Distress, pain, and nausea on postoperative days 1 and 14 in women recovering from breast-conserving surgery: A repeated-measures study Journal Article


Authors: Majumdar, J. R.; Goodman, P.; Barton-Burke, M.; Gilliland, J.; Jairath, N.
Article Title: Distress, pain, and nausea on postoperative days 1 and 14 in women recovering from breast-conserving surgery: A repeated-measures study
Abstract: OBJECTIVES: To determine the incidence and trajectory of distress, pain, and nausea and vomiting at postoperative day (POD) 1 and at POD 14 following breast-conserving surgery. SAMPLE & SETTING: 75 women aged 18 years or older receiving breast-conserving surgery with sentinel lymph node biopsy for treatment of early-stage primary breast cancer at an ambulatory surgery center. METHODS & VARIABLES: This prospective, repeated-measures study assessed distress, pain, and nausea and vomiting using the National Comprehensive Cancer Network Distress Thermometer and Problem List on POD 1 and POD 14. RESULTS: Pain and distress scores were highest on POD 1. The number of women who reported depression increased from POD 1 to POD 14. Thematic analysis revealed that family concerns, fears and worries, and postoperative issues contributed to pain and distress. IMPLICATIONS FOR NURSING: Women experience pain and distress during recovery at home after breast-conserving surgery. Nurses can use these results to apply evidence-based practice to reduce this symptom burden. Future nursing research should focus on targeted interventions outside of the hospital setting. © 2024, Oncology Nursing Society. All rights reserved.
Keywords: pain; breast cancer; nausea; distress; breast-conserving surgery; recovery at home
Journal Title: Oncology Nursing Forum
Volume: 51
Issue: 4
ISSN: 0190-535X
Publisher: Oncology Nursing Society (ONS)  
Date Published: 2024-07-01
Start Page: 381
End Page: 390
Language: English
DOI: 10.1188/24.Onf.381-390
PROVIDER: scopus
PUBMED: 38950094
PMCID: PMC11875513
DOI/URL:
Notes: The MSK Cancer Center Support Grant (P30 CA008748) is acknowledge in the PDF -- Corresponding authors is MSK author: Jennifer Ross Majumdar -- Source: Scopus
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