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Master's Dissertation
DOI
https://doi.org/10.11606/D.22.2005.tde-19072005-161653
Document
Author
Full name
Thais de Oliveira Gozzo
E-mail
Institute/School/College
Knowledge Area
Date of Defense
Published
Ribeirão Preto, 2005
Supervisor
Committee
Almeida, Ana Maria de (President)
Carrara, Helio Humberto Angotti
Panobianco, Marislei Sanches
Title in Portuguese
"Movimentação precoce do braço no controle do seroma pós-linfadenectomia axilar "
Keywords in Portuguese
enfermagem
excisão de nódulo linfático
neoplasias mamárias
reabilitação
Abstract in Portuguese
Este estudo teve o objetivo de avaliar a eficácia da movimentação precoce do braço, no controle da formação de seroma, em mulheres com câncer de mama submetidas a linfadenectomia axilar (LA). Foi realizado um estudo comparativo com a participação de 39 mulheres, com diagnóstico de câncer de mama, unilateral de qualquer extensão, submetidas à cirurgia com LA. A coleta dos dados foi realizada de julho de 2004 à janeiro de 2005, Setor de Onco-ginecologia e Mastologia do Departamento de Ginecologia e Obstetrícia do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (FMRP-USP). As mulheres foram divididas, aleatoriamente, em dois grupos: Grupo Movimento (GM) e Grupo Controle (GC). No GC, as 20 mulheres receberam as orientações rotineiras da unidade e no GM, as 19 mulheres foram orientadas à movimentação precoce e sistemática do braço, com um programa específico de movimentos iniciados antes da alta hospitalar e continuando no domicílio. Todas as participantes foram avaliadas antes da cirurgia, no primeiro dia pós operatório, de 5 a 10 dias e de 30 a 40 dia depois da cirurgia. Através do teste estatístico de Mann-Whitney observou-se que os grupos foram homogêneos para as variáveis idade e índice de massa corpórea, apesar de o número de sujeitos não ter sido estatisticamente significante. O tempo de permanência do dreno e o volume drenado, foram menores no GM. A incidência de seroma foi igual para os dois grupos, mas a resolução foi mais rápida e menos invasiva no GM. Pode-se assim concluir que apesar de a amostra não ter sido estatisticamente significante, a movimentação precoce e sistematizada favoreceu uma melhor absorção do seroma e não esteve associada a outras complicações cirúrgicas.
Title in English
Early arm movement to control seroma formation after axillary lymphadenectomy.
Keywords in English
breast neoplasia
lympho node excise
nursing
rehabilitation
Abstract in English
This study aimed to evaluate the efficacy of early arm movement in the control of seroma formation, in women who underwent complete axillary lymphadenectomy (AL) due to breast cancer. A comparative study involved 39 women with diagnosis of unilateral breast cancer of any extension who underwent LA. Data were collected between July 2004 and January 2005, at the onco-gynecology and mastology sector - Gynecology and Obstetric Department of the University of São Paulo at Ribeirão Preto Medical School Hospital das Clínicas. Participants were randomly distributed in two groups: Movement Group (MG) and Control Group (CG). In the CG, 20 women received routine orientation while, in the MG, 19 women were oriented towards systematic early arm movement, with a specific movement program initiated before hospital discharge and continued at home. All women were evaluated the day before surgery, the first day after surgery, 5-10 days and 30-40 days after surgery. The Mann-Whitney statistical test revealed that the groups were homogeneous in terms of age and body mass index, although the number of subjects was found statistically insignificant. The permanence of the drain and the volume drained were lower in MG. Incidence levels of seroma were equal in the two groups, but the resolution was faster and less invasive in MG. In spite of a statistically insignificant number of subjects, early and systematic arm movement provided better seroma absorption and was not associated with other surgical complications.
 
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GOZZO_TO.pdf (1.05 Mbytes)
Publishing Date
2005-08-03
 
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