Title: Prevalence post mastectomy human responses: Approach from the needs of continuity of care and adaptation
Objective: To estimate the prevalence of human responses as care needs in the postoperative period of Mastectomy in survivors of women with breast cancer.
Method: Retrospective descriptive study of 164 cases of women diagnosed with breast cancer in post-surgical treatment of mastectomy; To obtain the data, an organized nursing assessment was performed based on Roy's Adaptation Model, using a semi-structured interview and physical examination to identify human responses; The classification of nursing diagnoses of the North American Nursing Diagnosis Association 2021-2023 and was considered; For the analysis of the descriptive variables, SSPS version 20 was used.
Results: Woman with an average age of 54 years, 60% married, 50% housewives, 67% with radical mastectomy with lymph node dissection. 23 human responses present in the 4 adaptive modes were identified, the most prevalent, risk of ineffective self-management of lymphedema, deficient knowledge, impaired mobility and death anxiety.
Conclusions: The care of the post-operative mastectomized woman implies understanding the changes experienced and providing the professional assistance necessary for her rehabilitation based on the human responses recorded during this process, representing the first step to establish a care plan that sets the guidelines of performance for the nursing professional in the 4 adaptive modes. A model for the continuity of nursing care aimed at post-mastectomy women is proposed based on the evidence found.