Menofia University ; , Faculty of Nursing ; , Department of Health Nursing and Newborn Health Nursing ;
ASNJ-Alexandria Scientific Nursing JournalJournal Country: Egypt ISSN: 1687-3858 Type of Publication: Journal Article Country of Research: Egypt WHO Eastern Mediterranean Region Type of Research: Clinical Keywords: Humans, Female, Lymphedema ,Women ,Psychology ,Questionnaires ,uilization ,Nurses
The present study was designed to Investigate the impact of education and training non-pharmacological therapy on physical and psychological status in women who develop post mastectomy arm lymphedema.
This study was conducted at Menoufyia University Hospital and Menoufyia Oncology Center. Forty post mastectomy patients who met the study criteria were selected. Patients were randomly assigned to two equal groups, an intervention and control group of 20 patients each. The intervention group were taught self-nonpharmacological management that included self-massage, pressure bandage, elevation, arm exercise, skin care and hygiene and safety precautions to prevent injury to the affected limb for 3 sessions a week for two weeks. In addition to the patients was instructed to practice it in comfort at home, while the control group received the hospital routine lymphedema management. Both groups, the intervention and control groups were interviewed and their arm circumferences were measured four times throughout the study, baseline before intervention, 1 months, 6 months and 9 months after intervention. The arm problem questionnaire and state anxiety were assessed two times, before the intervention and at the last assessment. Patient's medical record was reviewed for medical history. The results showed education and training of lymphedema management protocol had effective arm lymphedema control and improved arm function, physical, and psychological status [7=2.45; P=.024, t-29.47; P - .001, t=10.91; p=.001] when compared with those who followed the hospital therapy. The intervention group reported improved arm function after the intervention as compared to control group. It is concluded that education and training lymphedema management was an effective nursing intervention for controlling arm lymphedema and improved physical and psychological status of women with post mastectomy arm lymphedema. It is recommended that the women with post mastectomy arm lymphedema should be encouraged to practice self- lymphedema management to promote lymph drainage since the pharmacological intervention remains uncertain
Amal M. El Badawy ,Amal A. Kanona ,
Impact of non-pharmacological therapy on the physical and psychosocial status of women who develop lymphedema after mastectomy,
Alex. Sci. Nurs. J. 2006;
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