액와림프절 곽청술을 받은 유방암 환자의 림프부종 복합관리교육의 효과: 유사실험연구
Effects of Education Program for Combined Management of Lymphedema with regard to Breast Cancer Patients with Axillary Lymph Node Dissection: A Quasi-Experimental Study
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: This study aimed to evaluate the effectiveness of a combined management of lymphedema education (CMLE) program which was designed for the prevention of breast cancer related lymphedema. Methods: We applied a quasi-experimental study, pretest, and posttest design with a non-equivalent control group. Breast cancer survivors with partial or total mastectomy and axillary lymph node dissection were recruited and assigned to either an intervention or control group at S hospital in Seoul. The outcomes were measured using the Breast Cancer Lymphedema Symptom Experience Index, Lymphedema Risk Reduction Behavior Checklist, Patients Activation Measure 13, Functional assessment of cancer therapy-General, and Disabilities of the Arm, Shoulder and Hand. The circumferences of both arms were measured by a nurse. These measurements were conducted and compared at baseline and two weeks after completing the (CMLE) program. Results: There were statistically significant changes in quality of life, physical wellbeing, and lymphedema risk behaviors in both groups after the CMLE program. There were significant differences in the circumference of right forearm, elbow, and upper arm between the two groups. Conclusion: It can be concluded that the CMLE program is viable tool to prevent and manage breast cancer related lymphedema and is effective in improving the quality of life in breast cancer survivors with axillary lymph node dissection.
Abstract
Purpose: This study aimed to evaluate the effectiveness of a combined management of lymphedema education (CMLE) program which was designed for the prevention of breast cancer related lymphedema. Methods: We applied a quasi-experimental study, pretest, and posttest design with a non-equivalent control group. Breast cancer survivors with partial or total mastectomy and axillary lymph node dissection were recruited and assigned to either an intervention or control group at S hospital in Seoul. The outcomes were measured using the Breast Cancer Lymphedema Symptom Experience Index, Lymphedema Risk Reduction Behavior Checklist, Patients Activation Measure 13, Functional assessment of cancer therapy-General, and Disabilities of the Arm, Shoulder and Hand. The circumferences of both arms were measured by a nurse. These measurements were conducted and compared at baseline and two weeks after completing the (CMLE) program. Results: There were statistically significant changes in quality of life, physical wellbeing, and lymphedema risk behaviors in both groups after the CMLE program. There were significant differences in the circumference of right forearm, elbow, and upper arm between the two groups. Conclusion: It can be concluded that the CMLE program is viable tool to prevent and manage breast cancer related lymphedema and is effective in improving the quality of life in breast cancer survivors with axillary lymph node dissection.
참고문헌 (30)
- 강미주, "Cancer Statistics in Korea: Incidence, Mortality, Survival, and Prevalence in 2019", Cancer Research and Treatment, 54(2), pp.330~344 (2022), 대한암학회[DOI]
- Ha S, "Perceived new normal and inner strength on quality of life in breast cancer patients receiving adjuvant endocrine therapy", Asia Pac J Oncol Nurs, 8, pp.377~384 (2021)
- Erickson VS, "Arm edema in breast cancer patients", J Natl Cancer Inst, 93, pp.96~111 (2001)
- Armer JM, "Post-breast cancer lymphedema : incidence increases from 12 to 30 to 60 months", Lymphology, 43, pp.118~127 (2010)
- Korean Society of Lymphedema, "Clinical practice guidelines for cancer-related lymphedema", pp.1~29 (2015), Korean Society of Lymphedema
- Hayes SC, "Upper-body morbidity after breast cancer : incidence and evidence for evaluation, prevention, and management within a prospective surveillance model of care", Cancer, 118, pp.2237~2249 (2012)
- Fu MR, "Breast cancer survivors’ experiences of lymphedema-related symptoms", J Pain Symptom Manage, 38, pp.849~859 (2009)
- Brennan MJ, "Focused review : postmastectomy lymphedema", Arch Phys Med Rehabil, 77, pp.S74~S80 (1996)
- Morgan PA, "Health-related quality of life with lymphoedema : a review of the literature", Int Wound J, 2, pp.47~62 (2005)
- Norman SA, "Risk factors for lymphedema after breast cancer treatment", Cancer Epidemiol Biomarkers Prev, 19, pp.2734~2746 (2010)
- Harris SR, "Steering Committee for Clinical Practice Guidelines for the Care and Treatment of Breast Cancer. Clinical practice guidelines for the care and treatment of breast cancer: 11. Lymphedema", CMAJ, 164, pp.191~199 (2001)
- McLaughlin SA, "Prevalence of lymphedema in women with breast cancer 5 years after sentinel lymph node biopsy or axillary dissection : objective measurements", J Clin Oncol, 26, pp.5213~5219 (2008)
- Martín ML, "Manual lymphatic drainage therapy in patients with breast cancer related lymphoedema", BMC Cancer, 11, pp.94~ (2011)
- 김정진, "자가 운동 교육이 유방암 절제술 환자의 어깨관절 가동범위와 부종 및 통증에 미치는 영향", 한국체육과학회지, 21(4), pp.895~903 (2012), 한국체육과학회
- 김선미, "림프마사지가 유방절제술여성의 림프부종과 스트레스반응에 미치는 효과", 박사, 간호학, pp.2010
- 이병기, "4주간 복합 운동치료가 유방암 림프부종 중년여성의 통증, 견관절 가동범위에 미치는 영향", 대한물리의학회지, 8(2), pp.153~161 (2013), 대한물리의학회
- Ryu EJ, "Basic life care for cancer related lymphedema", Clin Lymphol Lymphedema, 1, pp.27~32 (2016)
- Lee JY, "Cross-cultural adaptation and clinical evaluation of a Korean version of the disabilities of arm, shoulder, and hand outcome questionnaire (K-DASH)", J Shoulder Elbow Surg, 17, pp.570~574 (2008)
- 전진영, "유방암 여성의 림프부종관리프로그램의 효과", 박사, 간호학, pp.2004
- Petrek JA, "Lymphedema in a cohort of breast carcinoma survivors 20 years after diagnosis", Cancer, 92, pp.1368~1377 (2001)
- Fu M, "Measuring lymphedema symptom burdens:a psychometric study", Proceedings of the Multinational Association of Supportive Care in Cancer’s Annual Meeting (MASCC, 2012, ~[DOI]
- Ryu E, "The Korean version of the Symptom Experience Index : a psychometric study", Int J Nurs Stud, 50, pp.1098~1107 (2013)
- Shi S, "Psychometric properties of the Breast Cancer and Lymphedema Symptom Experience Index:the Chinese version", Eur J Oncol Nurs, 20, pp.10~16 (2016)
- Cella DF, "The Functional Assessment of Cancer Therapy scale : development and validation of the general measure", J Clin Oncol, 11, pp.570~579 (1993)
- Ahn YH, "Psychometric properties of the Korean version of the “Patient Activation Measure 13” (PAM13-K) in patients with osteoarthritis", Eval Health Prof, 38, pp.255~264 (2015)
- Fu MR, "Breast-cancer-related lymphedema : information, symptoms, and risk-reduction behaviors", J Nurs Scholarsh, 40, pp.341~348 (2008)
- Sezgin Ozcan D, "Complex decongestive therapy enhances upper limb functions in patients with breast cancer-related lymphedema", Lymphat Res Biol, 16, pp.446~452 (2018)
- Stout Gergich NL, "Preoperative assessment enables the early diagnosis and successful treatment of lymphedema", Cancer, 112, pp.2809~2819 (2008)
- Gautam AP, "Effect of home-based exercise program on lymphedema and quality of life in female postmastectomy patients : pre-post intervention study", J Rehabil Res Dev, 48, pp.1261~1268 (2011)
- 황혜남, "유방암 생존자를 위한 자가 림프 마사지법 효과 검증", 재활간호학회지, 23(2), pp.112~119 (2020), 한국재활간호학회