The Effect of Systematic Health Education on Perioperative Nursing Outcomes in Breast Cancer Patients
Keywords:
breast cancer, health education, perioperative care, self-care, quality of life, nursing satisfaction
Abstract
Objective: This study aimed to evaluate the impact of structured systematic health education on self-care ability, psychological well-being, quality of life (QoL), and nursing satisfaction among breast cancer patients during the perioperative period. Methods: A prospective controlled trial was conducted at a tertiary hospital between February and December 2018. Sixty postoperative breast cancer patients were randomly allocated into an intervention group (n = 30) and a control group (n = 30). The control group received standard perioperative nursing care, whereas the intervention group received additional structured health education interventions including preoperative lectures, individualized counseling, guided rehabilitation, and post-discharge support. Standardized assessment tools—Exercise of Self-Care Agency Scale (ESCA), Hospital Anxiety and Depression Scale (HADS), EORTC QLQ-C30, and a self-designed nursing satisfaction questionnaire—were used to evaluate outcomes before and after the intervention. Results: Compared to the control group, patients in the intervention group demonstrated significantly higher ESCA scores, lower HADS anxiety and depression scores, improved QLQ-C30 outcomes, and higher nursing satisfaction (P < 0.05). Graphical analysis demonstrated that the intervention group consistently outperformed the control group across all assessment domains. Conclusion: Structured systematic health education is a beneficial perioperative strategy for breast cancer patients. It improves psychological outcomes, promotes self-care behavior, enhances QoL, and increases satisfaction with nursing services. Health education should be integrated as a standard part of perioperative oncology nursing care.References
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Zhou, Y., Zhang, J., et al. (2023). Effects of health education interventions on psychological well-being and quality of life in breast cancer patients: A systematic review and meta-analysis. Journal of Clinical Nursing, 32(5–6), 1189–1201. https://doi.org/10.1111/jocn.16265
Kim, H., Kim, Y. J., et al. (2020). Effect of perioperative psychological education on anxiety, depression, and QOL among breast cancer patients. Journal of Breast Cancer, 23(2), 192–199. https://doi.org/10.4048/jbc.2020.23.e20
McCorkle, R., Ercolano, E., Lazenby, M., et al. (2011). Self-management: Enabling and empowering patients living with cancer as a chronic illness. CA: A Cancer Journal for Clinicians, 61(1), 50–62. https://doi.org/10.3322/caac.20093
Mehnert, A., Berg, P., Henrich, G., & Herschbach, P. (2009). Fear of cancer progression and cancer-related intrusive cognitions in breast cancer survivors. Psycho-Oncology, 18(12), 1273–1280. https://doi.org/10.1002/pon.1481
Niazi, A., et al. (2023). Structured health education improves post-operative recovery in breast cancer patients: A randomized clinical trial. BMC Nursing, 22(1), 45. https://doi.org/10.1186/s12912-023-00987-5
Parás-Bravo, P., Paz-Zulueta, M., Sarabia-Cobo, C., et al. (2021). Effectiveness of health education for breast cancer surgery patients: A multicentre randomized trial. Supportive Care in Cancer, 29(10), 6037–6045. https://doi.org/10.1007/s00520-021-06037-1
Pender, N. J., Murdaugh, C. L., & Parsons, M. A. (2019). Health promotion in nursing practice (7th ed.). Pearson.
Sung, H., Ferlay, J., Siegel, R. L., et al. (2021). Global cancer statistics 2020: GLOBOCAN estimates. CA: A Cancer Journal for Clinicians, 71(3), 209–249. https://doi.org/10.3322/caac.21660
Yates, P., Aranda, S., Hargraves, M., et al. (2005). Randomized controlled trial of a nurse-led supportive care intervention for women with advanced breast cancer. Journal of Pain and Symptom Management, 29(5), 475–486. https://doi.org/10.1016/j.jpainsymman.2004.08.006
Zhou, Y., Zhang, J., et al. (2023). Effects of health education interventions on psychological well-being and quality of life in breast cancer patients: A systematic review and meta-analysis. Journal of Clinical Nursing, 32(5–6), 1189–1201. https://doi.org/10.1111/jocn.16265
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2025-06-04
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