Lymphatic System and Diseases
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The nursing care bundle was effective in reducing the risk and progression of arm lymphedema among postmastectomy women and integrated into routine postoperative care may enhance patient independence, reduce lymphedema risk, and improve recovery.
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BACKGROUND: Arm lymphedema is a common postoperative complication following mastectomy and may become chronic if not detected and managed early. A nursing care bundle is a structured set of evidence-based nursing interventions aimed at preventing complications and improving patient outcomes. OBJECTIVE: This study aimed to evaluate the effectiveness of a nursing care bundle in reducing the incidence and severity of arm lymphedema among women after mastectomy. METHODS: A quasi-experimental study was conducted among 84 postmastectomy women at the Oncology Center of Mansoura University, Egypt. Participants were allocated to a control group receiving standard postoperative care or an intervention group receiving the nursing care bundle. Arm lymphedema was assessed at 2 weeks and 2 months postoperatively. RESULTS: The intervention group demonstrated a significantly lower incidence and severity of arm lymphedema compared with the control group (P <.001). At 2 months postoperatively, only 11.9% of women in the intervention group developed mild (stage 0) lymphedema, whereas 78.6% and 14.3% of women in the control group developed stage 1 and stage 2 lymphedema, respectively. CONCLUSIONS: The nursing care bundle was effective in reducing the risk and progression of arm lymphedema among postmastectomy women. IMPLICATIONS FOR ONCOLOGY NURSING PRACTICE: Early postoperative nursing interventions are essential for preventing arm lymphedema postmastectomy. Oncology nurses play a critical role in patient education and self-care support. Integrating a nursing care bundle into routine postoperative care may enhance patient independence, reduce lymphedema risk, and improve recovery.
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@article{Shahba2026Effect,
title = {Effect of a Nursing Care Bundle on the Incidence and Severity of Arm Lymphedema Among Postmastectomy Women},
author = {Amany Samy Shahba and A A Sedky and Om Hashim Mahmoud Mahmoud Saadoon and Samia I Hassan},
journal = {Cancer Nursing},
year = {2026},
doi = {10.1097/ncc.0000000000001604},
url = {https://doi.org/10.1097/ncc.0000000000001604}
}FAQ
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