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      Cuidados de salud en pacientes mastectomizadas: revisión bibliográfica Translated title: Health care in mastectomized patients: literature review

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          Abstract

          Resumen Introducción. El cáncer de mama es la neoplasia más frecuente en la mujer tanto en España como a nivel mundial, considerándose un gran problema para la salud pública. El cribado se realiza mediante la mamografía. Actualmente el enfoque terapéutico incluye tratamiento quirúrgico, existiendo la posibilidad de cirugía conservadora o no conservadora o mastectomía. Esta segunda opción fue introducida por Halsted y Meyer como intervención pautada, con bases científicas, en el año 1890. Hoy día sigue realizándose, desencadenando un gran impacto en todos los ámbitos de la vida de la mujer. Objetivo. Establecer los cuidados de salud apropiados para mujeres con cáncer de mama sometidas o en previsión de ser sometidas a una mastectomía, por parte de los profesionales de enfermería. Metodología. Esta revisión bibliográfica siguió el protocolo PRISMA. Los artículos seleccionados fueron únicamente ensayos clínicos aleatorizados (ECA). La búsqueda bibliográfica se realizó en las bases de datos Medline, Cinahl y Scopus mediante los términos MeSH “mastectomíy”, “nursing care” y “clincal trial” y el operador boleano “AND”. Se encontraron 20 artículos que cumplían los criterios de inclusión, y fueron transferidos al software Mendeley Desktop. Resultados. Tras una serie de cribados, fueron 9 los artículos incluidos en la revisión bibliográfica. Se midió su calidad metodológica mediante la escala PEDro. Conclusiones. A pesar de la gran incidencia del cáncer de mama, así como de la mastectomía, existen pocos ensayos clínicos aleatorizados publicados. Por tanto, sería interesante profundizar más respecto a este tema en futuras líneas de investigación.

          Translated abstract

          Abstract Introduction. Breast cancer is the most frequent neoplasm in women both in Spain and worldwide, being considered a big problem for public health. Screening is done by a mammogram. Currently, therapy includes surgical treatment which could be breast-conserving surgery or mastectomy. The second option was introduced like a formal procedure by Hasteld and Meyer in 1890. It is still done nowadays, meaning a great impact for women in all fields of their lives. Purpose. Establish the appropriate health care for women with breast cancer who have been undergoing or will be undergoing a mastectomy, by nurses. Material and methods. This systematic review followed the protocol PRISMA. The selected articles were just randomized clinical trials (RCTs). The searching was made in Medline, Cinahl and Scopus databases by the Mesh terms “mastectomy”, “nursing care” and “clinical trial” and the boolean operator “AND”. Twenty articles that included inclusion criteria were found and transferred to Mendeley Desktop software. Outcomes. After articles were narrowed down, nine of them were included in the systematic review. Their methodological quality was measured by the PEDro scale. Conclusion. Despite the high incidence of breast cancer and mastectomy, there are a few published RCTs about that. Therefore, it would be interesting to go deeper into this topic in future lines of research.

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          Most cited references20

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          Reliability of the PEDro scale for rating quality of randomized controlled trials.

          Assessment of the quality of randomized controlled trials (RCTs) is common practice in systematic reviews. However, the reliability of data obtained with most quality assessment scales has not been established. This report describes 2 studies designed to investigate the reliability of data obtained with the Physiotherapy Evidence Database (PEDro) scale developed to rate the quality of RCTs evaluating physical therapist interventions. In the first study, 11 raters independently rated 25 RCTs randomly selected from the PEDro database. In the second study, 2 raters rated 120 RCTs randomly selected from the PEDro database, and disagreements were resolved by a third rater; this generated a set of individual rater and consensus ratings. The process was repeated by independent raters to create a second set of individual and consensus ratings. Reliability of ratings of PEDro scale items was calculated using multirater kappas, and reliability of the total (summed) score was calculated using intraclass correlation coefficients (ICC [1,1]). The kappa value for each of the 11 items ranged from.36 to.80 for individual assessors and from.50 to.79 for consensus ratings generated by groups of 2 or 3 raters. The ICC for the total score was.56 (95% confidence interval=.47-.65) for ratings by individuals, and the ICC for consensus ratings was.68 (95% confidence interval=.57-.76). The reliability of ratings of PEDro scale items varied from "fair" to "substantial," and the reliability of the total PEDro score was "fair" to "good."
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            A clinical randomized controlled trial of music therapy and progressive muscle relaxation training in female breast cancer patients after radical mastectomy: results on depression, anxiety and length of hospital stay.

            To examine effects of music therapy and progressive muscle relaxation training on depression, anxiety and length of hospital stay in Chinese female breast cancer patients after radical mastectomy.
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              A Randomized Trial of Mometasone Furoate 0.1% to Reduce High-Grade Acute Radiation Dermatitis in Breast Cancer Patients Receiving Postmastectomy Radiation

              A 2-arm, double-blinded randomized trial was conducted to evaluate the efficacy of 0.1% mometasone furoate (MF) versus Eucerin Original (E) cream in preventing the development of moderate to severe acute radiation dermatitis (ARD) in breast cancer patients receiving postmastectomy radiation (PMRT).
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                Author and article information

                Journal
                jonnpr
                Journal of Negative and No Positive Results
                JONNPR
                Research and Science S.L. (Madrid, Madrid, Spain )
                2529-850X
                2021
                : 6
                : 12
                : 1461-1475
                Affiliations
                [1] Granada Andalucía orgnameUniversidad de Granada orgdiv1Facultad de Ciencias de la Salud orgdiv2Departamento de Enfermería Spain
                [3] Granada orgnameHospital Clínico Universitario San Cecilio España
                [2] Andalucía orgnameUniversidad de Granada orgdiv1Grupo de Investigación CTS-1068 Spain
                Article
                S2529-850X2021001200004 S2529-850X(21)00601200004
                10.19230/jonnpr.4009
                d2d24da5-dfad-4151-ab40-78323a12becb

                This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

                History
                : 28 September 2020
                : 03 January 2021
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 20, Pages: 15
                Product

                SciELO Spain

                Categories
                Revisión

                Oncology nursing,Surgical Procedure,Mastectomía,Atención de enfermería,Neoplasias de la mama,Revisión sistemática,Enfermería oncológica,Procedimiento quirúrgico,Mastectomy,Nursing care,Breast neoplasms,Systematic Review

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