Effect of Nursing Program on Patients' Knowledge and Self-Care Strategies regarding Lymphedema Prevention Post Mastectomy | ||
| Journal of Nursing Science Benha University | ||
| Volume 4, Issue 1, January 2023, Pages 632-649 PDF (554.94 K) | ||
| Document Type: Scientific peer reviewed journal | ||
| DOI: 10.21608/jnsbu.2023.278842 | ||
| Authors | ||
| Kariman Mahmoud Ramadan* 1; Marwa Mostafa Ragheb2; Hala Abd El-Salam Sheta2; Safaa Mohamed Hamed2 | ||
| 1assistant lecturer of Medical Surgical Nursing, Faculty of Nursing, Beni-Suef University, Egypt | ||
| 2Medical Surgical Nursing, Faculty of Nursing, Benha University, Egypt | ||
| 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. | ||
| Keywords | ||
| Lymphedema prevention; Nursing program; Post mastectomy; Patients' knowledge and self-care strategies | ||
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