Table 1 Outline of the multimodal standard nursing program (MSNP)
Section | Target | Content | Implementation | Special attention |
|---|---|---|---|---|
Physical care | Physical function | Systematic functional exercises | Â | Â |
|  |  | • Upper limb exercise (two-sides) | Exercises of the finger, wrist, forearm, elbow, upper arm, shoulder, head & neck; 5–10 times per day, 15 min per session. | Patients with complications and abnormal conditions should limit the time and strength of exercise. Continue to the end of follow-up. |
|  |  | • Aerobic exercise | Walking up and down stairs, 3–6 times per day, 30 min per session. | |
|  |  | • Progressive muscle relaxation | Sitting or lying, relaxing from head to feet, 3–6 times per day, 30 min per session. | |
Psychological adjustment | Psychological function | Psychological counseling | Nurse-conducted one-to-one communication on the patient’s psychological problems; twice per week, 30–60 min per session in the hospital. Need-oriented counseling is delivered via outpatient review or telephone after discharge from the hospital. | Continue to the end of follow-up. |
|  |  | Music listening | Listening to patient’s preferred light music via MP3 player; twice per day (7 a.m.–9 a.m. and 9 p.m.–11 p.m.), 30 min per session. | Patients with sound allergy or who dislike listening to music should not be given such intervention. Continue to the end of follow-up. |
| Â | Â | Interactive distraction | Need-oriented communication with caregivers or peers while in a negative mood. | Continue to the end of follow-up. |
Social support | Social family function | Family support training | Training caregivers on the monitoring of the patient’s diet, exercise, rest and illness, as well as coping with the negative influences of breast cancer on families. Once per week, 60 min per session in the hospital. Need-oriented training is delivered via outpatient review after discharge from the hospital. | Continue to the end of follow-up. |
| Â | Â | Peer group support | Rehabilitation experiences exchange between the patient and peers, discussing successful recovery in a chatty manner. Once per week, 60Â min per session in hospital setting. Need-oriented support is delivered via outpatient review after discharge from the hospital. | Continue to the end of follow-up. |