Intervention and usual care
lymphedema, breast cancer, lymphedema prevention behavior, postoperative breast cancer
LYMPHEDEMA, APPENDIX, BREAST CANCER
In the pre‐study phase, the research team conducted a best‐evidence summary of lymphedema prevention strategies for postoperative breast cancer patients.The individuals in control group were given the following interventions: routine perioperative education, and nursing and follow‐up in perioperative period; side effects nursing and health education during chemotherapy. Intervention group followed the basic steps of KAP: (1) Knowledge education during the perioperative period: On the basis of routine perioperative health education, lymphedema specialized knowledge was transmitted to patients through many methods, including specialized lectures, symposiums, the distribution of paper materials, WeChat public accounts and WeChat groups. Besides, diary cards were issued to patients to record the compliance of lymphedema prevention behavior, and telephone follow‐up was conducted to solve patients' questions; (2) promote a proactive lymphedema prevention attitude during the patient's first admission to chemotherapy: We introduced the harm of lymphedema, promoted patients to understand their own behaviors prone to lymphedema through diary cards and seminars, guided patients to do functional exercises of affected limbs, and invited rehabilitation volunteers after breast cancer surgery to share their rehabilitation experience, so as to enhance patients' confidence; (3) during the second admission for chemotherapy, the patient was urged to implement the lymphedema prevention method: Strengthen the knowledge of lymphedema for patients, guide patients to learn lymphedema evaluation methods, and urge patients to implement lymphedema prevention measures through on‐site guidance, diary card and telephone follow‐up; (4) the knowledge, attitude, and behavior of lymphedema were assessed for patients at the third admission for chemotherapy, and targeted guidance was given. The specific implementation process is shown in Appendix 