Behaviors to Prevent Lymphedema and Functional Use of Arms of Patients with Breast Cancer after Surgery
Abstract
Objective: The aim of this descriptive study was to determine the behaviors to prevent lymphedema and functional use of arms patients with breast cancer after surgery.
Material and Methods: The study was conducted with 125 patients. The data were collected using the Patient Information Form and the Turkish version of the Disabilities of the Arm, Shoulder and Hand Questionnaire-DASH. Chi square, Fisher exact and Independent-Samples t test were used for statistical evaluation of the data.
Results: Lymphedema was detected in 21.6% of the women with breast cancer after surgical treatment. There was no significant difference between exercise status and lymphedema development of the women, but there was a significant difference between exercise duration and the presence of lymphedema (p<0.05). The DASH mean score of the women in the study was found to be 25.57 ± 15.86. The patients with lymphedema had higher DASH scores and had more arm weakness.
Conclusion: It is recommended that nurses give training and consultancy to women with breast cancer and inform patients to do the recommended exercises by regular followups after surgical treatment.
Keywords
References
- World Health Organization. World Health Statistic 2018: Monitoring Health For The Sdgs, Sustainable Development Goals. Geneva. 2018
- Türkiye İstatistik Kurumu. Ölüm Nedeni İstatistikleri 2018. TÜİK Haber Bülteni, Sayı: 30626. 2019
- Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre AT, Jemal A. Global Cancer Statistics 2018: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. Cancer J Clin. 2018; 68:394–424.
- Sağlık İstatistikleri Yıllığı 2017. Available From: URL:Https://Dosyasb.Saglik.Gov.Tr/Eklenti/31096,Turkcesiydijiv1pdf.Pdf?0 31.10.2020
- Büyükakıncak Ö, Akyol Y, Özen N, Ulus Y, Cantürk F, Tander B, ve ark. Meme Kanseri Cerrahisi: Üst Ekstremite İçin Bir Problem Midir? Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 2013; 59:304-309.
- Güler DS. Meme Kanseri Nedeniyle Ameliyat Olan Hastalarda Kendi Kendine Lenfödem Yönetimi. Meme Sağlığı Dergisi 2008; 4(2): 62-69.
- Zaralı O, Karaman N, Özaslan C, Hüseyinova S, Altınok M. Long-Term Complications Associated with Mastectomy and Axillary Dissection. Acta Oncologıca Turcıca 2009; 42: 17-23.
- Doğan L, Akıncı M, Çetin B, Kızıltan G, Karaman N, Altınok M. Mastektomi Sonrası Kol ve Omuzun Pozisyonu Önemli midir? Acta Oncologıca Turcıca 2009; 42:114-117.
- Ewertz M, Bonde JA. Late Effects of Breast Cancer Treatment and Potentials for Rehabilitation. Acta Oncologica 2011; 50: 187–193.
- Clark B, Sitzia J, Harlow W. Incidence and Risk of Arm Oedema Following Treatment for Breast Cancer: A Three-Year Follow-Up Study. QJM: An International Journal of Medicine 2005; 98(5): 343–348.