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Meme Kanserli Hastalarda Üst Ekstremite Sorunları ve Yaşam Kalitesi. (Turkish)
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- Author(s): Yılmaz, Emel; Coşkun, Teoman
- Source:
Medical Journal of Bakirkoy; mar2019, Vol. 15 Issue 1, p29-37, 9p- Subject Terms:
LYMPH node surgery; QUALITY of life; MENTAL health; ACADEMIC medical centers; ARM; BREAST tumors; CHI-squared test; HEALTH care teams; LYMPH nodes; LYMPHEDEMA; MASTOIDECTOMY; RESEARCH methodology; POSTOPERATIVE care; PREOPERATIVE care; QUESTIONNAIRES; SHOULDER pain; STATISTICS; DATA analysis; CROSS-sectional method; DESCRIPTIVE statistics; MANN Whitney U Test; KRUSKAL-Wallis Test - Source:
- Additional Information
- Alternate Title: Upper Extremity Problems and Quality of Life in Patients with Breast Cancer. (English)
- Subject Terms:
- Abstract: Objective: The study was conducted to determine upper extremity problems and quality of life in patients with breast cancer who underwent breast surgery and axillary dissection. Methods: This descriptive and cross-sectional research was included 64 patients who admitted for outpatient clinic between 01.01.2015-01.01.2016 in university hospital in western of Turkey and previously undergone surgery for breast cancer. The data was collected personal information form, Shoulder Pain and Disability Index (SPADI) the Shortened Disabilities of the Arm, Shoulder and Hand Questionnaire (Q-DASH), Breast Cancer Module Quality of Life Scale (EORTC QLQ-BR23) and Short Form-36 (SF-36). Statistical analyses were performed using descriptive statistics, Chi Ssquare test, Mann Whitney U test, Kruskal Walles test and the Spearman's correlation coefficient. Results: Mean age of the study group was 52.36±12.25 years. It was found that 54.7% of the patients were applied modified radical mastectomy and axillary dissection, and average time passed after surgery 11.27±10.00 months. Affected arm had shoulder pain (53.1%), restrictions on shoulder (51.6%) and lymphedema (21.9%).It was determined that patients were received low scores from SPADI and Q-DASH, and SF-36 physical and mental summary scores of below the average. The EORTC QLQ-BR23 functional status and symptom subscales scores of patients were low. Conclusion: It was seen that patients' quality of life was low, their functional status was poor, and cancer-related symptoms to be less. The working with multidisciplinary team on preoperative and postoperative will help prevent complications and increase the quality of life. [ABSTRACT FROM AUTHOR]
- Abstract: Amaç: Araştırma meme cerrahisi ve aksiller diseksiyon yapılan meme kanserli hastalarda üst ekstremite sorunları ve yaşam kalitesinin belirlenmesi amacıyla yapıldı. Yöntemler: Tanımlayıcı-kesitsel türdeki bu araştırmaya Türkiye'nin Batı bölgesindeki bir üniversite hastanesine 01.01.2015-01.01.2016 tarihleri arasında polikliniğe başvuran ve daha önce meme kanseri nedeni ile ameliyat yapılmış 64 hasta dahil edildi. Veriler kişisel bilgi formu, Omuz Ağrı ve Disabilite İndeksi (SPADI), Kısa Kol, Omuz ve El Sorunları Anketi (Q-DASH), EORTC QLQ-BR23 ve SF-36 kullanılarak toplandı. Verilerin analizinde tanımlayıcı istatistikler, ki kare testi, Mann Whitney U testi, Kruskall Wallis testi ve Spearman korelasyon analizi kullanıldı. Bulgular: Araştırma grubunun yaş ortalaması 52.36±12.25 yıldır. Hastaların %54.7'sine modifiye radikal mastektomi ve aksiler diseksiyon uygulandığı, ameliyattan sonra ortalama 11.27±10.00 ay geçtiği saptandı. Grubun %53.1'inde etkilenen kolda omuz ağrısı, %51.6'sının omuzda kısıtlılığı olduğu ve %21.9'unda lenfödem geliştiği belirlendi. Hastaların SPADI ve Q-DASH ölçeklerinden düşük, SF-36 fiziksel ve mental özet skorlarından ortalamanın altında puan aldıkları bulundu. EORTC QLQ-BR23 fonksiyonel durum ve semptom alt boyutundan düşük puan aldıkları belirlendi. Sonuç: Hastaların yaşam kalitelerinin düşük, fonksiyonel durumlarının kötü ve kansere bağlı semptomlarının daha az olduğu görüldü. Ameliyat öncesi ve sonrası multidisipliner bir ekip ile çalışılması oluşabilecek komplikasyonların önlenmesi ve yaşam kalitelerinin arttırılmasına yardımcı olacaktır. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Medical Journal of Bakirkoy is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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