PURPOSE
This systematic review and meta-analysis was performed to confirm the effects of exercise on Breast Cancer-Related Lymphedema (BCRL) in breast cancer survivors.
METHODS
Totally, 1,614 articles were retrieved from databases including PubMed, Ovid MEDLINE, Embase, Cochrane CENTRAL, CINAHL, Korea Med, Kmbase, KISS, NDSL, KiSTi, and academic journals related to nursing in Korea between June 17 and 18, 2019. Fifteen Randomized Controlled Trials (RCTs) were selected for the analysis from June 19 to July 12, 2019. Cochrane's Risk of Bias assessed the quality and risk of bias of selected articles. Review Manager version 5.3 was used for the meta-analysis.
RESULTS
Studies were published since 2006 including a total of 1,109 participants who were diagnosed with or at risk of BCRL or had undergone surgery for breast cancer treatment. Although exercises were found ineffective for reducing upper extremity edema (Z=0.37, 95% Confidence Interval [CI]=−0.06~0.04, p=.710), they significantly improved shoulder Range of Motion (ROM), especially flexion (Z=5.88, 95% CI=3.06~6.12, p<.001) and abduction (Z=3.41, 95% CI=2.71~10.06, p<.001), upper extremity function (Z=4.02, 95% CI=−12.09~−4.17, p<.001), and Quality of Life (QoL) (Z=3.00, 95% CI=0.13~0.61, p=.003). Egger's regression test assessed publication bias (Intercept=3.75, t=1.79, df=8, p=.111).
CONCLUSION
Results suggest that exercise is beneficial to BCRL management, especially improvement of shoulder ROM, upper extremity function, and QoL. However, exercise must be performed carefully to prevent side effects. Therefore, nurses should continuously observe signs and symptoms related to BCRL and educate breast cancer survivors on safely performing exercise.

Citations

• A Narrative Inquiry of the Difficulties by Breast Cancer Survivors in the Sports Participating
  Ji Yeon Suh, Seami Lim, Junho Lee
  IJASS(International Journal of Applied Sports Sciences).2022; : 203.     CrossRef
• Funcionalidad y marcha en pacientes con linfedema de miembro inferior tratados mediante un programa de ejercicio terapéutico: serie de casos
  P. Toro, P. Araya-Castro, E. Srur
  Fisioterapia.2021; 43(3): 143.     CrossRef

PURPOSE
The purpose of this study was to explore Inattentional Blindness (IB) as experienced by hospital nurses.
METHODS
Data were collected from August 3 to October 30, 2017 through focus group interviews with 24 nurses working in a university hospital in Seoul, Korea. Four focus group interviews were conducted and all interviews were recorded. Data were analyzed through qualitative content analysis.
RESULTS
Three categories and seven subcategories were identified from 96 units of analysis, as follows: 1) occurrence of IB (preoccupation with specific factors, pressure from external factors, unexpected event); 2) triggers of IB (distraction, low expectation of error); and 3) influences due to exposure to IB (continuous self-surveillance, perceived need for thinking expansion).
CONCLUSION
The findings of this study show that nurses experienced IB directly and indirectly while performing their duties. IB occurred especially in common nursing situations, such as health assessment and medication administration. The results also suggest that it is necessary to develop strategies to prevent IB in the clinical setting, which can be useful not only to ensure patient safety but also to help patients regain their health.

Citations

• Effects of patient deterioration simulation using inattentional blindness for final year nursing students: A randomized controlled trial
  Jaewon Park, Kyoung-Ja Kim
  Nurse Education Today.2021; 106: 105080.     CrossRef