Intervention plan for two groups of patients.
upper extremity lymphedema, swelling, nursing;Assessed, upper limb lymphedema, upper extremity lymphedema after breast cancer, bad habits, lymphedema
LYMPHEDEMA, POSTOPERATIVE COMPLICATIONS

Routine preoperative education;Introduction to common postoperative complications.Routine nursing;Patients and their families were organized to learn the specialty content in the recovery room, with a 30‐min PPT lecture by a physician member of the subject group. The content was based on the definition, type, mechanism of occurrence, risk factors, grading, and incidence of upper limb lymphedema in postoperative breast cancer;A 30‐min seminar after the lecture: the panelists assessed the knowledge of the patients and their families about lymphedema and answered questions.Routine health education;Information on the best evidence for preventing upper extremity lymphedema after breast cancer surgery was given to each patient (exercise methods, skin protection, air travel, weight control, physical therapy, self‐monitoring and daily life precautions, 7 dimensions, and a total of 48 preventive measures).Routine discharge education;Diary cards for exercise and avoidance of behaviors that could increase the risk of lymphedema were given and instructed to fill out daily;Instructed the patients and family members to follow the department's official WeChat account and learned to view the content of health education and postoperative functional exercise exercises at different stages;Established a WeChat group. Published the official account content regularly and timely answered questions in the WeChat group.Routine discharge follow‐up;Enquired about the exercise and presence of any swelling and discomfort and provided guidance.Routine admission examinations;Reviewed diary cards and provided guidance and education.Routine nursing;Patients and their families were organized to learn the specialty content in the recovery room, with a 30‐min PPT lecture by a nurse who was trained on the lymphedema training course of the subject group. The content comprised early recognition of upper limb lymphedema, assessment methods, common treatment methods and treatment institutions;A 30‐min seminar after the lecture: to communicate with patients and families about upper extremity lymphedema and their knowledge of prevention. Assist patients in analyzing potential bad habits, recognizing the dangers of unhealthy behaviors, and discussing correction plans. Provided psychological guidance to patients and family members who were blindly optimistic or overly worried;Played functional exercise videos in the recovery room, urged patients to follow the exercises and instructed them to standardize their movements.Patient communication;Rehabilitation volunteers (two at a time) come to the ward to form mutual help groups with patients under the guidance of subject team members. Sharing their own rehabilitation experiences, transmitting positive energy, increasing patients’ confidence in the recovery, and instructing them on precautions and exercise methods in their lives;Encourage each other and share experiences among patients in the WeChat group, with the administrator participating in the interaction and offering professional timely guidance.Routine discharge education;Instruct regular exercise and avoid behaviors that can lead to lymphedema. Emphasis on filling out diary cards.Routine discharge follow‐up;Enquiry on the exercise and presence of any swelling and discomfort and provided guidance.Routine nursing;Patients and their families were organized to learn about the specialty content in the recovery room, with a 30‐min PPT lecture by a lymphedema technician of the subject group. The content was based on the consequential effects of upper limb lymphedema and preventive measures;A 30‐min seminar after the lecture: to instruct the patients and families on early recognition of lymphedema and perform assessment methods;Played functional exercise videos in the recovery room, urged patients to follow the exercises and instructed them to standardize their movements.Routine nursing;Assessed patients’ knowledge of lymphedema prevention and exercise compliance and continuously provided education and guidance;Played functional exercise videos in the recovery room, urged patients to follow the exercises, and instructed them to standardize their movements.