1. A needs survey for people with breast cancer surgery after leaving hospital Takehiko Ito1, Mizue Shiromaru2, Migiwa Nakada2, Akinori Sato3 and Masaya Kawada4 1Department of Psychology and Education, Wako University, Tokyo, Japan 2Department of Nursing, Sapporo Medical University, Sapporo, Japan 3Department of Physical Therapy, Hokkaido Bunkyo University, Eniwa, Japan 4Department of General Thoracic Surgery and Breast Surgery, Tonan Hospital, Sapporo, Japan TNMC & WANS International Nursing Research Conference October 2017 Miracle Grand Convention Hotel, Bangkok

2. Introduction:
Effective assistance and care are necessary for people with breast cancer surgery after discharge from hospital.

3. Objectives:
The present study aims to reveal actual condition and needs of people after breast cancer operation in order to construct a model for discharge support.

4. Methods:
We conducted a mail survey to 130 associations of breast cancer patients from August 2016 to March 2017 after the approval of the ethics committee.

5. Results: Overall
A total of 83 patients responded to the survey. The average age was 59 (SD =12, Max = 88, Min = 34).
Seventy-one (86%) answered that they had received information of things to keep in mind from ward nurse staff after discharge when they were still in the hospital, while among the rest eight (10%) responded “no explanation” and four (5%) said “don’t remember.”
The timing of the information assistance they received was; 8 (10%) from hospital admission to after-surgery, 35 (42%) until three days after the surgery, and 25 (30%) after announcement of the day of discharge.

6. The timing of the information assistance they received
from hospital
admission
to after-surgery
until three days
after the surgery
after announcement
of the day
of discharge

7. Information of cause of lymphedema

8. Information of method to observe symptom

9. Information of aim and method of skin care

10. Results: Open question
Answers to an open question include:
needs for information such as “information on patients association and underclothes” or “explanation of scars,”
uneasiness such as “not feeling at ease,” and
manner of assistance such as “explaining in a wooden manner like reading a document.”
Other answers concerned
too much variation of the assistance contents among hospitals and regions and
demanded to ask how to cope with life and cancer after discharge.

11. Conclusion:
Although every discharging patient needs assistance care for leaving hospital,
we found that some didn’t receive such service.
After the surgery, all the patients must learn and practice self-care of lymphedema and infection prevention.
We need further research to understand proper timing and manners to give information.

12. Contact: take@wako.ac.jp
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平成23年度～26年度　科学研究費補助金　基盤（Ｃ）　　乳がん患者の語りにみる苦痛の経時的変化と対処方法に関する研究（代表者　城丸瑞恵）