Knowledge and Self Care Practices for Women with Breast Cancer Related Lymphedema

Document Type : Original Article

Authors

Medical Surgical Nursing Department-Faculty of Nursing-Ain Shams University.

Abstract

Background: Breast cancer related lymphedema represents a major complication of
breast cancer treatment, impacting the quality of life of breast cancer survivors. Patients with
lymphedema need to conduct lifelong self care activities to control the progression of swelling,
manage lymphedema-associated symptom burden, and minimize long term negative outcomes.
Aim: This study aimed to assess knowledge and self care practices of women with breast cancer
related lymphedema. Study design: A descriptive study design was utilized to conduct this
study. Setting: This study was conducted in the outpatient breast clinic at Oncology Center and
Nuclear Medicine, affiliated to Ain Shams University Hospitals. Subjects: A purposive sample
of 50 women newly diagnosed with breast cancer related lymphedema, post mastectomy, and
treated with radiotherapy. Data collection tools: A structured interview questionnaire for
women with breast cancer related lymphedema, and self care practices questionnaire. Results:
The mean age of the studied women was 47.71±7.16, and about one fifth of them had
satisfactory level of total knowledge regarding breast cancer related lymphedema, also; the
minority of them had adequate level of total lymphedema self care practices. Moreover there is
statistically significant difference between the self care practices of the studied women and their
educational level. Conclusion: The majority of the studied women had unsatisfactory
knowledge regarding breast cancer related lymphedema, and almost of them had inadequate
lymphedema self care practices. Recommendations: Educational programs about lymphedema
and risk reduction methods after the breast surgery are strongly needed. Also, continuous in
service educational programs should be held for all the health care team working in breast
cancer units. In addition, further researches are recommended to assess barriers to self care
among patients with breast cancer related lymphedema.

Keywords