LymphedemaV1, Main, Exploration, bibRecord, 002A91

Factors Predicting Adherence to Risk Management Behaviors of Women at Increased Risk for Developing Lymphedema

Identifieur interne : 002A91 ( Main/Exploration ); précédent : 002A90; suivant : 002A92

Factors Predicting Adherence to Risk Management Behaviors of Women at Increased Risk for Developing Lymphedema

Auteurs : Kerry A. Sherman [Australie] ; Suzanne M. Miller [États-Unis] ; Pagona Roussi [Grèce] ; Alan Taylor [Australie]

Source :

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer [ 0941-4355 ] ; 2014.

RBID : PMC:4270823

Descripteurs français

KwdFr :
- Adulte d'âge moyen, Autosoins (), Autosoins (psychologie), Connaissances, attitudes et pratiques en santé, Facteurs de risque, Femelle, Humains, Lymphoedème (), Noeuds lymphatiques (), Observance thérapeutique (psychologie), Risque, Région mammaire (), Tumeurs du sein (), États-Unis d'Amérique.
MESH :
- psychologie : Autosoins, Observance thérapeutique.
- Adulte d'âge moyen, Autosoins, Connaissances, attitudes et pratiques en santé, Facteurs de risque, Femelle, Humains, Lymphoedème, Noeuds lymphatiques, Risque, Région mammaire, Tumeurs du sein, États-Unis d'Amérique.
Wicri :
- geographic : États-Unis.

English descriptors

KwdEn :
- Breast (surgery), Breast Neoplasms (surgery), Female, Health Knowledge, Attitudes, Practice, Humans, Lymph Nodes (surgery), Lymphedema (prevention & control), Middle Aged, Patient Compliance (psychology), Risk, Risk Factors, Self Care (methods), Self Care (psychology), United States.
MESH :
- geographic : United States.
- methods : Self Care.
- prevention & control : Lymphedema.
- psychology : Patient Compliance, Self Care.
- surgery : Breast, Breast Neoplasms, Lymph Nodes.
- Female, Health Knowledge, Attitudes, Practice, Humans, Middle Aged, Risk, Risk Factors.

Abstract

Purpose

Lymphedema affects 20-30% of women following breast cancer treatment. However, even when women are informed, they do not necessarily adhere to recommended lymphedema self-management regimens. Utilizing the Cognitive-Social Health Information Processing framework, we assessed cognitive and emotional factors influencing adherence to lymphedema risk management.

Methods

Women with breast cancer who had undergone breast and lymph node surgery were recruited through the Fox Chase Cancer Centre breast clinic. Participants (N=103) completed measures of lymphedema-related perceived risk, beliefs and expectancies, distress, self-regulatory ability to manage distress, knowledge, and adherence to risk management behaviors. They then received the American Cancer Society publication “Lymphedema: What Every Woman with Breast Cancer Should Know”. Cognitive and affective variables were reassessed at 6- and 12-months post-baseline.

Results

Maximum likelihood multilevel model analyses indicated that overall adherence increased over time, with significant differences between baseline and 6- and 12- month assessments. Adherence to wearing gloves was significantly lower than that for all other behaviors except electric razor use. Distress significantly decreased, and knowledge significantly increased, over time. Greater knowledge, higher self-efficacy to enact behaviors, lower distress, and higher self-regulatory ability to manage distress were associated with increased adherence.

Conclusions

Women who understand lymphedema risk management and feel confident in managing this risk are more likely to adhere to recommended strategies. These factors should be rigorously assessed as part of routine care to ensure that women have the self-efficacy to seek treatment and the self-regulatory skills to manage distress, which may undermine attempts to seek medical assistance.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4270823

DOI: 10.1007/s00520-014-2321-1
PubMed: 24970542
PubMed Central: 4270823

Affiliations:

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<term>Risk Factors</term>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Purpose</title>
<p id="P1">Lymphedema affects 20-30% of women following breast cancer treatment. However, even when women are informed, they do not necessarily adhere to recommended lymphedema self-management regimens. Utilizing the Cognitive-Social Health Information Processing framework, we assessed cognitive and emotional factors influencing adherence to lymphedema risk management.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">Women with breast cancer who had undergone breast and lymph node surgery were recruited through the Fox Chase Cancer Centre breast clinic. Participants (<italic>N</italic>
=103) completed measures of lymphedema-related perceived risk, beliefs and expectancies, distress, self-regulatory ability to manage distress, knowledge, and adherence to risk management behaviors. They then received the American Cancer Society publication “Lymphedema: What Every Woman with Breast Cancer Should Know”. Cognitive and affective variables were reassessed at 6- and 12-months post-baseline.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">Maximum likelihood multilevel model analyses indicated that overall adherence increased over time, with significant differences between baseline and 6- and 12- month assessments. Adherence to wearing gloves was significantly lower than that for all other behaviors except electric razor use. Distress significantly decreased, and knowledge significantly increased, over time. Greater knowledge, higher self-efficacy to enact behaviors, lower distress, and higher self-regulatory ability to manage distress were associated with increased adherence.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">Women who understand lymphedema risk management and feel confident in managing this risk are more likely to adhere to recommended strategies. These factors should be rigorously assessed as part of routine care to ensure that women have the self-efficacy to seek treatment and the self-regulatory skills to manage distress, which may undermine attempts to seek medical assistance.</p>
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Serveur d'exploration sur le lymphœdème

Factors Predicting Adherence to Risk Management Behaviors of Women at Increased Risk for Developing Lymphedema

Factors Predicting Adherence to Risk Management Behaviors of Women at Increased Risk for Developing Lymphedema

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki

	Serveur d'exploration sur le lymphœdème
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