Treatment for upper‐limb and lower‐limb lymphedema by professionals specializing in lymphedema care
Identifieur interne : 006D13 ( Main/Exploration ); précédent : 006D12; suivant : 006D14Treatment for upper‐limb and lower‐limb lymphedema by professionals specializing in lymphedema care
Auteurs : D. Langbecker [Australie] ; S. C. Hayes [Australie] ; B. Newman [Australie] ; M. Janda [Australie]Source :
- European Journal of Cancer Care [ 0961-5423 ] ; 2008-11.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Complications postopératoires (), Compétence clinique (normes), Connaissances, attitudes et pratiques en santé, Femelle, Humains, Jeune adulte, Lymphoedème (), Lymphoedème (diagnostic), Membre inférieur, Membre supérieur, Mâle, Personnel de santé (enseignement et éducation), Tumeurs (), Éducation du patient comme sujet, Études transversales.
- MESH :
- diagnostic : Lymphoedème.
- enseignement et éducation : Personnel de santé.
- normes : Compétence clinique.
- Adulte, Adulte d'âge moyen, Complications postopératoires, Connaissances, attitudes et pratiques en santé, Femelle, Humains, Jeune adulte, Lymphoedème, Membre inférieur, Membre supérieur, Mâle, Tumeurs, Éducation du patient comme sujet, Études transversales.
English descriptors
- KwdEn :
- Adult, Clinical Competence (standards), Cross-Sectional Studies, Female, Health Knowledge, Attitudes, Practice, Health Personnel (education), Humans, Lower Extremity, Lymphedema (diagnosis), Lymphedema (therapy), Male, Middle Aged, Neoplasms (surgery), Patient Education as Topic, Postoperative Complications (therapy), Upper Extremity, Young Adult.
- MESH :
- diagnosis : Lymphedema.
- education : Health Personnel.
- standards : Clinical Competence.
- surgery : Neoplasms.
- therapy : Lymphedema, Postoperative Complications.
- Adult, Cross-Sectional Studies, Female, Health Knowledge, Attitudes, Practice, Humans, Lower Extremity, Male, Middle Aged, Patient Education as Topic, Upper Extremity, Young Adult.
Abstract
Up to 60% of patients with cancer of the vulva, and between 20 and 30% of patients with breast or abdominal cancers may develop lymphedema following treatment. The aims of this study were to assess health professionals' knowledge about treatment, diagnostic procedures, advice and confidence in treatment of patients with either upper‐limb (ULL) or lower‐limb lymphoedema (LLL), and whether these differed by health professionals' background or for patients with ULL compared with LLL. A cross‐sectional telephone interview was undertaken in 2006, of 63 health professionals (response rate 92.6%) known to treat lymphedema. Sixty‐three per cent of the health professionals were physiotherapists; the majority were university‐trained, with 20 years' experience or more. Ninety‐five per cent of health professionals used circumferential measurements to establish lymphedema status, and most health professionals advised avoiding scratches and cuts (100%), insect bites (98.4%), sunburn (98.4%) and excessive exercise (65.1%) on the affected limb. Health professionals reported that compared with patients with LLL, patients with ULL were more likely to present within the first 3 months of being symptomatic (P < 0.01). Patients with LLL were more likely to present with swelling (P = 0.001), heaviness (P = 0.003), tightness (P = 0.007) and skin problems (P < 0.001) compared with patients with ULL. Treatment and advice differed according to health professionals' background, but not location of lymphedema (ULL vs. LLL). Assessment, treatment and advice for lymphedema vary across professional groups. Our results suggest that improvements should be attempted in the early detection of lymphedema, in particular of LLL among cancer patients.
Url:
DOI: 10.1111/j.1365-2354.2007.00878.x
Affiliations:
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The aims of this study were to assess health professionals' knowledge about treatment, diagnostic procedures, advice and confidence in treatment of patients with either upper‐limb (ULL) or lower‐limb lymphoedema (LLL), and whether these differed by health professionals' background or for patients with ULL compared with LLL. A cross‐sectional telephone interview was undertaken in 2006, of 63 health professionals (response rate 92.6%) known to treat lymphedema. Sixty‐three per cent of the health professionals were physiotherapists; the majority were university‐trained, with 20 years' experience or more. Ninety‐five per cent of health professionals used circumferential measurements to establish lymphedema status, and most health professionals advised avoiding scratches and cuts (100%), insect bites (98.4%), sunburn (98.4%) and excessive exercise (65.1%) on the affected limb. Health professionals reported that compared with patients with LLL, patients with ULL were more likely to present within the first 3 months of being symptomatic (P < 0.01). Patients with LLL were more likely to present with swelling (P = 0.001), heaviness (P = 0.003), tightness (P = 0.007) and skin problems (P < 0.001) compared with patients with ULL. Treatment and advice differed according to health professionals' background, but not location of lymphedema (ULL vs. LLL). Assessment, treatment and advice for lymphedema vary across professional groups. Our results suggest that improvements should be attempted in the early detection of lymphedema, in particular of LLL among cancer patients.</div></front></TEI><affiliations><list><country><li>Australie</li></country><region><li>Queensland</li></region></list><tree><country name="Australie"><region name="Queensland"><name sortKey="Langbecker, D" sort="Langbecker, D" uniqKey="Langbecker D" first="D." last="Langbecker">D. Langbecker</name></region><name sortKey="Hayes, S C" sort="Hayes, S C" uniqKey="Hayes S" first="S. C." last="Hayes">S. C. Hayes</name><name sortKey="Janda, M" sort="Janda, M" uniqKey="Janda M" first="M." last="Janda">M. Janda</name><name sortKey="Janda, M" sort="Janda, M" uniqKey="Janda M" first="M." last="Janda">M. Janda</name><name sortKey="Janda, M" sort="Janda, M" uniqKey="Janda M" first="M." last="Janda">M. Janda</name><name sortKey="Newman, B" sort="Newman, B" uniqKey="Newman B" first="B." last="Newman">B. Newman</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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