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Original Research

Open Access

Clinical value of multidisciplinary collaborative nursing model for breast cancer and its preventive effects on postoperative lymphedema

  • Zhuqing Zhu1
  • Yue’e Xu2,*,

1School of Nursing, Jiangsu Food & Pharmaceutical Science College, 223300 Huai’an, Jiangsu, China

2Department of Thyroid and Breast Surgery, Huai’an Second People’s Hospital, The Affiliated Huai’an Hospital of Xuzhou Medical University, 223001 Huai’an, Jiangsu, China

DOI: 10.22514/ejgo.2023.026 Vol.44,Issue 2,April 2023 pp.86-91

Submitted: 06 February 2023 Accepted: 02 March 2023

Published: 15 April 2023

*Corresponding Author(s): Yue’e Xu E-mail:


This study aimed to investigate the clinical effects of a multidisciplinary collaborative nursing model and its influence on postoperative complications in breast cancer patients. A total of 100 breast cancer patients were divided into a control and a research group, depending on the nursing plan. The former received usual care, while the latter was given multidisciplinary collaborative nursing. The mental state, quality of life, nursing satisfaction and the occurrence of postoperative complications were compared between the groups. After the intervention, the Self-Rating Anxiety Scale (SAS) and Self-Rated Depression Scale (SDS) scores and the scores of five other parameters for assessing the quality of life of the patients were found to be significantly increased in the research group compared with the control group. The nursing satisfaction was significantly higher (92.00% vs. 74.00%) and the occurrence of postoperative complications was significantly lower (10.00% vs. 44.00%) in the research group than in the control group, respectively. The developed multidisciplinary collaborative nursing model was a safe and effective nursing regimen with high nursing satisfaction and good compliance, which improved the mental state and quality of life and reduced the risk of postoperative complications for patients with breast cancer.


Breast cancer; Multidisciplinary collaborative nursing; Mentality; Quality of life; Postoperative complications

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Zhuqing Zhu,Yue’e Xu. Clinical value of multidisciplinary collaborative nursing model for breast cancer and its preventive effects on postoperative lymphedema. European Journal of Gynaecological Oncology. 2023. 44(2);86-91.


[1] Tsang JYS, Tse GM. Molecular classification of breast cancer. Advances in Anatomic Pathology. 2020; 27: 27–35.

[2] Britt KL, Cuzick J, Phillips KA. Key steps for effective breast cancer prevention. Nature Reviews Cancer. 2020; 20: 417–436.

[3] Xu X, Zhang M, Xu F, Jiang S. Wnt signaling in breast cancer: biological mechanisms, challenges and opportunities. Molecular Cancer. 2020; 19: 165.

[4] Thomas M, Kelly ED, Abraham J, Kruse M. Invasive lobular breast cancer: a review of pathogenesis, diagnosis, management, and future directions of early stage disease. Seminars in Oncology. 2019; 46: 121–132.

[5] Nofal MN, Yousef AJ. The diagnosis of male breast cancer. The Netherlands Journal of Medicine. 2019; 77: 356–359.

[6] Johnson HM, Mitchell KB. Breastfeeding and breast cancer: managing lactation in survivors and women with a new diagnosis. Annals of Surgical Oncology. 2019; 26: 3032–3039.

[7] Lovelace DL, McDaniel LR, Golden D. Long-term effects of breast cancer surgery, treatment, and survivor care. Journal of Midwifery & Women’s Health. 2019; 64: 713–724.

[8] Lin AP, Huang TW, Tam KW. Treatment of male breast cancer: meta-analysis of real-world evidence. British Journal of Surgery. 2021; 108: 1034–1042.

[9] Hussain Rawther SC, Pai MS, Fernandes DJ, Mathew S, Chakrabarty J, Devi ES. Specialist nurse initiated interventions in breast cancer care: a systematic review of randomised controlled trials. Journal of Clinical Nursing. 2020; 29: 2161–2180.

[10] Burstein HJ, Curigliano G, Thürlimann B, Weber WP, Poortmans P,

Regan MM, et al. Customizing local and systemic therapies for women with early breast cancer: the St. Gallen international consensus guidelines for treatment of early breast cancer 2021. Annals of oncology. 2021; 32: 1216–1235.

[11] Budny A, Starosławska E, Budny B, Wójcik R, Hys M, Kozłowski P, et al. Epidemiology and diagnosis of breast cancer. Polski Merkuriusz Lekarski. 2019; 46: 195–204. (In Polish)

[12] Cardoso F, Kyriakides S, Ohno S, Penault-Llorca F, Poortmans P, Rubio IT, et al. Early breast cancer: ESMO clinical practice guidelines for diagnosis, treatment and follow-up. Annals of Oncology. 2019; 30: 1674.

[13] Bani Mohammad E, Ahmad M. Virtual reality as a distraction technique for pain and anxiety among patients with breast cancer: a randomized control trial. Palliative and Supportive Care. 2019; 17: 29–34.

[14] Storey S, Cohee A, Gathirua-Mwangi WG, Vachon E, Monahan P, Otte J, et al. Impact of diabetes on the symptoms of breast cancer survivors. Oncology Nursing Forum. 2019; 46: 473–484.

[15] Lee K, Kruper L, Dieli-Conwright CM, Mortimer JE. The impact of obesity on breast cancer diagnosis and treatment. Current Oncology Reports. 2019; 21: 41.

[16] Herrán OF, Álvarez DC, Quintero-Lesmes DC. Dietary patterns and breast cancer in Colombia: an ecological study. International Health. 2020; 12: 317–324.

[17] Katsura C, Ogunmwonyi I, Kankam HK, Saha S. Breast cancer: presentation, investigation and management. British Journal of Hospital Medicine. 2022; 83: 1–7.

[18] Kim S, Han J, Lee MY, Jang MK. The experience of cancer-related fatigue, exercise and exercise adherence among women breast cancer survivors: insights from focus group interviews. Journal of Clinical Nursing. 2020; 29: 758–769.

[19] Liu K, Feng X, Mo X, Lin F, Zhang X, Huang C, et al. Iron intake with the risk of breast cancer among Chinese women: a case–control study. Public Health Nutrition. 2021; 24: 5743–5755.

[20] Wang Y, Li J, Shi J, Que J, Liu J, Lappin JM, et al. Depression and anxiety in relation to cancer incidence and mortality: a systematic review and meta-analysis of cohort studies. Molecular Psychiatry. 2020; 25: 1487–1499.

[21] Shammas RL, Marks CE, Broadwater G, Le E, Glener AD, Sergesketter AR, et al. The effect of lavender oil on perioperative pain, anxiety, depression, and sleep after microvascular breast reconstruction: a prospective, single-blinded, randomized, controlled trial. Journal of Reconstructive Microsurgery. 2021; 37: 530–540.

[22] Wang X, Lai Q, Tian Y, Zou L. Effect of evidence-based nursing intervention on upper limb function in postoperative radiotherapy patients with breast cancer. Medicine. 2020; 99: e19183.

[23] Temur K, Kapucu S. The effectiveness of lymphedema self-management in the prevention of breast cancer-related lymphedema and quality of life: a randomized controlled trial. European Journal of Oncology Nursing. 2019; 40: 22–35.

[24] Pasyar N, Barshan Tashnizi N, Mansouri P, Tahmasebi S. Effect of yoga exercise on the quality of life and upper extremity volume among women with breast cancer related lymphedema: a pilot study. European Journal of Oncology Nursing. 2019; 42: 103–109.

[25] Irfan R, Memon H, Umrani IN, Soomro H. Breast cancer awareness among pharmacy and physiotherapy students of medical university Nawabshah. JPMA. The Journal of the Pakistan Medical Association. 2021; 71: 297–301.

[26] Omidi Z, Kheirkhah M, Abolghasemi J, Haghighat S. Effect of lymphedema self-management group-based education compared with social network-based education on quality of life and fear of cancer recurrence in women with breast cancer: a randomized controlled clinical trial. Quality of Life Research. 2020; 29: 1789–1800.

[27] Maleki M, Mardani A, Ghafourifard M, Vaismoradi M. Qualitative exploration of sexual life among breast cancer survivors at reproductive age. BMC Women’S Health. 2021; 21: 56.

[28] Chirico A, Maiorano P, Indovina P, Milanese C, Giordano GG, Alivernini F, et al. Virtual reality and music therapy as distraction interventions to alleviate anxiety and improve mood states in breast cancer patients during chemotherapy. Journal of Cellular Physiology. 2020; 235: 5353–5362.

[29] Al-Hilli Z, Wilkerson A. Breast surgery: breast surgery: management of postoperative complications following operations for breast cancer. Surgical Clinics of North America. 2021; 101: 845–863.

[30] Alam MZB, Hia MS, Gidron Y, Al-Hakeem M. Mental health care of patients with breast cancer in Bangladesh. The Lancet Psychiatry. 2021; 8: 18–19.

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