Nurses' knowledge level on lymphedema, attitudes and behaviors towards teaching lymphedema prevention and factors affecting these behaviors

Year 2021, Volume: 7 Issue: 3, 200 - 212, 31.12.2021

Sultan Özkan

https://doi.org/10.30569/adiyamansaglik.901423

Abstract

Aim: To determine the knowledge levels of nurses about lymphedema, their attitudes towards lymphedema prevention teaching, their behaviors of teaching lymphedema prevention after cancer surgery and to examine the influencing factors.
Materials and Methods: The study was conducted with 507 nurses in three hospitals. The data were obtained with a data collection form examining the nurses' descriptive characteristics, lymphedema knowledge, and attitudes and behaviors towards lymphedema prevention teaching. Descriptive analysis such as frequency and percentage and multiple linear regression analysis were used in data analysis.
Results: Nurses' knowledge level of lymphedema was found to be below the average, their attitudes towards lymphedema prevention education were found to be high, but it was observed that they did not do their teaching behaviors adequately. Factors affecting behavior; level of knowledge, attitude, presence of lymphedema patient in the unit, department of work, year of study and gender.
Conclusion: The findings of the study revealed that nurses need a standardized lymphedema prevention training in order to prevent the development of lymphedema in patients undergoing cancer surgery.

Keywords

Behavior, Education, Patient, Nurse, Lymphedema, Attitude

Supporting Institution

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Project Number

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Thanks

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Hemşirelerin lenfödem bilgi düzeyleri, lenfödemi önlemeyi öğretmeye yönelik tutum ve davranışları ve bu davranışları etkileyen faktörler

Abstract

Amaç: Hemşirelerin lenfödem hakkındaki bilgi düzeylerini, lenfödem önleme öğretimine yönelik tutumlarını, kanser cerrahisi sonrası lenfödemden korunmayı öğretme davranışlarını belirlemek ve etkileyen faktörleri incelemektir.
Gereç ve Yöntem: Araştırma, üç hastanede 507 hemşire ile yapıldı. Veriler hemşirelerin tanıtıcı özelliklerini, lenfödem bilgisini ve lenfödem önleme öğretimine yönelik tutum ve davranışlarını irdeleyen veri toplama formu ile elde edildi. Veri analizinde, frekans ve yüzde gibi tanımlayıcı analizler ve çoklu linear regresyon analizi kullanıldı.
Bulgular: Hemşirelerin lenfödem bilgi düzeyleri ortalamanın altında, lenfödemi önleme eğitimine yönelik tutumları yüksek bulundu fakat lenfödemden korunmayı öğretme davranışlarını yeterince yapmadığı görüldü. Davranışı etkileyen faktörler; bilgi düzeyi, tutum, çalışılan birimde lenfödem hastasının varlığı, çalıştığı bölüm, çalışma yılı ve cinsiyet.
Sonuç: Araştırmadan elde edilen bulgular, kanser cerrahisi uygulanan hastalarda lenfödem gelişimini önlemek amacıyla, hemşirelerin standartlaştırılmış bir lenfödemi önleme eğitimine gereksinimi olduğunu ortaya koydu.

Keywords

Davranış, Eğitim, Hasta, Hemşire, Lenfödem, Tutum

Project Number

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References

• Fu MR, Kang Y. Psychosocial impact of living with cancer-related lymphedema. Semin Oncol Nurs. 2013;29(1):50-60. doi:10.1016/j.soncn.2012.11.007
• Oz BS, Sargin M, Iyem H, et al. The incidence and factors influencing lymphedema in lower extremities. Turkish J Thorac Cardiovasc Surg. 2006;14(4):304-307.
• Cormier JN, Askew RL, Mungovan KS, Xing Y, Ross MI, Armer JM. Lymphedema beyond breast cancer. Cancer. 2010;116(22):5138-5149. doi:10.1002/cncr.25458
• Mendivil AA, Rettenmaier MA, Abaid LN, et al. Lower-extremity lymphedema following management for endometrial and cervical cancer. Surg Oncol. 2016;25(3):200-204. doi:10.1016/j.suronc.2016.05.015
• Wanchai A, Armer JM, Stewart BR, Lasinski BB. Breast cancer-related lymphedema: A literature review for clinical practice. Int J Nurs Sci. 2016;3(2):202-207. doi:10.1016/j.ijnss.2016.04.006
• Tsuchiya M, Masujima M, Kato T, et al. Knowledge, fatigue, and cognitive factors as predictors of lymphoedema risk-reduction behaviours in women with cancer. Support Care Cancer. 2019;27(2):547-555. doi:10.1007/s00520-018-4349-0
• Arikan Donmez A, Kapucu S. Management of breast cancer-related lymphedema. Turkish J Oncol. 2016;31(4):138-148. doi:10.5505/tjo.2016.1496
• Choi JK, Kim HD, Sim YJ, et al. A survey of the status of awareness of lymphedema in breast cancer patients in Busan-Gyeongnam, Korea. Ann Rehabil Med. 2015;39(4):609-615. doi:10.5535/arm.2015.39.4.609
• Fu MR, Rosedale M. Breast cancer survivors’ experiences of lymphedema-related symptoms. J Pain Symptom Manag. 2009;38(6):849-859. doi:10.1016/j.jpainsymman.2009. 04.030
• Lindqvist E, Wedin M, Fredrikson M, Kjølhede P. Lymphedema after treatment for endometrial cancer − A review of prevalence and risk factors. Eur J Obstet Gynecol Reprod Biol.2017;211:112-121. doi:10.1016/j.ejogrb.2017. 02.021
• Tuna A, Soylu A. Nurse experience ın lymphedema and care: a study on lymphedema. KSU Med J. 2020;15(1):64-68. doi:10.17517/ksutfd.560240
• Paskett ED, Stark N. Lymphedema: Knowledge, treatment, and impact among breast cancer survivors. Breast J. 2000;6(6):373-378. doi:10.1046/j.1524-4741.2000.99072.x
• Wilson D. The effect of education on healthcare personnel’s knowledge of lymphedema detection and prevention [Master thesis]. Hunt School of Nursing, Gardner-Webb University, Published online 2012. http://digitalcommons.gardner-webb.edu/cgi/viewcontent.cgi?article=1147&context=nursing_etd
• Yu SY, Kim JH. Lower limb lymphedema and quality of life in gynecologic cancer patients. Asian Oncol Nurs. 2017;17(1):20. doi:10.5388/aon.2017.17.1.20
• Abu Sharour L. Oncology nurses’ knowledge about lymphedema assessment, prevention, and management among women with breast cancer. Breast Dis. 2019;38(3-4):103-108. doi:10.3233/BD-190381
• Avsar G, Kasikci M. Evaluation of patient education provided by clinical nurses in Turkey. Int J Nurs Pract. 2011;17(1):67-71. doi:10.1111/j.1440-172X.2010.01908.x
• Civelek GM, Aypak C, Turedi O. Knowledge of primary care physicians about breast-cancer-related lymphedema: Turkish perspective. J Cancer Educ. 2016;31(4):687-692. doi:10.100 7/s13187-015-0880-6
• Simmons HM. Preoperative lymphedema education for breast cancer patients. Nurs Heal. 2015;3(3):69-83. doi:10.13189/nh.2015.030303
• Yildirim N, Ciftci B, Kasikci M. Determining the factors affecting and the practice of patient education among nurses. J Ataturk Commun. 2017;14:217-230.
• Ayre C, Scally AJ. Critical values for Lawshe’s content validity ratio: Revisiting the original methods of calculation. Meas Eval Couns Dev. 2014;47(1):79-86. doi:10.1177/ 0748175613513808
• Lawshe CH. A Quantitative approach to content validity. Pers Psychol. 1975;28(4):563-575. doi:10.1111/j.1744-6570. 1975.tb01393.x
• Armer JM, Radina ME, Porock D, Culbertson SD. Predicting breast cancer-related lymphedema using self-reported symptoms. Nurs Res. 2003;52(6):370-379. doi:10.1097/ 00006199-200311000-00004
• Conway MM. Professional education on breastcancer-related lymphoedema and its relation to patient wellbeing. Wounds. 2016;12(3):22-29.
• Tam EK, Shen L, Munneke JR, et al. Clinician awareness and knowledge of breast cancer-related lymphedema in a large, integrated health care delivery setting. Breast Cancer Res Treat. 2012;131(3):1029-1038. doi:10.1007/s10549-011-182 9-z
• Suhonen R, Leino-Kilpi H. Adult surgical patients and the information provided to them by nurses: A literature review. Patient Educ Couns. 2006;61(1):5-15. doi:10.1016/ j.pec.200 5.02.012
• Karayurt O, Gursoy AA, Tascı S, Gundogdu F. Evaluation of the breast cancer train the trainer program for nurses in Turkey. J Cancer Educ. 2010;25(3):324-328. doi:10.1007/ s13187-010-0043-8
• Alsharif F, Almutairi W, Shibily F, et al. The level of lymphedema awareness among women with breast cancer in the Kingdom of Saudi Arabia. Int J Environ Res Public Health. 2021;18(2):627. doi:10.3390/ijerph18020627
• Borman P, Yaman A, Yasrebi S, Özdemir O. The ımportance of awareness and education in patients with breast cancer-related lymphedema. J Cancer Educ. 2017;32(3):629-633. doi:10.1007/s13187-016-1026-1
• Sherman KA, Kilby CJ, Elder E, Ridner SH. Factors associated with professional healthcare advice seeking in women at risk for developing breast cancer-related lymphedema. Patient Educ Couns. 2018;101(3):445-451. doi:10.1016/j.pec.2017.10.010
• Tolu S, Basim P. Awareness of lymphedema risk management behaviors and associated factors among breast cancer survivors: Results from a cross-sectional survey. Ann Med Res. 2020;27(1):97. doi:10.5455/annalsmedres. 2019.11 .779
• Tsuchiya M, Morı M, Takahashi M, Masujıma M. Community-based lymphedema risk reduction programs for cancersurvivors: An Internet survey of public health nurses. Japan Journal of Nursing Science 2018;15:340–350. doi:10.1111/jjns.12204
• See MTA, Chee S, Rajaram R, Kowitlawakul Y, Liaw SY. Missed nursing care in patient education: A qualitative study of different levels of nurses’ perspectives. J Nurs Manag. 2020;00:1–8. doi:10.1111/jonm.12983
• Davies R, Fitzpatrick B, O’Neill A, Sneddon M. Lymphoedema education needs of clinicians: A National study. Journal of Lymphoedema. 2012; 7(2): 14-24