Application of SWOT Analysis in Postoperative Rehabilitation of Breast Cancer / 中国康复理论与实践

ABSTRACT

@#Objective To analyze the effect of SWOT analytical method on the activities of daily living, shoulder mobility and quality of life of patients with aerobic training after oncoplastic breast surgery.Methods From January to December 2017, 80 patients after modified radical mastectomy for breast cancer in the breast surgery of our hospital were randomly divided into control group and observation group, with 40 cases in each group. Both groups were performed aerobic training of the affected extremity, and the observation group were performed with evaluations and detailed analysis on the internal strengths and weaknesses, and the external opportunities and threats using SWOT analytical method, so that the corresponding solutions to the rehabilitation exercise of the affected extremity could be used to instruct postoperative patients. They were assessed with Activities of Daily Living Scale (ADL), shoulder mobility and Functional Assessment of Cancer Therapy (FACT) three days, four weeks and eight weeks after operation.Results Three days after operation, there was no significant difference in the scores of ADL, shoulder mobility and quality of life between two groups (t<0.23, P>0.05). Four weeks and eight weeks after operation, the scores of ADL, shoulder mobility and quality of life were significantly better in the observation group than in the control group (t>6.14, P<0.001).Conclusion The application of SWOT analytical method in the analysis and guidance on the rehabilitation exercise of the affected extremity is beneficial to the postoperative rehabilitation of patients, in aspects of activities of daily living, shoulder mobility and quality of life.