부인암 환자의 하지 림프부종과 삶의 질
Lower Limb Lymphedema and Quality of Life in Gynecologic Cancer Patients
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Purpose: The purpose of this study was to identify the lower limb lymphedema (LLL) and quality of life in gynecologic cancer patients. Methods: A sample of 143 patients who have received pelvic lymphadenectomy and/or para-aortic lymphadenectomy recruied in the descriptive study. The instruments used were the Korean Version of the Gynecologic Cancer Lymphedema Questionnaire (GCLQ-K) and the European Organization for Research and Treatment of Cancer QOL Questionnaire-C30 (EORTC QLQ C-30). Results: The level of LLL for all patients was 4.31±3.86. The level of GCLQ-K score was higher in the LLL group than the non LLL group (8.38±2.92 vs 1.76±1.41). The all functional scale score was lower in the LLL group than the non LLL group, and all symptom scale score except for appetite loss and financial difficulties was higher in the LLL group than the non LLL group. The global health status score was lower in the LLL group than the non LLL group. Conclusion: The above results show that in the LLL patients after pelvic and/or para-aortic, lymphadenectomy was common. The quality of life was lower in the LLL group than the non LLL group. It is important to develop nursing intervention regarding prevention and management about LLL in gynecologic cancer patients.
Abstract
Purpose: The purpose of this study was to identify the lower limb lymphedema (LLL) and quality of life in gynecologic cancer patients. Methods: A sample of 143 patients who have received pelvic lymphadenectomy and/or para-aortic lymphadenectomy recruied in the descriptive study. The instruments used were the Korean Version of the Gynecologic Cancer Lymphedema Questionnaire (GCLQ-K) and the European Organization for Research and Treatment of Cancer QOL Questionnaire-C30 (EORTC QLQ C-30). Results: The level of LLL for all patients was 4.31±3.86. The level of GCLQ-K score was higher in the LLL group than the non LLL group (8.38±2.92 vs 1.76±1.41). The all functional scale score was lower in the LLL group than the non LLL group, and all symptom scale score except for appetite loss and financial difficulties was higher in the LLL group than the non LLL group. The global health status score was lower in the LLL group than the non LLL group. Conclusion: The above results show that in the LLL patients after pelvic and/or para-aortic, lymphadenectomy was common. The quality of life was lower in the LLL group than the non LLL group. It is important to develop nursing intervention regarding prevention and management about LLL in gynecologic cancer patients.
참고문헌 (28)
- "Annual report of cancer statistics in Korean 2013" (2013)[URL]
- Brearley SG, "The physical and practical problems experienced by cancer survivors: a rapid review and synthesis of the literature", Eur J Oncol Nurs, 15, pp.204~212 (2011)
- Dunberger G, "Lower limb lymphedema in gynecological cancer survivors--effect on daily life functioning", Support Care Cancer, 21, pp.3063~3070 (2013)
- McGarvey AC, "Lymphoedema following treatment for head and neck cancer: impact on patients, and beliefs of health professionals", Eur J Cancer Care, 23, pp.317~327 (2014)
- Köhler C, "Introduction of transperitoneal lymphadenectomy in a gynecologic oncology center: analysis of 650 laparoscopic pelvic and", or paraaortic transperitoneal lymphadenectomies, 2004, pp.95, 52~61
- Achouri A, "Complications of lymphadenectomy for gynecologic cancer", Eur J Surg Oncol, 39, pp.81~86 (2013)
- Beesley V, "Lymphedema after gynecological cancer treatment : prevalence, correlates, and supportive care needs", Cancer, 109, pp.2607~2614 (2007)
- Brown JC, "The prevalence of lymphedema symptoms among survivors of long-term cancer with or at risk for lower limb lymphedema", Am J Phys Med Rehabil, 92, pp.223~231 (2013)
- Brown JC, "Physical activity and lower limb lymphedema among uterine cancer survivors", Med Sci Sports Exerc, 45, pp.2091~2097 (2013)
- Carter J, "A pilot study using the Gynecologic Cancer Lymphedema Questionnaire (GCLQ) as a clinical care tool to identify lower extremity lymphedema in gynecologic cancer survivors", Gynecol Oncol, 117, pp.317~323 (2010)
- Finnane A, "Quality of life of women with lower-limb lymphedema following gynecological cancer", Expert Rev Pharmacoecon Outcomes Res, 11, pp.287~297 (2011)
- 강승훈, "부인암 관련 하지 림프부종의 유병률 및 위험인자", Obstetrics & Gynecology Science, 52(08), pp.815~820 (2009), 대한산부인과학회
- 양회생, "일개 종합병원에서의 부인암 관련 하지 림프부종 환자의 삶의 질과 사회적 지지와의 관련성에 대한 예비조사", Obstetrics & Gynecology Science, 54(7), pp.355~360 (2011), 대한산부인과학회
- 현혜연, "림프부종 환자에서 복합적인 림프 치료법을 통한 치료 효과", Korean Journal of Family Medicine, 23(5), pp.11~651 (2002), 대한가정의학회
- 조명옥, "림프부종 환자의 자가관리에 관한 실태 조사", 성인간호학회지, 15(3), pp.383~392 (2003), 한국성인간호학회
- Rowlands IJ, "Quality of life of women with lower limb swelling or lymphedema 3-5 years following endometrial cancer", Gynecol Oncol, 133, pp.314~318 (2014)
- Erickson VS, "Arm edema in breast cancer patients", J Natl Cancer Inst, 93, pp.96~111 (2001)
- Lockwood-Rayermann S, "Lymphedema in gynecologic cancer survivors:an area for exploration?", Cancer Nurs, 30, pp.E11~E18 (2007)
- Lim MC, "Development and evaluation of the Korean version of the Gynecologic Cancer Lymphedema Questionnaire in gynecologic cancer survivors", Gynecol Oncol, 133, pp.111~116 (2014)
- Hammer SM, "Cancer-related impairments influence physical activity in uterine cancer survivors", Med Sci Sports Exerc, 46, pp.2195~2201 (2014)
- Yun YH, "Validation of the Korean version of the EORTC QLQ-C30", Qual Life Res, 13, pp.863~868 (2004)
- Kim SI, "Impact of lower limb lymphedema on quality of life in gynecologic cancer survivors after pelvic lymph node dissection", Eur J Obstet Gynecol Reprod Biol, 192, pp.31~36 (2015)
- Abu-Rustum NR, "The incidence of symptomatic lower-extremity lymphedema following treatment of uterine corpus malignancies: a 12-year experience at Memorial Sloan-Kettering Cancer Center", Gynecol Oncol, 103, pp.714~718 (2006)
- EORTC QLQ-C30 reference values, "Scott NW", EORTC Quality of Life Group, ~ (2008)
- 양규환, "림프부종의 진단과 치료", 대한의사협회지, 56(12), pp.1115~1122 (2013), 대한의사협회
- Langbecker D, "Treatment for upperlimb and lower-limb lymphedema by professionals specializing in lymphedema care", Eur J Cancer Care, 17, pp.557~564 (2008)
- Fu MR, "The effect of providing information about lymphedema on the cognitive and symptom outcomes of breast cancer survivors", Ann Surg Oncol, 17, pp.1847~1853 (2010)
- Ryan M, "Aetiology and prevalence of lower limb lymphoedema following treatment for gynaecological cancer", Aust N Z J Obstet Gynaecol, 43, pp.148~151 (2003)
