Evidence map›Paper›PMID 41437231›Full record

ArticleBMC public health2025

Knowledge, attitude and practice toward postoperative upper limb exercise among patients undergoing axillary lymph node dissection for breast cancer.

Shengchao Huang, Jinxin Fu, Zhongzeng Liang, Weizhang Chen, Liyan Yu, Pu Qiu, Yuanqi Zhang, Baoying Chen

Abstract read
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Shengchao Huang *Department of Brest Surgery, Guangdong Medical University Affiliated Hospital, Zhanjiang, 524000, China.
Jinxin Fu *Department of Brest Surgery, Guangdong Medical University Affiliated Hospital, Zhanjiang, 524000, China.
Zhongzeng LiangDepartment of Brest Surgery, Guangdong Medical University Affiliated Hospital, Zhanjiang, 524000, China.
Weizhang ChenDepartment of Brest Surgery, Guangdong Medical University Affiliated Hospital, Zhanjiang, 524000, China.
Liyan YuDepartment of Brest Surgery, Guangdong Medical University Affiliated Hospital, Zhanjiang, 524000, China.
Pu QiuDepartment of Brest Surgery, Guangdong Medical University Affiliated Hospital, Zhanjiang, 524000, China.
Yuanqi ZhangDepartment of Brest Surgery, Guangdong Medical University Affiliated Hospital, Zhanjiang, 524000, China. zhangyuanqi@gdmu.edu.cn.
Baoying ChenDepartment of Breast and Esophagus Oncology, Guangdong Medical University Affiliated Hospital, Zhanjiang, 524000, China. doctor81@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study examines the knowledge, attitude, and practice (KAP) toward postoperative upper limb exercise among patients undergoing axillary lymph node dissection for breast cancer.

methodsA cross-sectional study was carried out at Guangdong Medical University Affiliated Hospital from July 1, 2023, to May 1, 2024. Demographic information and KAP scores regarding postoperative upper limb exercises were collected using questionnaires.

resultsA total of 479 valid questionnaires were included. Among the respondents, 178 (37.2%) were aged 41-50 years, and 372 (77.7%) learned about postoperative rehabilitation from doctors and nurses. The average knowledge, attitude, and practice scores were 10 [8.00, 10.00] (range 0-10), 24 [24.00, 28.00] (range 6-30), and 36 [32.00, 39.00] (range 9-45), respectively. Multivariate logistic regression showed that having medical insurance (OR = 3.059, 95% CI: [1.063, 8.804], P = 0.038) and having hyperlipidemia (OR = 0.191, 95% CI: [0.039, 0.939], P = 0.042) were independently associated with good knowledge. Additionally, the attitude score (OR = 1.740, 95% CI: [1.275, 2.376], P < 0.001) was independently associated with proactive practice. The structural equation model showed that knowledge directly affected attitude (β = 0.279, P < 0.001), and both knowledge (β = 0.300, P < 0.001) and attitude (β = 0.494, P < 0.001) directly affected practice. Knowledge also indirectly affected practice through attitude (β = 0.138, P < 0.001).

conclusionThe study indicates that breast cancer patients who have undergone axillary lymph node dissection generally possess sufficient knowledge, maintain a positive attitude, and engage in proactive practices regarding postoperative upper limb exercises. It is recommended that healthcare providers continuously enhance patient education programs, particularly emphasizing the importance of medical insurance and managing conditions like hyperlipidemia, to further improve knowledge and practice outcomes in postoperative care.

Indexed as

Breast NeoplasmsExercise TherapyHealth Knowledge, Attitudes, PracticeLymph Node ExcisionUpper ExtremityAdultAxillaChinaCross-Sectional StudiesFemaleHumansMiddle AgedSurveys and QuestionnairesAttitudeBreast cancerKnowledgePatientPracticeRadical axillary lymph node dissectionUpper limb functional exercise

Identifiers

PMID41437231
PMCPMC12837027

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.