Physiotherapeutic Follow-up after Surgery for Breast Cancer Treatment by Telehealth: Patients' Perception and Adherence
DOI:
https://doi.org/10.32635/2176-9745.RBC.2023v69n4.4091Keywords:
remote consultation, pandemics/COVID-19, breast neoplasms, physical therapy modalitiesAbstract
The physiotherapy service at the Cancer Hospital III of the National Cancer Institute (HCIII/INCA) has included telehealth in its care activities for monitoring patients undergoing surgical treatment for breast cancer during the pandemic. Objective: To evaluate the perception of patients about telehealth at HCIII/INCA, in addition to understanding and adherence to home physiotherapeutic guidelines in the postoperative breast cancer period. Method: Observational, qualitative and quantitative approach study, which included patients who received surgical treatment for breast cancer from March to May 2020 and attended physiotherapy telehealth. A semi-structured questionnaire with an open question about telehealth was utilized. Results: 129 women were included, 81.4% reported comfort with telehealth, 72.1% felt very safe and 71.3% felt satisfied with this type of service. Regarding physiotherapeutic guidelines provided, 89.1% of the patients claimed they understood the content, 66.7% followed them completely and 63.6% performed daily upper limb exercises. In relation to the quality, the patients reported that telehealth was necessary, valid and important to avoid exposure to the virus during the pandemic, in addition to being cost-effective, time-saving and avoiding trips to the institution. Conclusion: The modality of telehealth as evaluated by physiotherapy after breast cancer surgery generated a feeling of security, comfort and satisfaction, with good understanding and adherence to the guidelines and practice of home exercises.
Downloads
References
Schrag D, Hershman DL, Basch E. Oncology practice during the covid-19 pandemic. JAMA. 2020;323(20):2005-6. doi: https://www.doi.org/10.1001/jama.2020.6236
Santos MO, Lima FCS, Martins LFL, et al. Estimativa de incidência de câncer no Brasil, 2023-2025. Rev Bras Cancerol. 2023 [acesso 2023 maio 6]; 69(1):e-213700. doi: https://doi.org/10.32635/2176-9745.RBC.2023v69n1.3700
Fabro EAN, Bergmann A, Silva BA, et al. post-mastectomy pain syndrome: incidence and risks. Breast. 2012;21(3):321-5. doi: https://www.doi.org/10.1016/j.breast.2012.01.019
Macedo FO, Bergmann A, Koifman RJ, et al. Axillary surgery in breast cancer: acute postoperative complications in a hospital cohort of women of Rio de Janeiro, Brazil. Mastology. 2018;28(2):80-6. doi: https://doi.org/10.29289/2594539420180000377
Bergmann A, Ribeiro MJP, Pedrosa E, et al. Fisioterapia em mastologia oncológica: rotinas do Hospital do Câncer III / INCA. Rev Bras Cancerol. 2006 [acesso 2023 maio 23]; 52(1):97-109. doi: https://doi.org/10.32635/2176-9745.RBC.2006v52n1.1906
Stout NL, Binkley JM, Schmitz KH, et al. A prospective surveillance model for rehabilitation for women with breast cancer. Cancer. 2012;118(Sup8):2191-2200. doi: https://doi.org/10.1002/cncr.27476
Fabro EAN, Costa RM, Oliveira JF, et al. Atenção fisioterapêutica no controle do linfedema secundário ao tratamento do câncer de mama: rotina do Hospital do Câncer III/Instituto Nacional de Câncer. Rev Bras Mastologia. 2016;26(1):4-8. doi: https://doi.org/10.5327/Z201600010002RBM
Conselho Federal de Fisioterapia e Terapia Ocupacional. Resolução nº 516 de 20 de março de 2020. Dispõe sobre a suspensão temporária do Artigo 15, inciso II e Artigo 39 da Resolução COFFITO nº 424/2013 e Artigo 15, inciso II e Artigo 39 da Resolução COFFITO nº 425/2013 e estabelece outras providências durante o enfrentamento da crise provocada pela Pandemia do COVID-19 [Internet]. Diário Oficial da União, Brasília, DF. 2020 mar 23 [acesso 2023 maio 23]; Seção1:56. Disponível em: https://www.coffito.gov.br/nsite/?p=15825
SPSS®: Statistical Package for Social Science (SPSS) [Internet]. Versão 20.0. [Nova York]. International Business Machines Corporation. [acesso 2023 mar 9]. Disponível em: https://www.ibm.com/br-pt/spss?utm_content=SRCWW&p1=Search&p4=43700077515785492&p5=p&gclid=CjwKCAjwgZCoBhBnEiwAz35Rwiltb7s14pOSLocnooMOQh9qAL59IHVc9WP4ixhNTVMjenRp3-aEgxoCubsQAvD_BwE&gclsrc=aw.ds
Fontanella BJB, Luchesi BM, Saidel MGB, et al. Amostragem em pesquisas qualitativas: proposta de procedimento para constatar saturação teórica. Cad. Saúde Pública. 2011;27(2):389-94. doi: https://doi.org/10.1590/S0102-311X2011000200020
Cube ACR©: Cube Call Recorder ACR [Internet]. Limassol: Cube Apps Limited: [date unknown]. [Acesso 2023 maio 23]. Diponível em: https://cubeacr.app
Bardin L. Análise de conteúdo. Lisboa: Edições 70; 1977.
Conselho Nacional de Saúde (BR). Resolução n° 466, de 12 de dezembro de 2012. Aprova as diretrizes e normas regulamentadoras de pesquisas envolvendo seres humanos. Diário Oficial da União, Brasília, DF. 2013 jun 13; Seção I:59.
Lawford BJ, Delany C, Bennell KL, et al. "I was really sceptical... But it worked really well": a qualitative study of patient perceptions of telephone-delivered exercise therapy by physiotherapists for people with knee osteoarthritis. Osteoarthr cartil. 2018;26(6):741-50. doi: https://doi.org/10.1016/j.joca.2018.02.909h
Lovo S, Harrison L, O'Connell ME, et al. Experience of patients and practitioners with a team and technology approach to chronic back disorder management. J Multidiscip Healthc. 2019;12:855-69. doi: https://doi.org/10.2147/JMDH.S208888
Bond CS. Telehealth as a tool for independente self-management by people living with long term conditions. Stud Health Technol Inform 2014;206:1-6.
Cottrell MA, Russell TG. Telehealth for musculoskeletal physiotherapy. Musculoskeletal Scienc Pratice. 2020;48:102193. doi: https://doi.org/10.1016/j.msksp.2020.102193
Phuphanich ME, Sinha KR, Truong M, et al. telemedicine for musculoskeletal and orthopedic postoperative reabilitation. Phys Med Rehabil Clin N Am. 2021;32(2):319-53. doi: https://doi.org/10.1016/j.pmr.2020.12.004
Kissi J, Quansah DKK, Nutakor JA, et al. Telehealth during COVID-19 pandemic era: a systematic review. AIMS Med Scienc. 2022;9(1):81-97.
Organização Mundial da Saúde. Telemedicine: opportunities and developments in Member States: report on the second global survey on eHealth. Geneva: WHO; 2010.
Daniel H, Sulmasy LS. Policy recommendations to guide the use of telemedicine in primary care settings: an american college of physicians position paper. Ann Intern Med. 2015;163(10):787-9. doi: https://doi.org/10.7326/M15-0498
Rezende LF, Francisco VE, Franco RL. Telerehabilitation for patients with breast cancer through the COVID‑19 pandemic. Breast cancer res treat. 2021;185:257-9. doi: https://doi.org/10.1007/s10549-020-05926-6
Baroni MP, Jacob MFA, Rios WR, et al. The state of the art in telerehabilitation for musculoskeletal conditions. Arch Physiother. 2023;13(1):1. doi: https://doi.org/10.1186/s40945-022-00155-0h
Kruse CS, Pacheco GJ, Vargas B, et al. Leveraging telehealth for the management of breast cancer: a systematic review. Healthcare (Basel). 2022;10(10):2015. doi: https://doi.org/10.3390/healthcare10102015
Loubani K, Schreuer N, Kizony R. Telerehabilitation for managing daily participation among breast cancer survivors during covid-19: a feasibility study. J Clin Med. 2022;11(4):10221. doi: https://doi.org/10.3390/jcm11041022
Palm KB, Blazar PE, Manna JC, et al. Feasibility, effectiveness and patient satisfaction of telerehabilitation after thumb carpometacarpal arthroplasty and reverse total shoulder arthroplasty: a pilot study. J. telemed. telecare. 2023;29(7):521-9. doi: https://doi.org/10.1177/1357633X21999578
Published
How to Cite
Issue
Section
License
Os direitos morais e intelectuais dos artigos pertencem aos respectivos autores, que concedem à RBC o direito de publicação.
This work is licensed under a Creative Commons Attribution 4.0 International License.