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ORIJINAL ARAŞTIRMA

Meme Kanseri Cerrahisi Geçiren Hastalarda Lenfödem Farkındalığı
Lymphedema Awareness in Patients Underwent Breast Cancer Surgery
Received Date : 30 Dec 2020
Accepted Date : 23 May 2022
Available Online : 02 Jun 2022
Doi: 10.31609/jpmrs.2020-80952 - Makale Dili: EN
J PMR Sci. 2022;25(3):273-8
ÖZET
Amaç: Meme kanseri farkındalığı, toplumsal dikkat ve görüntülemedeki gelişmeler hastalığın teşhis ve taramasında olumlu etkisi meme kanserinden sağkalım oranlarının artması hasta farkındalığı ve lenfödem risk faktörleri hakkında eğitim ihtiyacını doğurmaktadır. Burada merkezimizde takipli opere meme kanserli hastalarda lenfödem farkındalığını analiz etmeyi amaçladık. Gereç ve Yöntemler: Çalışma prospektif ve tanımlayıcı olarak planlanmıştır. Veriler anketler yoluyla onkoloji kliniğine kontrol için başvuran opere meme kanserli hastalardan elde edilmiştir. Lenfödem ile ilgili bilgiyi ölçen anket ekibimiz tarafından oluşturulmuştur. Cevaplar doğru, yanlış veya bilgim yok şeklinde hazırlanmıştır. Bulgular: Çalışmaya 34-77 yaş aralığında 75 opere meme kanserli kadın hasta dâhil edildi. Beden kitle indeksi (BKİ) ortalama 27,6±7,2 kg/m2 idi. Eğitim düzeyleri: okuma yazma yok n=31 (%41,3), ilkokul mezunu n=20 (%26,7), ortaokul mezunu n=9 (%12), lise mezunu n=10 (%13,3), doktora sonrası ve üniversite n=5 (%6,7) idi. Meme kanseri tanı süresi medyan 12 ay (minimum: 1 ay; maksimum: 84 ay) idi. Etkilenen kolda lenfödem varlığı %16 (n=12) idi. Katılımcıların 22’si (%29,3) daha önce lenfödem kelimesini duydunuz mu sorusuna evet yanıtını verdi. Doğru cevap sayısı medyan 3 (minimum: 0; maksimum: 9) idi. Sonuç: Çalışmaya katılan opere meme kanserli hastalarımızın büyük bölümünün üst ekstremitede lenfödem gelişimi ve olabilecek komplikasyonlar yönünden yeterli bilgi ve farkındalığa sahip olmadığı görülmektedir. Eğitim düzeyinin, lenfödem ve olabilecek komplikasyonlar konusundan bilgi ve farkındalığının belirleyicisi olduğunu tespit ettik.
ABSTRACT
Objective: Advances in breast cancer awareness, social attention and imaging have a positive impact on the diagnosis and screening of the disease. The increase in survival rates from breast cancer raises the need for education on patient awareness and lymphedema risk factors. Here, we aimed to analyse the lymphedema awareness in patients underwent breast cancer surgery in our center. Material and Methods: The study was planned prospectively and descriptively. The data were obtained from patients underwent breast cancer who admitted to the oncology clinic for control via questionnaire. Results: Seventyfive (n=75) female breast cancer patients between the ages of 34-77 years were included in the study. The mean body mass index (BMI) was 27.6±7.2 kg/m2. Education levels were: no literacy n=31 (41.3%), primary school graduate n=20 (26.7%), secondary school graduate n=9 (12%), high school graduate n=10 (13.3%), postdoctoral and university n=5 (6.7%). The median duration of the diagnosis of breast cancer was 12 months (minimum: 1 month; maximum: 84 months). The presence of lymphedema in the affected arm was 16% (n=12). Twentytwo of the participants (29.3%) answered yes to the question whether you heard the word lymphedema before. The number of correct answers was median 3 (minimum: 0; maximum: 9). Conclusion: It is seen that most of our operated breast cancer patients who participated in the study do not have sufficient knowledge and awareness about the development of lymphedema in the upper extremities and possible complications. We determined that education level is the determinant of knowledge, awareness about lymphedema and possible complications.
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