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278842

Effect of Nursing Program on Patients' Knowledge and Self-Care Strategies regarding Lymphedema Prevention Post Mastectomy

Article

Last updated: 28 Dec 2024

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Subjects

-

Tags

Medical surgical nursing

Abstract

 Background: Breast cancer related lymphedema is the most common serious complication
resulting from breast cancer treatments that augment the incidence of lymphedema post
mastectomy. Aim: To evaluate the effect of nursing program on patient's knowledge and self- care
strategies regarding lymphedema prevention post mastectomy. Design: A quasi-experimental, pretest and post-test intervention study design was implemented to achieve the aim of the current
study. Setting: The study was conducted in general surgery department and oncology department
affiliated to Benha University Hospital, Qalyubia Governorate, Egypt. Sample: A purposive sample
consisting of 60 women post-mastectomy participated in the current study. Tools: Tool (1) Post
mastectomy patients' assessment interview questionnaire: It includes three parts: Part (I) Patients'
personal data, Part (II) Patients' medical and surgical data, and Part (III) Patients' knowledge
assessment. Tool (II): Part (I) Patients' self-care strategies observational checklist (applied pre/post
program implementation), Part (II) Self-reported instructions for arm lymphedema prevention. Tool
(III): Patients' lymphedema assessment scale: It include three parts: Part (I) Assessment presence of
lymphedema & numerical pain scale, Part (II) Arm girth measurement scale and Part (III) the upper
extremity functional index. Results: One third of study patients had acute lymphedema
immediately post mastectomy and there was positive correlation between patients' overall variables
and their self-reported instructions for lymphedema prevention pre as well as post program
implementation and before and after mastectomy also at follow-up of program in 2 weeks, 3
months, and 6 months. Conclusion: Overall, most of study patients didn't develop breast cancer
related lymphedema by 3 months and 6 months follow up after implementation of self-care
educational program. Moreover, there was a highly statistically significant difference of studied
patients' total knowledge, learned exercises and self-reported instructions post implementation of
educational program. Recommendations: The study should be replicated on a large sample size at
different settings in Egypt to generalize the results. 

DOI

10.21608/jnsbu.2023.278842

Keywords

Lymphedema prevention, Nursing program, Post mastectomy, Patients' knowledge and self-care strategies

Authors

First Name

Kariman

Last Name

Mahmoud Ramadan

MiddleName

-

Affiliation

assistant lecturer of Medical Surgical Nursing, Faculty of Nursing, Beni-Suef University, Egypt

Email

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City

-

Orcid

-

First Name

Marwa

Last Name

Mostafa Ragheb

MiddleName

-

Affiliation

Medical Surgical Nursing, Faculty of Nursing, Benha University, Egypt

Email

-

City

-

Orcid

-

First Name

Hala

Last Name

Abd El-Salam Sheta

MiddleName

-

Affiliation

Medical Surgical Nursing, Faculty of Nursing, Benha University, Egypt

Email

-

City

-

Orcid

-

First Name

Safaa

Last Name

Mohamed Hamed

MiddleName

-

Affiliation

Medical Surgical Nursing, Faculty of Nursing, Benha University, Egypt

Email

-

City

-

Orcid

-

Volume

4

Article Issue

1

Related Issue

38115

Issue Date

2023-01-01

Receive Date

2022-12-01

Publish Date

2023-01-01

Page Start

632

Page End

649

Print ISSN

2682-3934

Online ISSN

2735-5802

Article File

JNSBU_Volume 4_Issue 1_Pages 632-649.pdf

PDF . 568.3kB

Link

https://jnsbu.journals.ekb.eg/article_278842.html

Detail API

https://jnsbu.journals.ekb.eg/service?article_code=278842

Order

278,842

Type

Scientific peer reviewed journal

Type Code

1,622

Publication Type

Journal

Publication Title

Journal of Nursing Science Benha University

Publication Link

https://jnsbu.journals.ekb.eg/

MainTitle

Effect of Nursing Program on Patients' Knowledge and Self-Care Strategies regarding Lymphedema Prevention Post Mastectomy

Details

Type

Article

Created At

23 Jan 2023