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

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS ACS Applied Bio Materials 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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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。

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