Patients perception of early rehabilitation after surgery following a Mastectomy: experience from the Anesthesiology Unit of the Douala General Hospital

Abstract

Background: Early rehabilitation following mastectomy is critical for preventing complications and improving quality of life. However, patient perception and engagement can be influenced by various factors, particularly in resource-limited settings. This study aimed to assess patients' perceptions of early post-mastectomy rehabilitation at the Douala General Hospital.

Methods: A cross-sectional descriptive study was conducted over twenty-two months, enrolling 50 female patients post-mastectomy via convenience sampling. A structured questionnaire assessed socio-demographics, perceptions, knowledge, barriers, and information sources. Data were analyzed using descriptive and inferential statistics (Chi-square test).

Results: Most participants (88%) held a positive perception of early rehabilitation. However, specific knowledge was limited; while 72% understood its role in improving mobility, only 34% were aware of its importance in preventing lymphedema. Knowledge was significantly associated with education level (p < 0.05). The primary barriers were post-operative pain (68%), fear of suture dehiscence (54%), and insufficient information from healthcare providers (46%). Physicians and nurses were the main information sources, but the education provided was often perceived as inadequate.

Conclusion: A significant gap exists between patients' positive attitudes towards rehabilitation and their detailed knowledge, which hinders implementation. Post-operative pain, fear, and inadequate patient education are major barriers. Structured, multimodal educational programs are urgently needed to empower patients, manage expectations, and improve adherence to rehabilitation protocols in this setting.