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Abstract The present study used a quasi- experimental research design to Identify the impact of developed an instructioDal scheme for mastectomized patients on the prevention of arm Lymphedema .Conducted on 54 mastectomized women at oncology unit in Port said city , Data were collected using 3 tools Tool I: lymphedema assessment interview scbedul~ Tool 2: observational exercises checklist and Tool 3: an instructional scheme which implemented three times , pre and after 3 and 6 months of developing aninstructional scheme in twelve session each teaching session was taken about I hour daily once time weekly in groups of 7-9 patients through using structured interview schedule . to assess patient’s knowledge , total comprehensive care , physical signs & symptoms of Lymphedema and observational checklist for exercises . The JeSUits revealed highly significant improvement of patient’s knowledge related to radiodlerapy , chemotherapy , lymphedema , and compliance of comprehensive total care toward skin &nails ,arm &. care , household activity , Adions. bprof>t~’ftced and practicing preventable arm exercises in both 3 6 D10Dtbs post instructional scheme phases comparing with preiDstructional scheme phase .The study emphasizes the use of an educational programs for instmcted mastectomized Jients about arm Lymphedema prevention and recommended eciucational pmpams about preventive measures guidelines including cancer trc:atmcDt side effects., am exercises and early detection for post mastectomy ann lymphedema . Also , it should be simply presented by nunrcs aQd available to all mastectomized patients . |