Abstract:
PURPOSE/OBJECTIVES:To assess pain and activity limitations and to determine realistic goals for recovery after a transverse rectus abdominis myocutaneous (TRAM) flap breast reconstruction in a standard rehabilitation and recovery program. Assessing patient satisfaction with educational information is a secondary objective. DESIGN:Before and after comparison. SETTING:A National Cancer Institute--designated comprehensive cancer center in the mid-Atlantic United States. SAMPLE:16 women who had TRAM flap breast reconstruction. METHODS:Data were collected before surgery and four and eight weeks after surgery using an adapted Brief Pain Inventory, a recovery and rehabilitation assessment, and an evaluation of patient satisfaction. MAIN RESEARCH VARIABLES:Presence of pain; disruption of activities, relationships, and mood because of pain; pain relief measures; active range of motion; muscle strength; and satisfaction with educational information. FINDINGS:Pain and activity limitation scores were elevated four weeks after surgery and returned almost to baseline at eight weeks. Abdominal pain was significantly higher for women with free versus pedicled TRAM flap surgery, and women with previous back pain reported more lower back pain after surgery. Opioids, followed by nonsteroidal antiinflammatory drugs, were the most common pain relief method. Active range of motion and muscle strength showed no significant limitations at eight weeks. Patients were very satisfied with the educational information provided by nurses and physical therapists. CONCLUSIONS:Women can expect to have some pain and activity limitations four weeks after surgery but will be almost fully recovered at eight weeks. Educational information on pain management and resuming an active lifestyle were useful. IMPLICATIONS FOR NURSING:Nurses and physical therapists can positively influence recovery from TRAM flap breast reconstruction by educating patients.
journal_name
Oncol Nurs Forumjournal_title
Oncology nursing forumauthors
Dell DD,Weaver C,Kozempel J,Barsevick Adoi
10.1188/08.ONF.189-196subject
Has Abstractpub_date
2008-03-01 00:00:00pages
189-96issue
2eissn
0190-535Xissn
1538-0688pii
E4W818JK7M226513journal_volume
35pub_type
临床试验,杂志文章abstract:PURPOSE/OBJECTIVES:To examine the effect of breast cancer survivors' views of God on religious coping strategies, depression, anxiety, stress, concerns about recurrence, and psychological well-being. DESIGN:Exploratory, cross-sectional, comparative survey. SETTING:Outpatients from community and university oncology pr...
journal_title:Oncology nursing forum
pub_type: 杂志文章
doi:10.1188/11.ONF.293-301
更新日期:2011-05-01 00:00:00
abstract::One goal of oncology nursing is to help patients achieve the best possible quality of life. In the conventional care perspective, quality of life has four aspects: physical, emotional, social, and spiritual. From the complementary care perspective, it is defined as harmony of body, mind, and spirit. Integrating these ...
journal_title:Oncology nursing forum
pub_type: 杂志文章
doi:10.1188/02.ONF.25-27
更新日期:2002-01-01 00:00:00
abstract:PURPOSE/OBJECTIVES:To identify whether rates of accidental falls are greater for cancer survivors living in the community during or post-treatment than people with no history of cancer. . DATA SOURCES:In a systematic literature review that was conducted in December 2013, MEDLINE®, EMBASE, PubMed, and Web of Science we...
journal_title:Oncology nursing forum
pub_type: 杂志文章,meta分析,评审
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更新日期:2016-03-01 00:00:00
abstract:PURPOSE/OBJECTIVES:To review clinical applications and nursing care activities for patients receiving cladribine, a synthetic antineoplastic agent used to treat lymphoid malignancies. DATA SOURCES:Clinical trial data, published articles, reports from oncology nurses, and personal observations. DATA SYNTHESIS:Cladribi...
journal_title:Oncology nursing forum
pub_type: 杂志文章,评审
doi:
更新日期:1995-10-01 00:00:00
abstract:PURPOSE/OBJECTIVES:To review current information on the types and components of risk assessment and associated considerations for clinical practice and education. DATA SOURCES:Published articles, book chapters, and clinical experience. DATA SYNTHESIS:Cancer risk assessment is a clinical process that is integral to ca...
journal_title:Oncology nursing forum
pub_type: 杂志文章,评审
doi:
更新日期:1998-10-01 00:00:00
abstract:OBJECTIVES:To examine the experiences with, opinions of, and reactions to online cancer information of loved ones of people with cancer. SAMPLE & SETTING:10 loved ones of people with cancer recruited from a pool of participants who completed a survey about cancer website experiences. METHODS & VARIABLES:Quali...
journal_title:Oncology nursing forum
pub_type: 杂志文章
doi:10.1188/18.ONF.354-358
更新日期:2018-05-01 00:00:00
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journal_title:Oncology nursing forum
pub_type: 杂志文章
doi:
更新日期:1989-09-01 00:00:00
abstract:PURPOSE/OBJECTIVES:To compare patient reports of present and worst cancer-related pain intensity to the recalled intensity of several commonly experienced types of pain. DESIGN:A secondary analysis on baseline data from patients with cancer pain. SETTING:Tertiary-care facilities and patients' homes. Patients were enr...
journal_title:Oncology nursing forum
pub_type: 杂志文章
doi:
更新日期:1999-05-01 00:00:00
abstract:PURPOSE/OBJECTIVES:To review nursing assessment and implications of oral complications from cancer therapy. DATA SOURCES:Published articles, books, and monographs. DATA SYNTHESIS:Cancer and cancer therapy disturb the normal integrity and function of the oral cavity, leading to alterations in structure and function. S...
journal_title:Oncology nursing forum
pub_type: 杂志文章,评审
doi:
更新日期:1996-06-01 00:00:00
abstract:PURPOSE/OBJECTIVES:To examine the relationships among pain, fatigue, insomnia, and gender while controlling for age, comorbidities, and stage of cancer in patients newly diagnosed with lung cancer within 56 days of receiving chemotherapy. DESIGN:Secondary data analysis. SETTING:Accrual from four sites: two clinical c...
journal_title:Oncology nursing forum
pub_type: 杂志文章
doi:10.1188/07.ONF.785-792
更新日期:2007-07-01 00:00:00
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journal_title:Oncology nursing forum
pub_type: 社论
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更新日期:2017-03-01 00:00:00
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journal_title:Oncology nursing forum
pub_type: 杂志文章
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journal_title:Oncology nursing forum
pub_type: 杂志文章,评审
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更新日期:2002-06-01 00:00:00
abstract:PURPOSE/OBJECTIVES:To assess the PCHIMX-1 (Doran International), a new sterile medical device intended by its manufacturer to improve the quality and safety of cytotoxic drug infusions, as well as its influence on manipulation times required for pharmacy technicians and nurses and its effect on infusion line outflow pa...
journal_title:Oncology nursing forum
pub_type: 杂志文章
doi:10.1188/10.ONF.E370-E376
更新日期:2010-11-01 00:00:00
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journal_title:Oncology nursing forum
pub_type: 杂志文章
doi:
更新日期:1995-07-01 00:00:00
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journal_title:Oncology nursing forum
pub_type: 杂志文章,评审
doi:
更新日期:1992-09-01 00:00:00
abstract:PURPOSE/OBJECTIVES:To review current knowledge about the causes, pathophysiology, treatment, and nursing care of patients with acute myelogenous leukemia (AML). DATA SOURCES:Articles, books, and proceedings of national meetings. DATA SYNTHESIS:AML, an an often fatal disease, is characterized by signs of anemia, throm...
journal_title:Oncology nursing forum
pub_type: 杂志文章,评审
doi:
更新日期:1994-04-01 00:00:00
abstract::The oncology nursing specialty seeks to reduce the risks, incidence, and burden of cancer by encouraging healthy lifestyles, promoting early detection, improving the management of cancer symptoms and side effects throughout the disease trajectory, and leading the coordination of complex care needs. ...
journal_title:Oncology nursing forum
pub_type: 杂志文章
doi:10.1188/20.ONF.125-126
更新日期:2020-03-01 00:00:00
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journal_title:Oncology nursing forum
pub_type: 杂志文章
doi:10.1188/13.ONF.157-162
更新日期:2013-03-01 00:00:00
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journal_title:Oncology nursing forum
pub_type: 杂志文章
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journal_title:Oncology nursing forum
pub_type: 临床试验,杂志文章
doi:
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journal_title:Oncology nursing forum
pub_type: 杂志文章
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journal_title:Oncology nursing forum
pub_type: 杂志文章,随机对照试验
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更新日期:2008-05-01 00:00:00
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journal_title:Oncology nursing forum
pub_type: 杂志文章,评审
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更新日期:2014-01-01 00:00:00
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journal_title:Oncology nursing forum
pub_type: 杂志文章,评审
doi:
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journal_title:Oncology nursing forum
pub_type: 杂志文章
doi:10.1188/04.onf.641-646
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abstract::Continuous infusion therapy (CIT) is an alternative to traditional intravenous bolus or brief infusion chemotherapy. The benefits of CIT are improved therapeutic index, reduced toxicity, and modification of drug resistance. CIT administered in the ambulatory setting fosters cost effectiveness and improved patient sati...
journal_title:Oncology nursing forum
pub_type: 杂志文章
doi:
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abstract:PURPOSE/OBJECTIVES:To evaluate the outcomes of hospice services and explore factors that affect the quality of life (QOL) of patients with cancer receiving hospice care. DESIGN:Descriptive. SETTING:Two homecare hospices in the southeastern United States. SAMPLE:Convenience sample of 118 hospice patients with a diagn...
journal_title:Oncology nursing forum
pub_type: 杂志文章
doi:
更新日期:1996-09-01 00:00:00
abstract:PURPOSE/OBJECTIVES:To measure the association between physical activity and social cognitive theory constructs during breast cancer treatment. DESIGN:Cross-sectional survey. SETTING:Midwestern, academic oncology clinic. SAMPLE:21 primarily Caucasian (90%) female patients with breast cancer undergoing treatment. 76% ...
journal_title:Oncology nursing forum
pub_type: 杂志文章
doi:10.1188/05.ONF.807-815
更新日期:2005-07-01 00:00:00
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journal_title:Oncology nursing forum
pub_type: 杂志文章
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更新日期:2018-11-01 00:00:00