Meme Kanserli Hastaların Cerrahi Tedavi Sonrası Kollarını Fonksiyonel Olarak Kullanma Durumları ve Lenfödemi Önlemeye Yönelik Davranışları

Year 2024, Volume: 19 Issue: 1, 67 - 76, 28.03.2024

Hava Çolak , Aynur Kızılırmak , Songül Karadağ

https://doi.org/10.17517/ksutfd.1193674

Abstract

Amaç: Tanımlayıcı tipte olan bu çalışmanın amacı meme kanserli hastaların cerrahi tedavi sonrası kollarının fonksiyonel kullanma ve lenfödemi önleme davranışlarını belirlemektir.
Gereç ve Yöntem: Çalışma 125 hasta ile gerçekleştirildi. Veriler Hasta Tanıtım Formu ve Kol, Omuz ve El Sorunları Anketi-DASH’ın Türkçe versiyonu kullanılarak toplandı. Verilerin istatistiksel değerlendirilmesinde ki kare, Fisher exact ve Independent-Samples t testi kullanıldı.
Bulgular: Cerrahi tedavi sonrası meme kanserli kadınların %21,6’sında lenfödem tespit edildi. Hastaların egzersiz durumu ile lenfödem gelişimi arasında anlamlı fark bulunmazken, egzersiz süresi ile lenfödem varlığı arasında anlamlı fark olduğu belirlendi (p<0,05). Araştırmaya katılan kadınların DASH puan ortalaması 25,57 ± 15,86 olarak bulundu. Lenfödemi olan kadınların DASH skoru daha yüksek ve kol güçsüzlüğü daha fazlaydı.
Sonuç: Hemşirelerin meme kanserli kadınlara eğitim ve danışmanlık vermeleri, cerrahi tedavi sonrası düzenli takip edilerek hastaları önerilen egzersizleri yapmaları konusunda bilgilendirmeleri önerildi.

Keywords

Meme kanseri, Lenfödem, Davranışlar, Hemşirelik

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

Breast cancer, Lymphedema, Behaviors, Nursing

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