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

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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Abstract

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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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
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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来源期刊
Oncology nursing forum
Oncology nursing forum 医学-护理
CiteScore
3.20
自引率
0.00%
发文量
76
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.
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