الفهرس 
IntroductionOnly 14 pages are availabe for public view
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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 ( 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.