Compressive taping to prevent postmastectomy seroma: patient adherence and satisfaction.

IF 2 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

BMJ Supportive & Palliative Care Pub Date : 2024-05-17 DOI:10.1136/spcare-2024-004912

Maíra Carneiro Fernandes, Erica Alves Nogueira Fabro, Matheus Albino Ximenes, Rejane Medeiros Medeiros Costa, Nathalia Bordinhon Soares, Suzana Sales de Aguiar, Luiz Claudio Santos Thuler, Anke Bergmann

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引用次数: 0

Abstract

Objective: Evaluate patient adherence and satisfaction concerning postmastectomy compressive taping.

Methods: This comprises a preintervention and postintervention study carried out with women ≥18 years old who underwent taping during the first 7 postoperative days at the Cancer Hospital III/National Cancer Institute. Good adherence was considered as taping maintenance for 7 days. Satisfaction levels were classified as satisfied and dissatisfied.

Results: A total of 124 women with a mean age of 56.54 (±11.24) were included in the study. Most lived without a partner (58.1%), had more than 8 years of study (59.7%), referred to themselves as white (68.5%) and considered their health status to be good or very good (69.4%). Regarding treatment adherence, 90.3% patients displayed adherence. Patients with no bullous lesions were more likely to adhere to taping (OR 7.00; 95% CI 1.98 to 24.74; p=0.003). Regarding satisfaction, 78.2% of the patients felt satisfied. The absence of local discomfort (OR 4.51; 95% CI 1.73 to 11.74; p=0.002) and non-existence of self-reported oedema (OR 5.81; 95% CI 1.81 to 18, 66; p=0.003) were associated with greater patient satisfaction.

Conclusion: Patients exhibited good adherence and felt very satisfied with the use of postmastectomy compressive taping.

Trial registration number: NCT04471142.

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预防乳房切除术后血清肿的加压包扎：患者的依从性和满意度。

目的评估患者对乳房切除术后加压包扎的依从性和满意度：本研究包括一项干预前和干预后研究，对象是在第三癌症医院/国立癌症研究所接受术后 7 天绑带治疗的 18 岁以上女性。良好的依从性被认为是在 7 天内维持了绑带。满意度分为满意和不满意：研究共涉及 124 名妇女，平均年龄为 56.54 (±11.24)岁。大多数人没有伴侣（58.1%），学龄超过 8 年（59.7%），自称为白人（68.5%），认为自己的健康状况良好或很好（69.4%）。在坚持治疗方面，90.3%的患者坚持治疗。没有大疱的患者更有可能坚持绑带治疗（OR 7.00；95% CI 1.98 至 24.74；P=0.003）。在满意度方面，78.2% 的患者感到满意。无局部不适感（OR 4.51；95% CI 1.73 至 11.74；p=0.002）和无自述水肿（OR 5.81；95% CI 1.81 至 18.66；p=0.003）与患者满意度较高有关：患者表现出良好的依从性，并对使用乳房切除术后加压绑带感到非常满意：试验注册号：NCT04471142。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BMJ Supportive & Palliative Care Medicine-Medicine (miscellaneous)

CiteScore

4.60

自引率

7.40%

发文量

170

期刊介绍： Published quarterly in print and continuously online, BMJ Supportive & Palliative Care aims to connect many disciplines and specialties throughout the world by providing high quality, clinically relevant research, reviews, comment, information and news of international importance. We hold an inclusive view of supportive and palliative care research and we are able to call on expertise to critique the whole range of methodologies within the subject, including those working in transitional research, clinical trials, epidemiology, behavioural sciences, ethics and health service research. Articles with relevance to clinical practice and clinical service development will be considered for publication. In an international context, many different categories of clinician and healthcare workers do clinical work associated with palliative medicine, specialist or generalist palliative care, supportive care, psychosocial-oncology and end of life care. We wish to engage many specialties, not only those traditionally associated with supportive and palliative care. We hope to extend the readership to doctors, nurses, other healthcare workers and researchers in medical and surgical specialties, including but not limited to cardiology, gastroenterology, geriatrics, neurology, oncology, paediatrics, primary care, psychiatry, psychology, renal medicine, respiratory medicine.