الفهرس 
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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 .