Abstract
Jackson-Pratt drains are placed in the surgical site and remain there for seven to fourteen days to prevent fluid build-up and facilitate healing. Immediately after mastectomy, patients experience of a number of physiological and psychological problems that may include discomfort and later complication of lymphedema. There were 145 women randomized to one of four groups: education only, gown only, education and gown, and routine education and routine gown. All 145 participants completed the study questionnaires before surgery and at 1 week, and Forty six (32%) of these participants completed the questionnaires at 6 months postoperatively. The setting for the study included two clinics and hospitals associated with University Medical centers. To examine statistical significance at each time point after surgery, A mixed-model for repeated-measures was performed on knowledge and tape measurement to see whether there were any statistically significant differences between the four groups by education and Papilla Gown use. All reported p-values are two-sided. All statistical analyses were performed using SAS 9.2 for Windows. The mean age of the sample (N=145) was 55 years old. The study revealed that the patients who received the Papilla Gown and the educational program had decreased incidence of lymphedema and increased knowledge levels. The lymphedema arm measure score was significantly increased for participants who did not wear the Papilla Gown (p < .01) with a 1.9 cm increase in arm circumference. The study will lay the foundation for a model that can be employed by hospitals to increase patients' knowledge and help them implement the lymphedema Papilla Gown education program. The program helps to improve women's recovery by providing education related to postoperative exercises and self-care and wearing the Papilla Gown which can reduce the fear of arm immobility and the pulling sensation of drains and decrease lymphedema incidence after breast surgery.
Sigma Membership
Unknown
Type
Presentation
Format Type
Text-based Document
Study Design/Type
N/A
Research Approach
N/A
Keywords:
Papilla Gowns, Post Mastectomy Patients, Lymphedema
Recommended Citation
Cho, Ho Soon Michelle; Zhao, Hong; Fedric, Tara; Rao, Roshni; Davis, Gail C.; Yousef, Mary G.; Xie, Xian-Jin; Leitch, Marilyn A.; Xie, Xian-Jin; and Paek, Jae Eun, "Preventing lymphedema for the post-mastectomy patient with papilla gown and education" (2012). Convention. 124.
https://www.sigmarepository.org/convention/2011/presentations_2011/124
Conference Name
41st Biennial Convention
Conference Host
Sigma Theta Tau International
Conference Location
Grapevine, Texas, USA
Conference Year
2011
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Acquisition
Proxy-submission
Preventing lymphedema for the post-mastectomy patient with papilla gown and education
Grapevine, Texas, USA
Jackson-Pratt drains are placed in the surgical site and remain there for seven to fourteen days to prevent fluid build-up and facilitate healing. Immediately after mastectomy, patients experience of a number of physiological and psychological problems that may include discomfort and later complication of lymphedema. There were 145 women randomized to one of four groups: education only, gown only, education and gown, and routine education and routine gown. All 145 participants completed the study questionnaires before surgery and at 1 week, and Forty six (32%) of these participants completed the questionnaires at 6 months postoperatively. The setting for the study included two clinics and hospitals associated with University Medical centers. To examine statistical significance at each time point after surgery, A mixed-model for repeated-measures was performed on knowledge and tape measurement to see whether there were any statistically significant differences between the four groups by education and Papilla Gown use. All reported p-values are two-sided. All statistical analyses were performed using SAS 9.2 for Windows. The mean age of the sample (N=145) was 55 years old. The study revealed that the patients who received the Papilla Gown and the educational program had decreased incidence of lymphedema and increased knowledge levels. The lymphedema arm measure score was significantly increased for participants who did not wear the Papilla Gown (p < .01) with a 1.9 cm increase in arm circumference. The study will lay the foundation for a model that can be employed by hospitals to increase patients' knowledge and help them implement the lymphedema Papilla Gown education program. The program helps to improve women's recovery by providing education related to postoperative exercises and self-care and wearing the Papilla Gown which can reduce the fear of arm immobility and the pulling sensation of drains and decrease lymphedema incidence after breast surgery.
Description
41st Biennial Convention - 29 October-2 November 2011. Theme: People and Knowledge: Connecting for Global Health. Held at the Gaylord Texan Resort & Convention Center.