DISCUSSION
MLD, breast cancer, cancer, muscle damage, lymphedema, BCRL
BREAST CANCER, CANCER, BREAST CANCER DIAGNOSIS, MLD, JOINT DYSFUNCTION, LYMPHEDEMA
According to KAP theory, people's behavior change first needs to acquire relevant theoretical knowledge, then comes the attitude toward a certain behavior, and finally forms the behavior.In this study, a lymphedema prevention program was implemented on breast cancer patients during the perioperative period and chemotherapy and was evaluated at T1 and T2. The results showed that fewer cases of lymphedema occurred in the intervention group than in the control group in both phases, but the incidence of lymphedema between the two groups was not statistically significant. In a study by Ammitzbøll et al.In a study comprising 2171 women with a median follow‐up of 4 years after breast cancer surgery, the investigators reported that the risk of lymphedema peaked between 12 and 30 months after surgery, with the incidence of lymphedema peaking between 6 and 12 months in patients with lymphatic dissection.After surgery, the handgrip strength of the affected upper limb decreased significantly in both groups compared to the preoperative period, similar to the results reported by Klassen et al.In this study, the range of motion of the upper limb and the DASH score of the two groups of patients were in the normal range before the intervention. As breast cancer patients have significant muscle damage and joint dysfunction during treatment,At T1 and T2, the DASH scores significantly decreased in both the control and intervention groups. Previous studies found that postoperative exercise improved shoulder function in women at higher risk of shoulder problems after breast cancer surgery. A study using a nurse‐led activity program and MLD to prevent BCRL showed that both measures were effective and improved arm function.Advances in early detection and treatment can increase patient survival after breast cancer diagnosis, which has also prompted more women to live with the consequences of cancer treatment, rendering the quality of life of patients after breast cancer surgery to become a major concern. Biparva et al. conducted a meta‐analysis on 9012 BC patients and found that the quality of life scores of the patients who completed the treatment were higher than patients who were still being treated,