Volume 24 Issue 3
Mar.  2026
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Article Navigation >  Chinese Journal of General Practice  > 2026  >  24(3): 535-538
ZHANG Huan, HONG Jia, JIANG Chunyun, SHAO Su. Rehabilitative effects of a stage-based nursing intervention program based on Hogan's theory in postoperative breast cancer patients[J]. Chinese Journal of General Practice, 2026, 24(3): 535-538. doi: 10.16766/j.cnki.issn.1674-4152.004436
Citation: ZHANG Huan, HONG Jia, JIANG Chunyun, SHAO Su. Rehabilitative effects of a stage-based nursing intervention program based on Hogan's theory in postoperative breast cancer patients[J]. Chinese Journal of General Practice, 2026, 24(3): 535-538. doi: 10.16766/j.cnki.issn.1674-4152.004436
shu

Rehabilitative effects of a stage-based nursing intervention program based on Hogan's theory in postoperative breast cancer patients

doi: 10.16766/j.cnki.issn.1674-4152.004436
  • 1.

    Department of General Surgery, Chun'an Branch of Zhejiang Provincial People's Hospital, Hangzhou, Zhejiang 311700, China

Funds:

 2025KY1246

 2024CAYY009

  • Received Date: 2025-03-31
    Available Online: 2026-06-02
    Abstract
  •   Objective  Modified radical mastectomy (MRM) is the preferred surgical procedure for the treatment of breast cancer, but it is associated with a high risk of postoperative complications. Rehabilitation training can reduce the incidence of complications; however, the effects of conventional nursing interventions are often suboptimal. Therefore, this study applied Hogan's theory to the field of postoperative rehabilitation in breast cancer patients and explored its rehabilitative effects.  Methods  A total of 62 breast cancer patients scheduled for MRM at the Chun'an Branch of Zhejiang Provincial People's Hospital from October 2023 to October 2024 were enrolled. Patients were grouped according to queueing sequences generated by computerized random numbers: odd numbers were assigned to the observation group (n=31), and even numbers to the control group (n=31). The control group received conventional nursing care, while the observation group received conventional nursing combined with a stage-based nursing intervention program based on Hogan's theory. After intervention, intergroup comparisons were conducted for pain intensity, upper limb dysfunction, functional exercise compliance, complications, and quality of life.  Results  At 2 weeks, 1 month, and 4 months postoperatively, the observation group showed lower scores on the Numerical Rating Scale (NRS) for pain and the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire for upper limb dysfunction compared to the control group (P < 0.05). The observation group also had higher compliance scale scores than the control group (P < 0.05). The complication rate in the observation group was 6.45% (2/31), which was lower than in the control group 29.03% (9/31), P < 0.05. After the intervention, the Functional Assessment of Cancer Therapy-Breast (FACT-B) score for quality of life was higher in the observation group than in the control group (P < 0.05).  Conclusion  The stage-based nursing intervention program based on Hogan's theory can effectively alleviate the postoperative pain degree in breast cancer patients, reduce upper limb dysfunction, improve the compliance of functional exercise, decrease the incidence of postoperative complications, and enhance the quality of life.

     

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