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Lymphedema in the mastectomy Postoperative Period:An Integrative Literature Review

Advances in Breast Cancer Research 2013年第4期2卷 154-160页

作者： Ana Fátima Carvalho Fernandes Glécya Oliveira Vidal Camila Brasil moreira Tiago Barreto de Castro e Silva Paula Natasha Rodrigues Valentim míria conceicao lavinas santos Department of Nursing Federal University of CearáFortalezaBrazil

Aims and Objectives: To analyze the evidence available in the literature on the stages during which upper limb lymphedema after mastectomy occurs. Background: Among the adverse effects of breast cancer treatment, lymphedema is the most prevalent. Design: Integrative literature review. methods: The Latin American and Caribbean Literature on Health Sciences (Literatura Latino-Americana e do Caribe em Ciências da Saúde—LILACS), Pubmed, and Cumulative Index to Nursing and Allied Health Literature (CINAHL) databases were used to select the pertinent studies. The identification data for these studies were summarized, and their methodological features and results were extracted. Results: Regarding the time elapsed since surgery, the highest prevalence of lymphedema corresponded to the late postoperative period, and regarding its severity, mild lymphedema was the most prevalent form. The prevalence was also the highest among the women who were subjected to radical mastectomy and radiotherapy. Conclusions: many women who are undergoing treatment for breast cancer use strategies for the prevention and control of lymphedema of the upper limb following mastectomy. Relevance to Clinical Practice: The findings of the present study might inform future studies aiming to assess strategies that can be started in the immediate and late postoperative stages to detect lymphedema early and prevent the increase of its prevalence during the late postoperative period after mastectomy.

关键词： Breast Cancer Post-Operative Care Nursing

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Construction and Validation of an Educational Technology for mammary Health Promotion

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Open Journal of Nursing 2015年第11期5卷 965-970页

作者： Izabel Cristina Falcao Juvenal Barbosa Ana Fatima Carvalho Fernandes Camila Brasil moreira míria conceicao lavinas santos Altamira mendonca Félix Gomes Ivna Silva Andrade Anna Paula Sousa da Silva Department of Nursing Federal University of PiauíFlorianoPiauíBrazil

mammary health is issue faced by public health nurses and the science follows new ways into this thematic area of learning course wares. The purpose of this study was to construct and to validate a distance course for mammary health promotion for nurses. methodological proposal has been composed of five stages: 1) analysis and planning, 2) modeling, 3) implementation, 4) evaluation and maintenance and 5) distribution. A total of nine experts as research population were consulted who were expert judges of nursing, pedagogy and web designer, three of each specific area, which were included in the study. The variables that had concordance index of 50% were: graphic designer pages favors learning, the user has easy navigation, the learning of the student experience, the environment provides interdisciplinary, content is built on process rather than there is a unique sequence, allows access to the available environment and holds a discussion on the subject. The distance learning course is intended to broaden and to enrich the living spaces and construct their own knowledge, favors interactivity, communication, autonomy and cooperation between the participants and provides access to educational technologies.

关键词： Distance Education Educational Technology Breast Neoplasms Health Promotion Nursing

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