Nursing Department, Faculty of Health Sciences, Gümüşhane University, University Street, Gümüşhane, Turkey.
Nursing Department, Faculty of Health Sciences, Antalya Bilim University, Antalya, Turkey.
Support Care Cancer. 2024 Aug 20;32(9):598. doi: 10.1007/s00520-024-08819-2.
Breast cancer patients may experience some health issues following surgery. Training patients about self-care plays a vital role in managing these symptoms. Mobile applications are a contemporary and appropriate approach to support patients about the potential symptoms following breast cancer surgery. This quasi-experimental study aimed to assess the impact of nurse-led support mobile application (NL-Mapp) delivered on breast cancer patients after surgery. Ninety participants were recruited, with 45 assigned to the intervention group and 45 to the control group. Subjects in the intervention group received NL-Mapp in addition to routine care, while those in the control group received only routine care over four weeks. The intervention included educational content on the postoperative period of breast cancer. Outcomes were assessed at baseline (M), before discharge (M), and one month after surgery (M). The intervention group patients had significantly improved pain, affected shoulder functions, and anxiety owing to the effects of group, time, and group-time interaction. Body image and sexual adjustment were enhanced based on time and group-time interaction effects. During the follow-up period, experimental group patients experienced an improvement in body image and sexual adjustment, while those in the control group showed a decrease. This suggests that NL-Mapp may play a significant role in training breast cancer patients to manage their symptoms after surgery.
乳腺癌患者在手术后可能会出现一些健康问题。培训患者进行自我护理对于管理这些症状至关重要。移动应用程序是支持乳腺癌手术后患者潜在症状的现代且合适的方法。本准实验研究旨在评估护士主导的支持移动应用程序（NL-Mapp）在乳腺癌手术后对患者的影响。共招募了 90 名参与者，其中 45 名被分配到干预组，45 名被分配到对照组。干预组除常规护理外还接受 NL-Mapp，而对照组仅在四周内接受常规护理。干预内容包括乳腺癌术后期间的教育内容。在基线（M）、出院前（M）和手术后一个月（M）评估结局。由于组间、时间和组间时间交互作用，干预组患者的疼痛、受影响的肩部功能和焦虑显著改善。基于时间和组间时间交互作用的影响，身体形象和性调整得到了改善。在随访期间，实验组患者的身体形象和性调整得到改善，而对照组患者则下降。这表明 NL-Mapp 可能在培训乳腺癌患者管理手术后症状方面发挥重要作用。
