in patients undergoing radical mastectomy can reduce the incidence of upper limb lymphedema, improve patients' self-care ability and enhance their psychological resilience.
Keywords
Multivariate Management Pathway; Radical Mastectomy; Upper Limb Lymphedema; Prevention; Self-Care Ability
References
[1] Wan G X. Analysis of independent risk factors for upper limb lymphedema in patients after radical mastectomy and construction of nomogram prediction model[J]. Grand Doctor, 2025, 10(14): 78-80.
[2] Jin Y M, Yuan J H, Li S S, et al. Effect analysis of comprehensive traditional Chinese medicine nursing on improving upper limb lymphedema after breast cancer surgery[J]. Chinese Journal of Clinical Oncology and Rehabilitation, 2025, 32(06): 405-412.
[3] Zhang Y, Luo M X. Application effect of evidence-based nursing in patients with upper limb lymphedema after breast cancer surgery[J]. Medical Journal of Chinese People's Health, 2025, 37(12): 173-175+179.
[4] Tang L, He Q Q, Liang G M. Nursing care of a patient with upper limb lymphedema complicated with severe thrombocytopenia after bilateral breast cancer surgery[J]. Journal of Nursing and Rehabilitation, 2025, 24(05): 78-80.
[5] Huang R R, Chen C T, Lai B Z. Application effect of integrated nursing intervention of knowledge-attitude-practice model, transtheoretical model and health belief model combined with rehabilitation training in patients after modified radical mastectomy[J]. Modern Medicine and Health Research Electronic Journal, 2025, 9(09): 21-24.