Contemporary Nursing

Objective To analyze the impact of network platform management on self-management efficacy and adherence to functional exercise in patients undergoing breast cancer surgery, and to explore effective strategies to enhance adherence to functional exercise in postoperative breast cancer patients. Methods From January to June 2023 and from July to December 2023, 51 patients who underwent radical mastectomy at our hospital were included and divided into two groups: A and B. Group A received standard discharge guidance and follow-up, while group B received continuous management through an online platform in addition to the guidance provided to group A. The primary observation was the adherence score for functional exercise after 3 months of intervention, and the secondary observation was the scores from the Cancer Self-management Efficacy Scale (Strategies Used by People to Promote Health, SUPPH) before and after the intervention. Results After 3 months of intervention, the adherence score for functional exercise in group B was significantly higher than that in group A (P<0.05). Before the intervention, the SUPPH scores of both groups were similar with no statistically significant difference (P>0.05); after the intervention, the SUPPH score in group B was higher than that in group A, with a statistically significant difference (P<0.05). Conclusion Managing postoperative breast cancer patients through a network platform can enhance their self-management efficacy and significantly improve their adherence to functional exercise.

Breast cancer; Postoperative functional exercise; Compliance; Online platform management