A randomised trial of nursing interventions supporting recovery of the postmastectomy patient

Cho, Ho Soon Michelle; Davis, Gail C.; Paek, Jae Eun; Rao, Roshni; Zhao, Hong; Xie, Xian Jin; Yousef, Mary Grace; Fedric, Tara; Euhus, David; Leitch, Marilyn

doi:10.1111/j.1365-2702.2012.04100.x

Cited by 16 publications

(27 citation statements)

References 31 publications

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“…34 Previous studies have also shown that the effects of an additional intervention in patients' activity regarding their own care, knowledge and behavior has yielded positive results. [57][58][59] According to Heikkinen et al 56 , patients have high expectations regarding education, and they expect to receive more information than they actually receive. Expectations about the available information and perceptions of the actual information received clearly differ from each other.…”

Section: Discussionmentioning

confidence: 99%

The Quality of Patient Education in Day Surgery by Adult Patients

Rajala¹,

Kaakinen²,

Fordell³

et al. 2018

Journal of PeriAnesthesia Nursing

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Purpose: The purpose of the study was to describe the quality of patient education in day surgery as evaluated by adult patients. Design: Descriptive design using survey methodology. Methods: The data were collected by questionnaire and measured the quality and implementation of education resources for day surgery patients (n=600) in a university hospital. The data were analyzed statistically using basic and multivariate methods. Findings: Half of respondents assessed the implementation of patient education to have been done in a patient-centered and goal-oriented way. Most respondents (81%) were satisfied with the interaction in the patient education. The education resources were reported as good by 77% of respondents. Conclusions: Greater account should be given in patient education to the patients' emotional wellbeing, feelings, their family members and patients' expertise in their own life. In developing patient education, the excellent knowledge and skills of health care staff in educating patients should be utilized.

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Section: Discussionmentioning

confidence: 99%

The Quality of Patient Education in Day Surgery by Adult Patients

Rajala¹,

Kaakinen²,

Fordell³

et al. 2018

Journal of PeriAnesthesia Nursing

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“…Three studies did not specify the time frame of intervention implementation prior to treatment [16][17][18]. Standard care varied according to individual institutions whereby verbal or written instructions were given [15,[19][20][21], physical activity was delivered in the rehabilitation setting post-treatment [22,23], generic risk management and active mobilisation was given [18] or fast-track surgery was implemented [24]. Five studies delivered interventions in the pre-treatment period only [12,17,18,[25][26][27]; the remaining studies continued the interventions during or after treatment.…”

Section: Resultsmentioning

confidence: 99%

“…There was a significantly lower incidence of lymphedema among patients who wore the Papilla gown compared to those who did not (p = 0.0097) from baseline to post-intervention. Comfort levels significantly improved over time from T1 to T2 for patients (p = 0.0004) [20].…”

Section: Education and Papilla Gown Versus Usual Carementioning

confidence: 96%

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An international review and meta-analysis of prehabilitation compared to usual care for cancer patients

2017

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Purpose The purpose of the study is to systematically review and synthesise randomised controlled trials investigating the effectiveness of prehabilitation compared to usual care for newly diagnosed, adult-onset cancer patients. Methods MEDLINE, EMBASE, PsycINFO, CINAHL and SSCI were searched up to April 2017. Studies were included if disease-related, treatment-related, patient-reported and health service utilisation outcomes were assessed. Two reviewers independently reviewed and appraised the risk of bias of each study. Results Eighteen studies were included. Interventions comprised one or more of the following components: psychological support, education and exercise. Meta-analyses found that pelvic floor muscle training (PFMT) significantly increased odds of continence at 3 months (OR = 3.29, 95% CI = 1.57-6.91), but did not significantly reduce daily pad use at 6 months post-surgery Mean Difference (MD)= ( = − 0.96, 95% CI = − 2.04-0.12) for prostate cancer patients. Although quality of life improved due to PFMT, functional ability or distress did not. Further meta-analyses indicated that presurgical exercise significantly reduced length of hospital stay (MD = − 4.18, 95% CI = − 5.43-− 2.93) and significantly lowered odds of post-surgery complications (OR = 0.25, 95% CI = 0.10-0.66) for lung cancer patients. Psychology-based prehabilitation significantly improved mood, physical wellbeing and immune function for prostate cancer patients and improved fatigue and psychological outcomes and a trend for better quality of life among breast cancer patients. Risk of bias was high for most studies. Conclusions Prehabilitation appears to benefit cancer patients. Rigorous trials are needed to investigate the effectiveness of prehabilitation among other cancer sites and other related effects. The cost-effectiveness of prehabilitation remains unanswered. Implications for cancer survivors Providing interventions earlier in the care pathway may lead to better outcomes for patients during survivorship.

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“…Lymphedema of the upper limb is the most prevalent cause of morbidity during the postoperative period after mastectomy [4], consequent to axillary lymph node dissection. The condition, which is associated with the limbs, is characterized by abnormal accumulation of proteins and fluids in the interstitial space, edema, and chronic inflammation [5,6]. The risk of lymphedema is associated with axillary dissection and radiotherapy, obesity, extent of the surgical technique, infection, patient age, number of dissected lymph nodes, number of positive lymph nodes, and level of lymph node dissection [4,7].…”

Section: Introductionmentioning

confidence: 99%

Lymphedema in the Mastectomy Postoperative Period: An Integrative Literature Review

Fernandes¹,

Vidal²,

Moreira³

et al. 2013

ABCR

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Aims and Objectives:To analyze the evidence available in the literature on the stages during which upper limb lymphedema after mastectomy occurs. Background: Among the adverse effects of breast cancer treatment, lymphedema is the most prevalent. Design: Integrative literature review. Methods: The Latin American and Caribbean Literature on Health Sciences (Literatura Latino-Americana e do Caribe em Ciências da Saúde-LILACS), PubMed, and Cumulative Index to Nursing and Allied Health Literature (CINAHL) databases were used to select the pertinent studies. The identification data for these studies were summarized, and their methodological features and results were extracted. Results: Regarding the time elapsed since surgery, the highest prevalence of lymphedema corresponded to the late postoperative period, and regarding its severity, mild lymphedema was the most prevalent form. The prevalence was also the highest among the women who were subjected to radical mastectomy and radiotherapy. Conclusions: Many women who are undergoing treatment for breast cancer use strategies for the prevention and control of lymphedema of the upper limb following mastectomy. Relevance to Clinical Practice: The findings of the present study might inform future studies aiming to assess strategies that can be started in the immediate and late postoperative stages to detect lymphedema early and prevent the increase of its prevalence during the late postoperative period after mastectomy.

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A randomised trial of nursing interventions supporting recovery of the postmastectomy patient

Cited by 16 publications

References 31 publications

The Quality of Patient Education in Day Surgery by Adult Patients

The Quality of Patient Education in Day Surgery by Adult Patients

An international review and meta-analysis of prehabilitation compared to usual care for cancer patients

Lymphedema in the Mastectomy Postoperative Period: An Integrative Literature Review

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