Experiences of Postoperative Breast Cancer Patients with Internet-based Nursing Services: A Qualitative Study Using the Technology Acceptance Model and Perceived Risk Theory

Background With the rising incidence of breast cancer and the growing needs of patients, coupled with the rapid advancement of information technology, an increasing number of post-operative breast cancer patients seek to address their diverse needs through internet-based services. However, most current studies in China primarily focus on enhancing patients’ health outcomes through online nursing interventions, with limited research exploring the user experience from the perspective of post-operative breast cancer patients. This study aims to understand the perception and experience of Chinese breast cancer patients after surgery on Internet nursing services and provide a theoretical reference for the formulation of systematic intervention strategies. Methods This study employed a qualitative research design. From January to May 2023, semi-structured interviews were conducted to explore the experiences of 18 post-operative breast cancer patients with internet-based nursing services. Thematic analysis was used to analyze the data, followed by in-depth analysis and verification guided by the Technology Acceptance Model (TAM) and perceived risk theory. Results Four themes emerged from the analysis: (1) The perceived experience of post-operative breast cancer patients with internet-based nursing services, highlighting that perceived usefulness is the primary determinant of their acceptance of these technologies. (2) The specific healthcare components of internet-based nursing services utilized by post-operative breast cancer patients, including clinical symptom management, health consultations, decision-making support, and additional services patients expect to be provided. (3) Technology-related challenges encountered during the use of internet-based nursing services. (4) The perceived ease of use of these services, along with concerns related to social, financial, and privacy risks, which are key factors influencing patients' intention to use such services. Conclusion Breast cancer patients generally report positive experiences with internet-based nursing services. However, it is essential to establish a multidisciplinary team tailored to the needs of post-operative breast cancer patients to actively participate in the delivery of these services. Efforts should be made to ensure the usefulness and relevance of service content, optimize the design of internet-based nursing platforms, and strengthen policy awareness. Additionally, expanding the scope of medical insurance reimbursement, improving internet-related laws and regulations, and reducing patients' perceived risks are crucial to enabling more post-operative breast cancer patients to access safe and high-quality nursing services.