횡복직근 피부피판술을 받은 유방암 환자들의 운동 제약 및 촉진요인
Exercise Barriers and Facilitators After Transverse Rectus Abdominis Myocutaneous Flap Breast Reconstruction
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Purpose: The purpose of this study was to understand the experience of exercise participation among patients following transverse rectus abdominis myocutaneous (TRAM) flap breast reconstruction surgery. Methods: A phenomenological method was used in this study. Exercise experiences for twelve patients, who had undergone TRAM flap breast reconstruction, were collected through focus group interviews. Results: The factors that contributed to exercise barriers in the experience of TRAM flap breast reconstruction patient exercise participation were categorized into 3 groups: ‘fear of exercise after surgery’, ‘weakened emotional condition’, and ‘lack of exercise information’. Exercise facilitators after TRAM flap breast reconstruction were also categorized into 3 groups: ‘desire to improve appearance’, ‘feasiable exercise program’, and ‘exercise experience’. Conclusion: The results of this study reveal the exercise barriers and facilitators for patients following TRAM flap breast reconstruction, which should be considered to develop effective exercise programs.
Abstract
Purpose: The purpose of this study was to understand the experience of exercise participation among patients following transverse rectus abdominis myocutaneous (TRAM) flap breast reconstruction surgery. Methods: A phenomenological method was used in this study. Exercise experiences for twelve patients, who had undergone TRAM flap breast reconstruction, were collected through focus group interviews. Results: The factors that contributed to exercise barriers in the experience of TRAM flap breast reconstruction patient exercise participation were categorized into 3 groups: ‘fear of exercise after surgery’, ‘weakened emotional condition’, and ‘lack of exercise information’. Exercise facilitators after TRAM flap breast reconstruction were also categorized into 3 groups: ‘desire to improve appearance’, ‘feasiable exercise program’, and ‘exercise experience’. Conclusion: The results of this study reveal the exercise barriers and facilitators for patients following TRAM flap breast reconstruction, which should be considered to develop effective exercise programs.
참고문헌 (30)
- Annual report of cancer statistics in Korea, "KOrean Statistical Information Service", ~ (2017)
- Rowland JH, "Psychological response to breast reconstruction. Expectations for and impact on postmastectomy functioning", Psychosomatics, 34, pp.241~250 (1993)
- "Women’s Health and Cancer Rights Act"[URL]
- "Details on the criteria and method of application of allowance of medical care-revision"[URL]
- Bailey MH, "Immediate breast reconstruction : reducing the risks", Plast Reconstr Surg, 83, pp.845~851 (1989)
- Yeh KA, "Immediate breast reconstruction in breast cancer : morbidity and outcome", Am Surg, 64, pp.1195~1199 (1998)
- Yenbutra P, "Complications and outcomes in breast reconstruction using a transverse rectus abdominis myocutaneous flap-single surgeon experience", J Med Assoc Thai, 100(Suppl 1), pp.S200~S204 (2017)
- Cederna PS, "Postmastectomy reconstruction : comparative analysis of the psychosocial, functional, and cosmetic effects of transverse rectus abdominis musculocutaneous flap versus breast implant reconstruction", Ann Plast Surg, 35, pp.458~468 (1995)
- Rozen WM, "Post-mastectomy breast reconstruction : a history in evolution", Clin Breast Cancer, 9, pp.145~154 (2009)
- Yamada A, "Breast reconstruction with the free TRAM flap after breast cancer surgery", J Reconstr Microsurg, 8, pp.1~6 (1992)
- Yueh JH, "Patient satisfaction in postmastectomy breast reconstruction : a comparative evaluation of DIEP, TRAM, latissimus flap, and implant techniques", Plast Reconstr Surg, 125, pp.1585~1595 (2010)
- Eltahir Y, "Quality-of-life outcomes between mastectomy alone and breast reconstruction : comparison of patient-reported BREAST-Q and other health-related quality-of-life measures", Plast Reconstr Surg, 132, pp.201e~209e (2013)
- Dulin WA, "Evaluation of abdominal wall strength after TRAM flap surgery", Plast Reconstr Surg, 113, pp.1662~1665 (2004)
- Lee BG, "Is immediate reconstruction after mastectomy in breast cancer patients beneficial to shoulder function", ANZ J Surg, 88, pp.363~368 (2018)
- Bandura A, "Health promotion by social cognitive means", Health Educ Behav, 31, pp.143~164 (2004)
- Futter CM, "Do pre-operative abdominal exercises prevent post-operative donor site complications for women undergoing DIEP flap breast reconstruction? A two-centre, prospective randomised controlled trial", Br J Plast Surg, 56, pp.674~683 (2003)
- de Oliveira RR, "Immediate breast reconstruction with transverse latissimus dorsi flap does not affect the short-term recovery of shoulder range of motion after mastectomy", Ann Plast Surg, 64, pp.402~408 (2010)
- Ochoa O, "Prospective longitudinal patient-reported satisfaction and healthrelated quality of life following DIEP flap breast reconstruction : relationship with body mass index", Plast Reconstr Surg, 143, pp.1589~1600 (2019)
- Colaizzi PF, "Existential-phenomenological alternatives for psychology", pp.6~ (1978), Oxford University Press
- Morgan DL, "Analyzing and reporting focus group results" (1998), Sage Publications;
- Lincoln YS, "Naturalistic inquiry" (1985), Saga Publications;
- Futter CM, "Abdominal donor site morbidity : impact of the TRAM and DIEP flap on strength and function", Semin Plast Surg, 16, pp.119~130 (2002)
- Futter CM, "A retrospective comparison of abdominal muscle strength following breast reconstruction with a free TRAM or DIEP flap", Br J Plast Surg, 53, pp.578~583 (2000)
- Fallowfield L, "Effective communication skills are the key to good cancer care", Eur J Cancer, 35, pp.1592~1597 (1999)
- Sabiston CM, "Pain, movement, and mind: does physical activity mediate the relationship between pain and mental health among survivors of breast cancer?", Clin J Pain., 28, pp.489~495 (2012)
- Irwin ML, "Physical activity levels before and after a diagnosis of breast carcinoma : the Health, Eating, Activity, and Lifestyle(HEAL)study", Cancer, 97, pp.1746~1757 (2003)
- Devoogdt N, "Physical activity levels after treatment for breast cancer : oneyear follow-up", Breast Cancer Res Treat, 123, pp.417~425 (2010)
- 진웅식, "유리 횡복직근피부피판을 이용한 유방재건", 대한의사협회지, 54(1), pp.22~34 (2011), 대한의사협회
- Courneya KS, "Understanding exercise motivation in colorectal cancer patients : a prospective study using the theory of planned behavior", Rehabil Psychol, 44, pp.68~84 (1999)
- Park JH, "The effect of oncologists’exercise recommendations on the level of exercise and quality of life in survivors of breast and colorectal cancer : a randomized controlled trial", Cancer, 121, pp.2740~2748 (2015)
