Assessing Levels of Lymphedema Awareness Among Women With Breast Cancer in King Abdulaziz University Hospital, Jeddah

TL;DR

This study assesses how well women with breast cancer in Jeddah understand lymphedema, finding that while some knowledge exists, significant gaps remain.

Contribution

The study provides insights into lymphedema awareness in a Saudi Arabian context, highlighting cultural and demographic influences.

Findings

38.2% of participants were diagnosed with lymphedema.

Only 9.2% of participants had good awareness of lymphedema risk factors and management.

Abstract

Introduction

Breast cancer poses a global health challenge, requiring a comprehensive approach beyond diagnosis and treatment. Postoperative complications, especially upper limb lymphedema, present intricate challenges for survivors, impacting physical, emotional, and daily life aspects. Our research in Jeddah, Saudi Arabia, delves into cultural and healthcare dynamics, exploring demographic influences on lymphedema.

Materials and methods

A descriptive quantitative study with a cross-sectional design was conducted among female patients with breast cancer in Saudi Arabia. It included patients who underwent unilateral breast surgery with lymph node excision. Data was analyzed using the SPSS program (IBM Corp., Armonk, NY).

Results

Our study included 76 participants. Lymphedema was diagnosed in 38.2% of participants. More than half (52.8%) of participants had some knowledge of lymphedema. For instance, 52.6% recognized the impact of hygiene, and 81.6% understood the heightened risk of arm damage. Awareness percentages were also notable for factors like tight shirt pressure (71.1%), straining the arms (86.8%), and the association of being overweight with lymphedema (55.3%). Almost half of the participants recognized the physical therapy and rehabilitation department to be responsible for lymphedema treatment. The mean awareness score was 5.34 ± 1.56. Only 9.2% achieved a good awareness level, while 59.2% had fair awareness, and 31.6% had poor awareness.

Conclusion

The prevalence of lymphedema, coupled with proactive healthcare-seeking behavior, underscores the need for targeted educational interventions. While the majority recognized the importance of treatment, awareness gaps persisted, especially regarding risk-reduction activities.

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