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- Title
Distress, Pain, and Nausea on Postoperative Days 1 and 14 in Women Recovering From Breast-Conserving Surgery: A Repeated-Measures Study.
- Authors
Majumdar, Jennifer Ross; Goodman, Petra; Barton-Burke, Margaret; Gilliland, Jaime; Jairath, Nalini
- 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, repeatedmeasures 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 breastconserving 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.
- Subjects
UNITED States; REPEATED measures design; SENTINEL lymph node biopsy; FEAR; FAMILY health; HEALTH status indicators; RESEARCH funding; DATA analysis; SADNESS; WORRY; POSTOPERATIVE pain; SURGICAL clinics; BREAST tumors; QUESTIONNAIRES; SMOKING; EDEMA; AGE distribution; POPULATION geography; DESCRIPTIVE statistics; MANN Whitney U Test; DECISION making; BODY image; FEVER; SURGICAL complications; LONGITUDINAL method; THEMATIC analysis; RECOVERY rooms; INDIGESTION; ATTENTION; ENHANCED recovery after surgery protocol; ONCOLOGY nursing; PSYCHOLOGICAL stress; CONVALESCENCE; CONCEPTUAL structures; ELECTRONIC health records; MEDICAL records; ACQUISITION of data; PERSONAL beauty; MEMORY; SLEEP; VOMITING; SOCIAL support; CONFIDENCE intervals; DATA analysis software; LUMPECTOMY; NAUSEA; DISEASE progression; EMPLOYMENT; CONSTIPATION
- Publication
Oncology Nursing Forum, 2024, Vol 51, Issue 4, p381
- ISSN
0190-535X
- Publication type
Article
- DOI
10.1188/24.ONF.381-390