保乳手术术后第 1 天和第 14 天妇女的苦恼、疼痛和恶心：重复测量研究

IF 1.6 4区医学 Q2 NURSING

Oncology nursing forum Pub Date : 2024-06-14 DOI:10.1188/24.ONF.381-390

Jennifer Ross Majumdar, Petra Goodman, Margaret Barton-Burke, Jaime Gilliland, Nalini Jairath

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引用次数: 0

摘要

目标：确定保乳手术后第 1 天（POD 1）和第 14 天（POD 14）疼痛、恶心和呕吐的发生率和轨迹：确定保乳手术后第 1 天（POD）和第 14 天（POD）疼痛、恶心和呕吐的发生率和轨迹：75名年龄在18岁或18岁以上的女性，她们在一家门诊手术中心接受保乳手术并进行前哨淋巴结活检，以治疗早期原发性乳腺癌：这项前瞻性、重复测量研究采用美国国家综合癌症网络窘迫感温度计和问题清单，在POD 1和POD 14对窘迫感、疼痛、恶心和呕吐进行评估：结果：疼痛和痛苦评分在 POD 1 时最高。从 POD 1 到 POD 14，报告抑郁的女性人数有所增加。主题分析表明，家人的担忧、恐惧和忧虑以及术后问题导致了疼痛和痛苦：对护理工作的启示：妇女在接受保乳手术后在家恢复期间会感到疼痛和痛苦。护理人员可以利用这些结果，采用循证实践来减轻这种症状负担。未来的护理研究应侧重于医院外的针对性干预。

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Distress, Pain, and Nausea on Postoperative Days 1 and 14 in Women Recovering From Breast-Conserving Surgery: A Repeated-Measures Study.

Objectives: To determine the incidence and trajectory of distress, pain, and nausea and vomiting at postoperative day (POD) 1 and at POD 14 following breast-conserving surgery.

Sample & setting: 75 women aged 18 years or older receiving breast-conserving surgery with sentinel lymph node biopsy for treatment of early-stage primary breast cancer at an ambulatory surgery center.

Methods & variables: This prospective, repeated-measures study assessed distress, pain, and nausea and vomiting using the National Comprehensive Cancer Network Distress Thermometer and Problem List on POD 1 and POD 14.

Results: Pain and distress scores were highest on POD 1. The number of women who reported depression increased from POD 1 to POD 14. Thematic analysis revealed that family concerns, fears and worries, and postoperative issues contributed to pain and distress.

Implications for nursing: Women experience pain and distress during recovery at home after breast-conserving surgery. Nurses can use these results to apply evidence-based practice to reduce this symptom burden. Future nursing research should focus on targeted interventions outside of the hospital setting.

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来源期刊

Oncology nursing forum 医学-护理

CiteScore

3.20

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： The mission of the Oncology Nursing Forum, an official publication of ONS, is to Convey research information related to practice, technology, education, and leadership. Disseminate oncology nursing research and evidence-based practice to enhance transdisciplinary quality cancer care. Stimulate discussion of critical issues relevant to oncology nursing.