Role of Reassurance and Proper Mechanical Support Advice on Quality of Life and Pain Relief in Patients of the Mastalgia-A Prospective Follow-up Study at A Tertiary Care Center in a Developing Country

Objective:To study the effect of reassurance and proper mechanical support on quality of life (QOL) and visual analogue score (VAS) pain assessment in patients with mastalgia at a range of follow-ups.Materials and Methods:A prospective follow-up study was conducted among women aged 15–45 years, comp...

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Main Authors: Harendra Pankaj, Priyanka Rai, Amarjot Singh, Sunil Singh, Rohit Srivastava, . Rudramani
Format: Article
Language:English
Published: Galenos Publishing House 2023-07-01
Series:European Journal of Breast Health
Subjects:
Online Access: http://www.eurjbreasthealth.com/archives/archive-detail/article-preview/role-of-reassurance-and-proper-mechanical-support-/60746
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author Harendra Pankaj
Priyanka Rai
Amarjot Singh
Sunil Singh
Rohit Srivastava
. Rudramani
author_facet Harendra Pankaj
Priyanka Rai
Amarjot Singh
Sunil Singh
Rohit Srivastava
. Rudramani
author_sort Harendra Pankaj
collection DOAJ
description Objective:To study the effect of reassurance and proper mechanical support on quality of life (QOL) and visual analogue score (VAS) pain assessment in patients with mastalgia at a range of follow-ups.Materials and Methods:A prospective follow-up study was conducted among women aged 15–45 years, complaining of breast pain without any abnormality detected clinically and radiologically. After consent to participate and enrollment, all the study participants were counseled and reassured about the non-neoplastic nature of the disease and about wearing proper mechanical support/Bra; this was repeated at each follow-up. VAS was used to assess the pain intensity perceived by the woman at each follow-up, post intervention. The Short Form-36 (SF–36) scale was used to evaluate health related QOL (HRQOL).Results:Among 80 patients, 31.2% were wearing a Bra of fabric other than cotton, 21.2% were wearing a loose fit mechanical support/Brassiere, while 10% were not wearing any mechanical support at baseline. The overall mean VAS score was significantly reduced with each follow-up, indicating decreased perception of breast pain over time. There was a significant difference between the mean SF-36 score between base line and after three months (p<0.0001). Mean scores in all domains of the SF-36 increased. The greatest reduction in mean VAS score was seen in 26–35 years age group and women with a body mass index <18.5 kg/m2.Conclusion:Reassurance and wearing proper mechanical support/Bra are effective for improving QOL and alleviating breast pain/mastalgia. These simple processes should be used for the management of mastalgia.
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spelling doaj.art-5dd8087292b848e0af1cb31c7f1faaee2023-07-05T08:46:35ZengGalenos Publishing HouseEuropean Journal of Breast Health2587-08312023-07-0119321021410.4274/ejbh.galenos.2023.2023-3-913049054Role of Reassurance and Proper Mechanical Support Advice on Quality of Life and Pain Relief in Patients of the Mastalgia-A Prospective Follow-up Study at A Tertiary Care Center in a Developing CountryHarendra Pankaj0Priyanka Rai1Amarjot Singh2Sunil Singh3Rohit Srivastava4. Rudramani5 Department of General Surgery, Dr. Ram Manohar Lohia Institute of Medical Sciences, Uttar Pradesh, India Department of General Surgery, Dr. Ram Manohar Lohia Institute of Medical Sciences, Uttar Pradesh, India Department of General Surgery, Dr. Ram Manohar Lohia Institute of Medical Sciences, Uttar Pradesh, India Department of General Surgery, Dr. Ram Manohar Lohia Institute of Medical Sciences, Uttar Pradesh, India Department of General Surgery, Dr. Ram Manohar Lohia Institute of Medical Sciences, Uttar Pradesh, India Department of General Surgery, Dr. Ram Manohar Lohia Institute of Medical Sciences, Uttar Pradesh, India Objective:To study the effect of reassurance and proper mechanical support on quality of life (QOL) and visual analogue score (VAS) pain assessment in patients with mastalgia at a range of follow-ups.Materials and Methods:A prospective follow-up study was conducted among women aged 15–45 years, complaining of breast pain without any abnormality detected clinically and radiologically. After consent to participate and enrollment, all the study participants were counseled and reassured about the non-neoplastic nature of the disease and about wearing proper mechanical support/Bra; this was repeated at each follow-up. VAS was used to assess the pain intensity perceived by the woman at each follow-up, post intervention. The Short Form-36 (SF–36) scale was used to evaluate health related QOL (HRQOL).Results:Among 80 patients, 31.2% were wearing a Bra of fabric other than cotton, 21.2% were wearing a loose fit mechanical support/Brassiere, while 10% were not wearing any mechanical support at baseline. The overall mean VAS score was significantly reduced with each follow-up, indicating decreased perception of breast pain over time. There was a significant difference between the mean SF-36 score between base line and after three months (p<0.0001). Mean scores in all domains of the SF-36 increased. The greatest reduction in mean VAS score was seen in 26–35 years age group and women with a body mass index <18.5 kg/m2.Conclusion:Reassurance and wearing proper mechanical support/Bra are effective for improving QOL and alleviating breast pain/mastalgia. These simple processes should be used for the management of mastalgia. http://www.eurjbreasthealth.com/archives/archive-detail/article-preview/role-of-reassurance-and-proper-mechanical-support-/60746 mastalgiabreast painquality of lifereassurancemechanical supportbody mass index
spellingShingle Harendra Pankaj
Priyanka Rai
Amarjot Singh
Sunil Singh
Rohit Srivastava
. Rudramani
Role of Reassurance and Proper Mechanical Support Advice on Quality of Life and Pain Relief in Patients of the Mastalgia-A Prospective Follow-up Study at A Tertiary Care Center in a Developing Country
European Journal of Breast Health
mastalgia
breast pain
quality of life
reassurance
mechanical support
body mass index
title Role of Reassurance and Proper Mechanical Support Advice on Quality of Life and Pain Relief in Patients of the Mastalgia-A Prospective Follow-up Study at A Tertiary Care Center in a Developing Country
title_full Role of Reassurance and Proper Mechanical Support Advice on Quality of Life and Pain Relief in Patients of the Mastalgia-A Prospective Follow-up Study at A Tertiary Care Center in a Developing Country
title_fullStr Role of Reassurance and Proper Mechanical Support Advice on Quality of Life and Pain Relief in Patients of the Mastalgia-A Prospective Follow-up Study at A Tertiary Care Center in a Developing Country
title_full_unstemmed Role of Reassurance and Proper Mechanical Support Advice on Quality of Life and Pain Relief in Patients of the Mastalgia-A Prospective Follow-up Study at A Tertiary Care Center in a Developing Country
title_short Role of Reassurance and Proper Mechanical Support Advice on Quality of Life and Pain Relief in Patients of the Mastalgia-A Prospective Follow-up Study at A Tertiary Care Center in a Developing Country
title_sort role of reassurance and proper mechanical support advice on quality of life and pain relief in patients of the mastalgia a prospective follow up study at a tertiary care center in a developing country
topic mastalgia
breast pain
quality of life
reassurance
mechanical support
body mass index
url http://www.eurjbreasthealth.com/archives/archive-detail/article-preview/role-of-reassurance-and-proper-mechanical-support-/60746
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