Application effect of quality control circle in postoperative functional exercise compliance of breast neoplasms patients:a meta-analysis

Abstract

Background: Good adherence to post-operative exercise is crucial for long-term exercise intervention programs aimed at improving compliance, motivation for functional exercise, and quality of life among breast cancer patients. This study aims to evaluate the application effect of quality control circles on postoperative functional exercise compliance in breast neoplasm patients. Methods : A comprehensive search was conducted in CNKI, Wanfang, VIP, CBM, PubMed, Cochrane Library, Web of Science and CINAHL databases from their establishment to May 06, 2023. Manual search and backtracking of relevant literature were also conducted. The search terms included a combination of subject terms and free words. Meta-analysis was performed using RevMan 5.4 software on eligible literature. Results : Initially, 517 papers were retrieved, and after removing duplicates 238 papers using NoteExpress software, 279 titles and abstracts were reviewed. Subsequently, 225 non-compliant papers were excluded, leaving 54 full texts to be read. After excluding 38 non-compliant papers, 16 eligible papers were included for Meta-analysis. These papers comprised a total of 1,342 patients (679 in the test group and 663 in the control group). The heterogeneity test using a fixed effects model showed P = 0.22 and I 2 = 21%. The Meta-analysis results demonstrated that the implementation of quality control circles alongside usual care significantly improved compliance with postoperative functional exercise in breast cancer patients (odds ratio = 6.68, 95% confidence interval (4.97, 8.98), P < 0.00001). Conclusion : Quality control circles activities can effectively enhance compliance with post-operative functional exercise among breast cancer patients, aiding in the recovery of affected limb function, improvement of self-care ability, and early reintegration into society and normal life, thereby enhancing quality of life. It is important to continually accumulate experience in applying relevant quality control circles activities in clinical work and promptly enhance the level of care accordingly, as the functional exercise of breast cancer patients after surgery involves a long-term and gradual improvement process.