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Randomized controlled trials aimed at assessing the effectiveness of foam covering with thin inner layer of silicone to prevent radiodermatitis grades II and III, as ranked by RTOG (Radiation Therapy Oncology Group), in the breast during radiation treatment for cancer breast, as a blocking and moisture transfer.
Radiotherapy can be used as an adjunct in the treatment of patients with breast cancer undergoing conservative surgery in early stages. Although effective, provides acute toxic reactions (radiodermatites), which can compromise the therapeutic effectiveness. Radiodermatitis starts from the second week of treatment, due to the destruction of the basal cell layer of the epidermis, exposing the dermis, leading to the interruption of treatment and with the possible consequence of the proliferation of malignant cells and loss of local control of disease.
The study was performed through a randomized clinical trial with 88 women who had their personal data collected and their skin evaluated weekly by nurses during treatment. They were divided two groups of patients, one arm using the conventional method of prevention (not access the area to sunlight, use mild soap for cleansing, protection against mechanical friction through cotton cloth, using bra and compresses of chamomile) arm and taking the same care protocol, and the cotton fabric replaced by the coverage-based foam and silicone.
The analysis of the data concluded that the cover offered by the study, through its protective coat of friction and transfer sweat to the secondary coverage was maintained in intact skin, acting effectively in reducing the incidence of skin lesions caused by ionizing radiation. Indicating an advance in scientific knowledge in relation to nursing care in the prevention and minimization of radiation-induced radiodermatites.
Radiotherapy can be used as an adjunct in the treatment of patients with breast cancer undergoing conservative surgery in early stages. Although effective, provides acute toxic reactions (radiodermatites), which can compromise the therapeutic effectiveness. Radiodermatitis starts from the second week of treatment, due to the destruction of the basal cell layer of the epidermis, exposing the dermis, leading to the interruption of treatment and with the possible consequence of the proliferation of malignant cells and loss of local control of disease.
The study was performed through a randomized clinical trial with 88 women who had their personal data collected and their skin evaluated weekly by nurses during treatment. They were divided two groups of patients, one arm using the conventional method of prevention (not access the area to sunlight, use mild soap for cleansing, protection against mechanical friction through cotton cloth, using bra and compresses of chamomile) arm and taking the same care protocol, and the cotton fabric replaced by the coverage-based foam and silicone.
The analysis of the data concluded that the cover offered by the study, through its protective coat of friction and transfer sweat to the secondary coverage was maintained in intact skin, acting effectively in reducing the incidence of skin lesions caused by ionizing radiation. Indicating an advance in scientific knowledge in relation to nursing care in the prevention and minimization of radiation-induced radiodermatites.