Effect of Educa
Effect of Educational Program Regarding Therapeutic Exercises on Women's Pain, Fatigue and Shoulder Function Undergoing Mastectomy
Nadia Mohamed Taha1; Magda Abdel Azeaz2; Abdel Rahman Hassan3 and Amal Eid Shaban4
1Medical-Surgical Nursing Department, Faculty of Nursing, Zagazig University, 2Ain Shams University,
4Mansoura University and 3Surgery Department Faculty of Medicine, Zagazig University
Abstract: Breast cancer is the most common form of cancer in females worldwide and the most prevalent cancer among Egyptian women. Breast cancer and its treatment result in physical and psychological problems; pain, fatigue and dysfunction. It is the responsibility of the nurse to identify the breast cancer patient's needs, make appropriate nursing diagnosis and initiate plans for care. Aim of the study: toassess the impact of an educational program regarding therapeutic exercises for women’s pain, fatigue and shoulder function that are undergoing mastectomy. This study was hypothesized that there would be an improvement of patients’ information, pain, fatigue and shoulder function by using the therapeutic exercises. Quasi experimental design was utilized in this study. It was conducted at Oncology Center Mansoura University. Purposive sample included (80) patients with preliminary diagnosis of breast cancer, were admitted to female surgical units, scheduled for Modified radical mastectomy and weredivided random equally into study and control groups; (40) patients in each group. Tools: used for data collection included an interviewing questionnaire sheet, Numerical Rating scale, Fatigue Severity scale and Shoulder Pain and Disability Index, performance observational checklists, and follow up sheet. Results: The mean age of the studied women 45.25 and 46.06. The majority of the women in both groups were married; housewives and 45% were illiterate. There was a highly significant difference in patients' level of information, pain intensity, fatigue severity, and shoulder dysfunction of the study group as compared to the control group. This means that the educational program had positive effect in reducing patients' pain, fatigue and shoulder dysfunction, post program and after one month of implementation of the educational program. Conclusion: There were a statistical significance difference between the two groups in relation to information, fatigue severity, pain intensity, shoulder pain and disability, and performance post program and follow-up after one month. Deep breathing and Progressive muscle relaxation techniques, arm and shoulder exercises, and patient's education are useful adjuvant techniques to complement medical treatment. Recommendations: Continuous educational health programs are recommended. So incorporation of such interventions in the care plan can enhance the care for surgical breast cancer patients and greatly improve their quality of life.
[Magda Abdel Azeaz; Nadia Mohamed Taha, Abd Elrahman Hassan and Amal Eid Shaban. Effect of Educational Program Regarding Therapeutic Exercises on Women's Pain, Fatigue and Shoulder Function Undergoing Mastectomy. J Am Sci 2013;9(3):412-425]. (ISSN: 1545-1003).http://www.jofamericanscience.org. 66
Key words: therapeutic exercises, pain, fatigue, arm and shoulder exercises, mastectomy, and progressive muscle relaxation technique. Full Text 66