Effect of Nursing Rehabilitation Program on the Prevention of Lymphedema among Post Mastectomy Women
Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 6
Abstract
Background: Surgical treatment usually the first line of attack against most breast cancer patients. Today, modified radical mastectomy (MRM) is the most ordinarily surgical approach used. Lymphedema is the extreme serious long term complication following MRM. So, nursing rehabilitation program play a critical role in the prevention of post mastectomy lymph edema. Objective: Determine the impact of nursing rehabilitation program on the prevention of lymphedema among post mastectomy women. Setting: The study was conducted at the oncology surgical department at Medical Research Institute in Alexandria and the affiliated outpatients clinics. Subjects: A convenience sample of 70 patients determined to have breast cancer and scheduled for mastectomy with axillary lymph node dissection. They were sequentially divided into 2 equal groups; the first was the control groups which comprised 35 patients and exposed to routine hospital care only, the second was the study group and comprised 35 patients and they received the nursing rehabilitation program. Tools: Five tools were used Tool I: Post Mastectomy Patients’ Assessment Interview Schedule, Tool II: Subjective Outcome Questionnaires for Post Mastectomy Lymphedema, Tool III: Objective Outcome Measures for Post Mastectomy Lymphedema, Tool IV: Post Mastectomy Women Compliance with Nursing Rehabilitation Program, Tool V: Post Mastectomy Women Satisfaction with the Provided Nursing Rehabilitation Program. Results: The study result revealed that the total scores of overall knowledge with a mean (26.49 ± 2.83) improved significantly in the study group after 6 months from application of nursing rehabilitation program than the control group (10.34 ± 2.47).there were statistical significant difference between study and control group regarding pain severity after 6 months from application of nursing rehabilitation program. The total mean scores of upper extremity functional ability was (55.4±1.88), and increased significantly in the study group after application of nursing rehabilitation program compared to the control group (53.66±1.28). Total mean scores of disabilities of the arm, shoulder and hand was (49.03 ± 5.41) then decreased significantly in the study group after application of nursing rehabilitation program compared with the control group (58.63 ± 5.67). Total mean score of muscle strength was improved in the study group than in control group after application of nursing rehabilitation program. Total mean score of arm circumference measurements in operated side was increased in the control group than in the study group from baseline measure till 6 months of follow up. Total mean score of shoulder motion range was more improved in the study group than in control group after. Conclusion: applying the nursing rehabilitation program had statistically significant improvement of patients’ knowledge, muscle strength, shoulder motion range, decrease disability and amend functional ability of arm for studied patients post mastectomy. Recommendations: In service training program should be carried out for nurses working in surgical oncology department, chemotherapy and radiation therapy department about post mastectomy lymphedema ,exercise and arm precautions.
Authors and Affiliations
Mervate A E. Hawash, Sanaa Alaa Eldeen, Abeer El Shatby, Hussein El Moghazy, Mahamoud Hamida
Keywords
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- EP ID EP437164
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