The Jacki Jacket after mastectomy with reconstruction: A randomized pilot study
View File(s)
- Author(s)
- Details
-
Donna L. Berry, PhD, RN, AOCN®1,2; Traci M. Blonquist, MS1; Barbara Halpenny, MA1; Fangxin Hong, PhD1; Samantha C. Morrison-Ma, MSN, ANP-C, WHNP-BC1; Michele C. McCullough, RN3; Katherine Carelli, MSN, RN1; Laura S. Dominici, MD4,5; Tari A. King, MD4,5 1. Dana-Farber Cancer Institute, Boston, Massachusetts, United States 2. Biobehavioral Nursing and Health Informatics, University of Washington, Seattle, Washington, United States 3. Division of Plastic and Reconstructive Surgery, Department of Surgery, Brigham and Women’s Hospital, Boston, Massachusetts, United States 4. Division of Breast Surgery, Department of Surgery, Brigham and Women’s Hospital, Boston, Massachusetts, United States 5. Breast Oncology Program, Dana-Farber/Brigham and Women’s Cancer Center, Boston, Massachusetts, United States
- Sigma Affiliation
- Psi at-Large
- Contributor Affiliation(s)
- University of Washington, Seattle, Washington, USA
Background. Breast cancer patients undergoing mastectomy with reconstruction (TM+R) often experience post-operative discomfort from surgical drains. Despite a variety of garment options for use in the post-operative period, high quality data assessing the impact of specific garments on post-operative pain are lacking. We report results of a prospective randomized trial assessing the impact of the Jacki Jacket (JJ), a long-sleeve jacket with inner drain receptacle pockets, on post-discharge pain and quality of life (QOL) after TM+R.
Methods. Breast cancer patients undergoing TM+R at a single institution were randomized post-operatively to receive a JJ or usual care (UC). Participant-reported demographics, pain intensity and QOL were collected on post-operative day 1(T1). Following discharge, participants completed a daily pain and medication dairy(T2); on day of drain(s) removal(T3), participants again completed pain and QOL questionnaires. Linear models were used to evaluate associations between JJ use, post-operative pain and QOL.
Results. From 3/8/17 to 12/20/17, 139 women were randomized. All participants completed T1 measures, 102 returned the T2 diary and 118 (84.9%) completed T3 questionnaires. There was no significant difference in pain scores between JJ and UC arms at any timepoint. Adjusting for surgery type, age, marital status, depression, and obesity, participants randomized to JJ reported significantly better body image scores (estimate=12.94, p=0.009). There were no adverse events. Conclusions. Although JJ garment use did not impact post-operative pain intensity scores; the significant impact of JJ use on body image supports consideration for inclusion of such garments in postoperative care for patients undergoing TM+R.
| Type | Article |
| Acquisition | Self-submission |
| Review Type | External Review: Previously Published Material |
| Format | Text-based Document |
| Evidence Level | Randomized Controlled Trial |
| Research Approach | Pilot/Exploratory Study |
| Keywords | Breast Cancer; Mastectomy; Reconstruction; Pain; Body Image |
| Publisher | Springer |
| Date | 2019-10-14 |
| Version | Pre-print |
| Citation | Berry, D.L., Blonquist, T.M., Halpenny, B. et al. The Jacki Jacket after mastectomy with reconstruction: a randomized pilot study. Breast Cancer Res Treat (2019) doi:10.1007/s10549-019-05465-9 |
| ISSN | 1573-7217 |
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Related items
Showing items related by title, author, creator and subject.
-
Impact of Marital Coping on Body Image and Sexual Relationship Among Breast Cancer Survivors
(2014-11-17)Session presented on Saturday, July 26, 2014: Purpose: Changes in body image and sexual relationships can be problematic for women after breast cancer treatments. Breast cancer is a challenge that may change women's usual ... -
Excellence in Clinical Practice [Complete issue : Fourth Quarter 2001, Vol. 2, 4]
(Sigma Theta Tau International, 2001)Publishing History: Nursing Excellence published yearly in 1998 and 1999. The publication became Excellence in the first quarter 2000. It transitioned to Excellence in Nursing Education, Excellence in Nursing Administration, ... -
Body image distress and post mastectomy women
Introduction. Body image and breast cancer are closely associated in women who undergo unilateral or bilateral mastectomies. The literature has shown that even if women undergo reconstruction, they still experience adverse ... -
The experience of viewing self in the mirror after a mastectomy
The purpose of this study was to talk with women who have had a mastectomy in order to discern the experience of viewing self in a mirror post-operatively. More specifically, the study sought to describe the experience ... -
The Relationship Between Spouses' Strength of Identification and Their Patterns of Change in Perceived Body Space and Articulation of Body Concept During and After Pregnancy
The family is a living open system characterized by pattern and organization. While the rate of change in pattern and organization varies throughout the life cycle of the family, few periods involve the rapid and extensive ...
