Zambak Onur, Ezberci Fikret, Kurtulus Duygu, Kerem Tolan Huseyin, Cakit Hakan
Department of General Surgery, Kirikhan State Hospital, Hatay, Turkiye.
Department of General Surgery, University of Health Sciences, Umraniye Training and Research Hospital, Istanbul, Turkiye.
North Clin Istanb. 2024 Nov 14;11(6):541-546. doi: 10.14744/nci.2023.44538. eCollection 2024.
The purpose of this study is to assess the postoperative physical activity limitations and balance changes in patients who have been operated on for breast cancer. Some physical activity limitations and balance disorders can be expected after breast cancer surgery.
From 2008 to 2016, 112 patients who underwent breast cancer surgery were included in this study. The patients who have some neurological, physical, pulmonary or cardiac diseases were not included. Patients were invited to the hospital. Lack of balance and physical activity limitations were evaluated with a questionnaire including 17 questions.
On the postoperative frequency distribution of physical activities criteria out of 112 patients %33.1 (n=37) people got 4 points and over while %66.9 (n=75) people got less than 4 points. After the operation, since more than 75 people got less than 4 points, it is accepted as inadequate in terms of physical activity. Looking at balance changes, in patients with breast-conserving surgery (BCS)were approximately 5.94-0.82 where as average modified radical mastectomy (MRM)was 5.94-0.41. According to criteria on postoperated patients' balance changes, the value of f was 3.162, contrary to this, as the value of p was found 0.078. Differences between operation and balance changes were not significant.
The patients who have had breast cancer surgery, physical activities were limited and life quality was down after the operation. On the other hand, there was no significant difference on balance changes depending on the operations.
本研究旨在评估接受乳腺癌手术患者术后的身体活动受限情况及平衡变化。乳腺癌手术后预计会出现一些身体活动受限和平衡障碍。
2008年至2016年，本研究纳入了112例行乳腺癌手术的患者。排除患有神经、身体、肺部或心脏疾病的患者。患者被邀请至医院。通过一份包含17个问题的问卷评估平衡能力缺失和身体活动受限情况。
在112例患者术后身体活动标准的频率分布中，33.1%（n = 37）的人得分为4分及以上，而66.9%（n = 75）的人得分低于4分。术后，由于超过75人得分低于4分，故认为身体活动不足。观察平衡变化，保乳手术（BCS）患者的平均值约为5.94 - 0.82，而改良根治术（MRM）患者的平均值为5.94 - 0.41。根据术后患者平衡变化标准，f值为3.162，相反，p值为0.078。手术与平衡变化之间的差异不显著。
接受乳腺癌手术的患者术后身体活动受限，生活质量下降。另一方面，不同手术方式在平衡变化方面无显著差异。
