{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,24]],"date-time":"2026-05-24T07:05:37Z","timestamp":1779606337918,"version":"3.53.1"},"reference-count":73,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Palliat\ufffdCare"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Women who have undergone mastectomy often report fatigue, shoulder dysfunction, and a diminished quality of life. Structured educational and supportive care programs have the potential to facilitate improved functional recovery and overall well-being post-surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>This research aimed to evaluate the effect of the educational supportive care program on fatigue, shoulder functional ability, and quality of life among women after mastectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design and methods:<\/jats:title>\n                    <jats:p>\n                      A quasi-experimental research design was conducted at Tanta Cancer Center, Gharbia Governorate, Egypt (affiliated with the Ministry of Health and Population). A purposive sample of 84 women undergoing mastectomy was included in the study (intervention group included 42 women, and control group included 42 women). Four tools were utilized (A demographic and cancer-related data sheet, cancer-related fatigue assessment (EORTC QLQ-FA12), shoulder pain and disability index (SPADI), and Functional Assessment of Cancer Therapy\u2014general (FACT-G)). Means, standard deviations, frequencies, percentages, independent\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      test, and Chi-square test were used for statistical analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The results of the present study showed that, during the first week post-mastectomy, no statistically significant difference was observed between the two groups toward fatigue level, shoulder pain and disability, and all quality-of-life domains. On the other hand, a highly statistically significant improvement was observed among the study group at 6\u2009weeks and 3\u2009months post the intervention, in which the study group showed significantly lower levels of fatigue, reduction in shoulder pain and shoulder-related disability, and quality-of-life scores increased in all domains. Additionally, there was a significant negative correlation between total quality-of-life scores and total fatigue, shoulder pain, and shoulder disability in both the study and control groups at all measurement times.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The findings indicate that the educational supportive care program was associated with improvements in fatigue, shoulder functional ability, and quality of life among women after mastectomy. However, the quasi-experimental study may limit causal interference and the generalizability of the findings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Recommendation:<\/jats:title>\n                    <jats:p>In order to enhance women\u2019s functional status and their quality-of-life post-mastectomy, educational supportive care should be integrated into routine care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26323524261449266","type":"journal-article","created":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T09:03:41Z","timestamp":1779354221000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluating an educational supportive care program on functional status and quality of life among women with breast cancer post-mastectomy in Egypt"],"prefix":"10.1177","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-1044-8004","authenticated-orcid":false,"given":"Ftama Kamal","family":"Ali","sequence":"first","affiliation":[{"name":"Obstetrics and Gynecological Nursing, Faculty of Nursing, Benha University, Banha, Egypt"},{"name":"Faculty of Nursing, Philadelphia University, Amman, Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Imad","family":"Aljarrah","sequence":"additional","affiliation":[{"name":"Faculty of Nursing, Philadelphia University, Amman, Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5963-824X","authenticated-orcid":false,"given":"Rabia Hani","family":"Haddad","sequence":"additional","affiliation":[{"name":"Faculty of Nursing, Philadelphia University, Amman, Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9492-9771","authenticated-orcid":false,"given":"Soheir Mahmoud","family":"Abd El-Hamid","sequence":"additional","affiliation":[{"name":"Maternal and Neonatal Health Nursing, Faculty of Nursing, Tanta University, Egypt"},{"name":"Nursing Department, Batterjee Medical College, Khamis Mushayt, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashraf Jehad","family":"Abuejheisheh","sequence":"additional","affiliation":[{"name":"Nursing Department, Faculty of Health Professions, Al-Quds University, Jerusalem, Palestine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,21]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21660"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.20892\/j.issn.2095-3941.2020.0523"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-020-02760-4"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(20)30675-6"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-023-10664-1"},{"key":"e_1_3_2_7_2","unstructured":"Goethals A Rose J. 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