الفهرس 
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Abstract
Breast cancer is the most common form of cancer in females worldwide and
the most prevalent cancer among Egyptian women. Breast cancer and its
treatment result in psychological and physical problems; pain, fatigue and
dysfunction. It is the responsibility of the nurse to identify the breast cancer
patient’s needs, make appropriate nursing diagnosis and initiate plans for care.
This study was conducted to assess the effect of educational program regarding
therapeutic exercises for women undergoing mastectomy. This study was
hypothesized that there would be an improvement of patients’ information, pain,
fatigue and shoulder function by using the therapeutic exercises. Quasi
experimental design was utilized in this study. It was conducted at Oncology
Center Mansoura University. A purposive sample included (80) patients with
preliminary diagnosis of breast cancer, were admitted to female surgical units,
scheduled for Modified radical mastectomy and were divided random equally
into study and control groups; (40) patients in each group. The tools used were;
first tool (interview questionnaire sheet), second tool (Numerical Rating scale,
Fatigue Severity scale and Shoulder Pain and Disability Index), third tool
(performance observational checklists), and the fourth tool (follow up sheet).
The results of the present study revealed that there was a highly significant
difference in patients’ level of information, pain intensity, fatigue severity, and
shoulder dysfunction of the study group as compared to the control group. This
means that the educational program had positive effect on reducing patients’
pain, fatigue and shoulder dysfunction significantly, post program and after one
month of implementation of the educational program. The findings of the
present study concluded that, deep breathing, progressive muscle relaxation
techniques, arm and shoulder exercises, and patient’s education are useful
adjuvant techniques to complement medical treatment .So incorporation of such
interventions in the care plan can enhance the care for surgical breast cancer
patients and greatly improve their quality of life.
Key word: therapeutic exercises – pain –fatigue -arm and shoulder exercises-
Mastectomy, Progressive muscle relaxation technique.