title: [Effects of a comprehensive rehabilitation program for mastectomy patients].
abstract: OBJECTIVE
  The purpose of this study was to investigate the effect of a comprehensive rehabilitation program on physical function, immune response, fatigue and quality of life in mastectomy patients.
  
  
  METHODS
  The subjects included fifty-five patients with breast cancer (27 in the control group and 28 in the experimental group). The subjects in the experimental group participated in a comprehensive rehabilitation program for 10 weeks, which was composed of 1 session of education, 2 sessions of stress management, 2 sessions of exercise, and 1 session of peer support group activity per week.
  
  
  RESULTS
  The results revealed an increase in shoulder extension, abduction, external rotation, and internal rotation of the affected upper extremity, and in shoulder extension and abduction of the healthy upper extremity. Also an increase in quality of life and a decrease in fatigue were significantly higher in the experimental group than the control group. However, the results revealed that the natural killer cell ratio of the experimental group increased but there was no significant difference from that of the control group.
  
  
  CONCLUSIONS
  The 10-week comprehensive rehabilitation program showed a large affirmative effect on physical function, fatigue and quality of life of breast cancer patients after a mastectomy.
authors.affiliation: Department of Nursing, Pochon CHA University, Kyungki-do 487-800, Korea. dhrgml@hanmail.net
authors.forename: Ok-Hee
authors.initials: OH
authors.lastname: Cho
mesh_terms: D005081:Exercise Therapy; D005221:Fatigue; D005260:Female; D018737:Hand Strength; D006801:Humans; D008408:Mastectomy / Q000523:psychology / Q000534:rehabilitation*; D008875:Middle Aged; D009068:Movement; D010353:Patient Education as Topic; D011788:Quality of Life; D012785:Shoulder Joint / Q000503:physiopathology; D013315:Stress, Psychological / Q000628:therapy