کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
2648664 1139163 2014 12 صفحه PDF ندارد دانلود رایگان
عنوان انگلیسی مقاله
Identification of patient subgroups and risk factors for persistent arm/shoulder pain following breast cancer surgery
ترجمه فارسی عنوان
شناسایی زیرگروه های بیمار و عوامل خطر برای درد دائمی بازو/شانه پس از جراحی سرطان پستان
کلمات کلیدی
درد بازو؛ درد شانه؛ درد پس از عمل جراحی پایدار؛ عوامل خطر؛ جراحی سرطان پستان؛ مدل سازی مخلوط رشد؛ تجزیه و تحلیل کلاس پنهان؛ درد مزمن
Arm pain; Shoulder pain; Persistent postsurgical pain; Risk factors; Breast cancer surgery; Growth mixture modeling; Latent class analysis; Chronic pain
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی تومور شناسی
چکیده انگلیسی

PurposeIn this prospective, longitudinal study, we extend our findings on persistent breast pain in patients (n = 398) following breast cancer surgery and evaluate the prevalence and characteristics of persistent pain in the arm/shoulder. In addition, differences in the severity of common symptoms and quality of life outcomes measured prior to surgery, among the arm pain classes, were evaluated.Methods and samplePatients were recruited from Breast Care Centers located in a Comprehensive Cancer Center, two public hospitals, and four community practices. Patients were assessed prior to and monthly for six months following breast cancer surgery.ResultsUsing growth mixture modeling, patients were classified into no (41.6%), mild (23.6%), and moderate (34.8%) arm pain classes based on ratings of worst arm/shoulder pain. Compared to the no pain class, patients in the moderate pain class were significantly younger, had a higher body mass index, and were more likely to report preoperative breast pain and swelling in the affected breast. In addition, patients in the moderate pain class reported higher levels of depression, anxiety, and sleep disturbance than the no pain class.ConclusionsFindings suggest that approximately 35% of women experience persistent levels of moderate arm/shoulder pain in the first six months following breast cancer surgery. Moderate arm/shoulder pain is associated with clinically meaningful decrements in functional status and quality of life.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: European Journal of Oncology Nursing - Volume 18, Issue 3, June 2014, Pages 242–253
نویسندگان
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