Background: Although surgical treatments for breast cancer have exhibited advanced interventions, axillary lymph node dissection can limit functionality and compromise women’s self-care. This study aims to assess the effectiveness of a rehabilitation nursing program in improving self-care performance in women undergoing breast surgery with axillary lymph node dissection. Methods: This quantitative, quasi-experimental study involved 48 women recruited from a main hospital between 2018 and 2019. The participants completed a three-month rehabilitation program at home. The evaluation instrument used was the DASH questionnaire. This study was not registered. Results: The functionality of the upper limb ipsilateral to the surgery improved significantly (p < 0.001) after the implementation of the program, influencing the participants’ capacity for self-care, including washing/drying their hair, washing their back, and wearing a shirt. The average DASH total score increased from 54.4 to 8.1 after the program. Conclusions: The rehabilitation nursing program positively influenced the participants’ self-care ability. Incorporating rehabilitation nursing programs into breast cancer treatment can improve self-care performance and the overall quality of patients’ lives. This study was not registered.
RESUMOObjetivo: validar o conteúdo de um instrumento de autoavaliação da promoção da autonomia dos idosos. Método: estudo qualitativo, com recurso ao método Delphi, com uma amostra de 15 experts, enfermeiros especialistas em enfermagem de reabilitação, enfermagem comunitária, enfermagem de saúde mental e psiquiatria, e enfermagem médico-cirúrgica, com experiência em idosos, experiência clínica e de investigação relevante. Ocorreu no período de junho a setembro de 2020, com experts da área da saúde do norte de Portugal. Resultados: a análise dos experts confirmou a necessidade de incluir os domínios: fisico, cognitivo, emocional e social, no âmbito das intervenções de enfermagem de avaliação e as intervenções de enfermagem promotoras da autonomia dos idosos. Após a primeira rodada, foram excluídos 34 intervenções, chegando a 68 intervenções de enfermagem para a promoção
Background: Early breast cancer diagnosis and therapeutic advances have contributed to increasing survivorship, yet little is known about how women's quality of life (QoL) is affected. Objective: To evaluate the QoL of women who underwent breast surgery with axillary lymph node dissection after a rehabilitation program was implemented. Methodology: Quantitative pre-and post-intervention assessment study involving 48 women recruited from a Hospital Center between 2018 and 2019. A three-month rehabilitation program was implemented in the participants' homes. The instruments used were EORTC-QLQ-C30 and BR23. Results: After the program implementation, the participants' QoL improved in functional aspects (role, emotional, cognitive, social, body image, future perspectives) and symptoms (fatigue, pain, insomnia, systemic therapy side effects, and breast and arm symptoms). Conclusion: This program has positively influenced the participants' QoL, providing them with the knowledge and skills to take an active and informed part in their motor rehabilitation.
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