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Quality of Life in Female Postmastectomy Patients with Lymphedema According to the Dominant Hand  

Choi, Eun-Nyeo (Department of Nursing, Kangdong College)
Kim, Su-Youn (Department of Nursing, Kangdong College)
Publication Information
Journal of the Korean Data Analysis Society / v.17, no.1B, 2015 , pp. 453-468 More about this Journal
Abstract
This study was performed to identify the general characteristics of female postmastectomy patient groups with upper extremity lymphedema in the dominant and non-dominant hand, and comparing and analyzing the level of quality of life (QOL) between two groups. Data collection was carried out over 9 months from February to October 2014. The sample was selected from the accessible population from breast cancer patients registered at the department of rehabilitation medicine in a general hospital, Seoul and who attended regular meetings of the pink ribbon foundation. A survey was conducted on 213 female lymphedema patients, 104 with lymphedema in the dominant hand and 109 with lymphedema in non-dominant hand to analyze data gathered from questionnaires. According to the results, patients with lymphedema in the dominant hand had lower scores in overall QOL compared to those with lymphedema in non-dominant hand (t=-2.514, p=.013). They had statistically significantly higher scores in cancer-related symptoms (t=2.822, p=.005) and three subscales of fatigue (t=2.920, p=.004), pain (t=2.617, p=.010) and insomnia (t=2.996, p=.003), indicating lower QOL levels. These findings suggest that development of an integrated self-management program is crucial to provide content on maintaining and promoting social and psychological function for the use of hands in daily living activities when performing mastectomy on dominant-hand side.
Keywords
breast cancer; mastectomy; lymphedema; dominant hand; quality of life;
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