Analysis of early upper limb function and physical and psychological status in breast cancer patients after different surgeries
10.12025/j.issn.1008-6358.2026.20260295
- VernacularTitle:乳腺癌患者接受不同手术后早期上肢功能及身心状态分析
- Author:
Zihan SHAN
1
;
Xiujia LUO
2
;
Shuo XU
3
;
Yimeng GENG
1
;
Xiong WU
4
;
Haoqing JIANG
3
;
Jie JIA
5
Author Information
1. Department of Rehabilitation Medicine, The Third Affiliated Hospital of Henan Medical University, Xinxiang 453003, Henan, China.
2. Shanghai University of Sport, Shanghai 200438, China.
3. Department of Rehabilitation Medicine, Zhangzhou Affiliated Hospital of Fujian Medical University, Zhangzhou 363000, Fujian, China.
4. Department of Breast Surgery, Zhangzhou Affiliated Hospital of Fujian Medical University, Zhangzhou 363000, Fujian, China.
5. Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai 200040, China;The First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, Fujian, China.
- Publication Type:Shortarticle
- Keywords:
breast cancer;
breast-conserving surgery;
mastectomy;
upper limb dysfunction;
life quality
- From:
Chinese Journal of Clinical Medicine
2026;33(5):866-871
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effects of breast-conserving surgery (BCS), simple mastectomy (SM), and modified radical mastectomy (MRM) on early postoperative upper limb motor function, physical and psychological status in breast cancer patients. Methods A total of 212 female breast cancer patients undergoing surgery at the Department of Breast Surgery of Zhangzhou Affiliated Hospital of Fujian Medical University from October 2024 to December 2025 were enrolled. Patients were divided into the BCS group (n＝34), SM group (n＝79), and MRM group (n＝99). General demographic and clinical data were collected. At 3–7 days postoperatively, the Constant-Murley score (CMS), active range of motion (AROM) of the shoulder joint, and the Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) score were used to assess upper limb function; the Generalized Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire-9 (PHQ-9), Functional Assessment of Cancer Therapy-Breast (FACT-B), and Pittsburgh Sleep Quality Index (PSQI) were used to evaluate patients’ psychological status, quality of life, and sleep quality. Results The total CMS score, pain score, and range of motion score in the BCS group were higher than those in the SM and MRM groups (P＜0.05). The BCS group showed greater forward flexion range of motion than that in the SM and MRM groups (P＜0.05); and the SM group showed smaller internal rotation range of motion than that in the MRM and BCS groups (P＜0.05). The PHQ-9 depression score in the BCS group was significantly higher than that in the MRM group (P＜0.05). There were no statistically significant differences among the three groups in QuickDASH, GAD-7, FACT-B, or PSQI scores. Conclusions Early postoperative upper limb function and depression status varied among breast cancer patients undergoing different surgical procedures. Patients undergoing BCS had better preservation of upper limb function but higher depression scores.
