Postoperative exercise rehabilitation and patient experience among breast cancer survivors under the “Healthy China” initiative: an integrative review

This integrative review synthesizes current evidence on postoperative exercise rehabilitation and patient experiences among breast cancer survivors, aiming to inform the development of scientific, standardized, and contextually appropriate rehabilitation protocols under the "Healthy China" initiative. A comprehensive literature search was conducted across seven Chinese and English databases, identifying 23 eligible studies published between 2015 and 2024, including randomized controlled trials and qualitative research. Methodological quality was assessed using the Mixed Methods Appraisal Tool (MMAT). The findings revealed substantial heterogeneity in exercise prescription parameters and a lack of unified guidelines. Exercise interventions were generally effective in improving physical function, reducing lymphedema risk, and enhancing psychological well-being, yet patient experiences varied considerably. Adherence was frequently hindered by treatment-related side effects, psychological resistance, and lack of individualized support. Combined interventions integrating multiple exercise modalities showed greater effectiveness than single-mode approaches. This review highlights the need for localized, evidence-based rehabilitation frameworks that consider patient preferences and provide psychological support throughout the recovery process. Nurses and case managers are encouraged to lead interdisciplinary teams in implementing structured exercise programs that include remote monitoring, individualized evaluation, and behavioral counseling to improve patient outcomes and long-term quality of life.