title: Nurse-assisted education and exercise decrease the prevalence and morbidity of lymphedema following breast cancer surgery.
abstract: OBJECTIVE
  To evaluate an educational and exercise program for the prevention and progression of post-mastectomy lymphedema of the arm and shoulder.
  
  
  METHODS
  Fifty-five patients who had undergone mastectomy and axillary lymph node dissection between June 2009 and January 2010 were included in this study. The patients were informed by a trainer nurse about the precautions they should take to prevent the development of lymphedema. The patients were also trained for the appropriate exercises and were given written educational material prepared by the investigators.
  
  
  RESULTS
  Among the participants, 96.4% underwent modified radical mastectomy (MRM) and 3.6% breast-conserving (BCS) surgery. The mean postoperative follow-up period was 9.87 ± 17.55 months. The degree of lymphedema was found lower, even within 6 months, in the patients that exercised as compared to the patients that did not (p<0.05).
  
  
  CONCLUSIONS
  The results indicate that the risk of development and progression of mastectomy-related lymphedema was reduced with education and exercise provided by trained nurses at an early stage.
authors.affiliation: Department of Nursing, Cukurova University Medical Faculty, Balcali, Adana, Turkey.
authors.forename: H
authors.initials: H
authors.lastname: Sisman
authors.forename: B
authors.initials: B
authors.lastname: Sahin
authors.forename: B B
authors.initials: BB
authors.lastname: Duman
authors.forename: G
authors.initials: G
authors.lastname: Tanriverdi
mesh_terms: D001943:Breast Neoplasms / Q000601:surgery*; D015444:Exercise; D005260:Female; D006801:Humans; D008197:Lymph Node Excision; D008209:Lymphedema / Q000453:epidemiology / Q000517:prevention & control*; D008297:Male; D008408:Mastectomy / Q000009:adverse effects*; D009017:Morbidity; D009726:Nurses; D010353:Patient Education as Topic; D015995:Prevalence