Efficacy of a limb-care regime in preventing acute adenolymphangitis in patients with lymphoedema caused by bancroftian filariasis, in Colombo, Sri Lanka
Identifieur interne : 007756 ( Main/Exploration ); précédent : 007755; suivant : 007757Efficacy of a limb-care regime in preventing acute adenolymphangitis in patients with lymphoedema caused by bancroftian filariasis, in Colombo, Sri Lanka
Auteurs : R. S. Wijesinghe [Sri Lanka] ; A. R. Wickremasinghe [Sri Lanka] ; S. Ekanayake [Sri Lanka] ; M. S. A. Perera [Sri Lanka]Source :
- Annals of tropical medicine and parasitology [ 0003-4983 ] ; 2007.
Descripteurs français
- KwdFr :
- Acceptation des soins par le patient (psychologie), Adolescent, Adulte, Adulte d'âge moyen, Animaux, Autosoins (), Femelle, Filaricides (usage thérapeutique), Filariose lymphatique (), Filariose lymphatique (parasitologie), Filariose lymphatique (psychologie), Humains, Hygiène (enseignement et éducation), Indice de gravité médicale, Mâle, Sri Lanka (épidémiologie), Sujet âgé, Sujet âgé de 80 ans ou plus, Wuchereria bancrofti, Éducation du patient comme sujet (), Évaluation de programme.
- MESH :
- enseignement et éducation : Hygiène.
- parasitologie : Filariose lymphatique.
- psychologie : Acceptation des soins par le patient, Filariose lymphatique.
- usage thérapeutique : Filaricides.
- épidémiologie : Sri Lanka.
- Pascal (Inist)
- Adolescent, Adulte, Adulte d'âge moyen, Animaux, Autosoins, Femelle, Filariose lymphatique, Humains, Indice de gravité médicale, Lymphangite, Adénopathie, Lymphoedème, Filariose lymphatique, Membre, Mâle, Soin, Prévention, Aigu, Homme, Malade, Sujet âgé, Sujet âgé de 80 ans ou plus, Wuchereria bancrofti, Sri Lanka, Médecine tropicale, Éducation du patient comme sujet, Évaluation de programme.
- Wicri :
English descriptors
- KwdEn :
- Acute, Adenopathy, Adolescent, Adult, Aged, Aged, 80 and over, Animals, Care, Elephantiasis, Filarial (parasitology), Elephantiasis, Filarial (psychology), Elephantiasis, Filarial (therapy), Female, Filaricides (therapeutic use), Human, Humans, Hygiene (education), Limb, Lymphangitis, Lymphatic filariasis, Lymphedema, Male, Middle Aged, Patient, Patient Acceptance of Health Care (psychology), Patient Education as Topic (methods), Prevention, Program Evaluation, Self Care (methods), Severity of Illness Index, Sri Lanka, Sri Lanka (epidemiology), Tropical medicine, Wuchereria bancrofti.
- MESH :
- chemical , therapeutic use : Filaricides.
- geographic , epidemiology : Sri Lanka.
- education : Hygiene.
- methods : Patient Education as Topic, Self Care.
- parasitology : Elephantiasis, Filarial.
- psychology : Elephantiasis, Filarial, Patient Acceptance of Health Care.
- therapy : Elephantiasis, Filarial.
- Adolescent, Adult, Aged, Aged, 80 and over, Animals, Female, Humans, Male, Middle Aged, Program Evaluation, Severity of Illness Index, Wuchereria bancrofti.
Abstract
The efficacy of a programme of community home-based care (CHBC) for lymphoedematous limbs was evaluated among 163 lymphoedema patients attending two filariasis clinics in Colombo. Each patient was interviewed and examined and his or her lymphoedema was graded during a baseline assessment, before the CHBC programme, and again, during a post-intervention assessment, after the patient had been in the programme for 1 year. The number of patients having entry lesions was 24% lower at the post-intervention assessment than at the baseline (P<0.001), with a reduction in the frequency of each type of entry lesion investigated. In the year the patients were in the CHBC programme, 30% fewer of them experienced at least one attack of adenolymphangitis (ADL; P<0.001), the mean number of ADL attacks/patient was lower (P<0.001), and the mean duration of each ADL attack suffered was slightly shorter (5.70 v. 5.84 days; P>0.05) than in the year before the baseline assessment. The reduction in the incidence of ADL attacks was greatest in the patients with the higher grades of lymphoedema. Approximately 66% of the patients perceived an improvement in their swollen limb post-intervention. Eleven patients had grade-II lymphoedema at baseline but only grade-I lymphoedema after being on the CHBC programme for a year (P=0.012). The programme appeared to increase the frequencies with which patients followed each of the limb-care measures considered and most of the measures for the home management of ADL attacks that were investigated. It is recommended that the CHBC programme be implemented as a national programme in Sri Lanka.
Affiliations:
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S." last="Wijesinghe">R. S. Wijesinghe</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Parasitology, Faculty of Medical Sciences, University of Sri Jayewardenepura</s1><s2>Gangodawila, Nugegoda</s2><s3>LKA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Sri Lanka</country><wicri:noRegion>Gangodawila, Nugegoda</wicri:noRegion></affiliation></author><author><name sortKey="Wickremasinghe, A R" sort="Wickremasinghe, A R" uniqKey="Wickremasinghe A" first="A. R." last="Wickremasinghe">A. R. Wickremasinghe</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Community Medicine, Faculty of Medicine, University of Kelaniya, P.O. Box 6</s1><s2>Thalagolla Road, Ragama</s2><s3>LKA</s3><sZ>2 aut.</sZ></inist:fA14><country>Sri Lanka</country><wicri:noRegion>Thalagolla Road, Ragama</wicri:noRegion></affiliation></author><author><name sortKey="Ekanayake, S" sort="Ekanayake, S" uniqKey="Ekanayake S" first="S." last="Ekanayake">S. 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xml:lang="en"><term>Acute</term><term>Adenopathy</term><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Animals</term><term>Care</term><term>Elephantiasis, Filarial (parasitology)</term><term>Elephantiasis, Filarial (psychology)</term><term>Elephantiasis, Filarial (therapy)</term><term>Female</term><term>Filaricides (therapeutic use)</term><term>Human</term><term>Humans</term><term>Hygiene (education)</term><term>Limb</term><term>Lymphangitis</term><term>Lymphatic filariasis</term><term>Lymphedema</term><term>Male</term><term>Middle Aged</term><term>Patient</term><term>Patient Acceptance of Health Care (psychology)</term><term>Patient Education as Topic (methods)</term><term>Prevention</term><term>Program Evaluation</term><term>Self Care (methods)</term><term>Severity of Illness Index</term><term>Sri Lanka</term><term>Sri Lanka (epidemiology)</term><term>Tropical medicine</term><term>Wuchereria bancrofti</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Acceptation des soins par le patient (psychologie)</term><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Animaux</term><term>Autosoins ()</term><term>Femelle</term><term>Filaricides (usage thérapeutique)</term><term>Filariose lymphatique ()</term><term>Filariose lymphatique (parasitologie)</term><term>Filariose lymphatique (psychologie)</term><term>Humains</term><term>Hygiène (enseignement et éducation)</term><term>Indice de gravité médicale</term><term>Mâle</term><term>Sri Lanka (épidémiologie)</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Wuchereria bancrofti</term><term>Éducation du patient comme sujet ()</term><term>Évaluation de programme</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Filaricides</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Sri Lanka</term></keywords><keywords scheme="MESH" qualifier="education" xml:lang="en"><term>Hygiene</term></keywords><keywords scheme="MESH" qualifier="enseignement et éducation" xml:lang="fr"><term>Hygiène</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Patient Education as Topic</term><term>Self Care</term></keywords><keywords scheme="MESH" qualifier="parasitologie" xml:lang="fr"><term>Filariose lymphatique</term></keywords><keywords scheme="MESH" qualifier="parasitology" xml:lang="en"><term>Elephantiasis, Filarial</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Acceptation des soins par le patient</term><term>Filariose lymphatique</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Elephantiasis, Filarial</term><term>Patient Acceptance of Health Care</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Elephantiasis, Filarial</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Filaricides</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Sri Lanka</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Animals</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Program Evaluation</term><term>Severity of Illness Index</term><term>Wuchereria bancrofti</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Animaux</term><term>Autosoins</term><term>Femelle</term><term>Filariose lymphatique</term><term>Humains</term><term>Indice de gravité médicale</term><term>Lymphangite</term><term>Adénopathie</term><term>Lymphoedème</term><term>Filariose lymphatique</term><term>Membre</term><term>Mâle</term><term>Soin</term><term>Prévention</term><term>Aigu</term><term>Homme</term><term>Malade</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Wuchereria bancrofti</term><term>Sri Lanka</term><term>Médecine tropicale</term><term>Éducation du patient comme sujet</term><term>Évaluation de programme</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Sri Lanka</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The efficacy of a programme of community home-based care (CHBC) for lymphoedematous limbs was evaluated among 163 lymphoedema patients attending two filariasis clinics in Colombo. Each patient was interviewed and examined and his or her lymphoedema was graded during a baseline assessment, before the CHBC programme, and again, during a post-intervention assessment, after the patient had been in the programme for 1 year. The number of patients having entry lesions was 24% lower at the post-intervention assessment than at the baseline (P<0.001), with a reduction in the frequency of each type of entry lesion investigated. In the year the patients were in the CHBC programme, 30% fewer of them experienced at least one attack of adenolymphangitis (ADL; P<0.001), the mean number of ADL attacks/patient was lower (P<0.001), and the mean duration of each ADL attack suffered was slightly shorter (5.70 v. 5.84 days; P>0.05) than in the year before the baseline assessment. The reduction in the incidence of ADL attacks was greatest in the patients with the higher grades of lymphoedema. Approximately 66% of the patients perceived an improvement in their swollen limb post-intervention. Eleven patients had grade-II lymphoedema at baseline but only grade-I lymphoedema after being on the CHBC programme for a year (P=0.012). The programme appeared to increase the frequencies with which patients followed each of the limb-care measures considered and most of the measures for the home management of ADL attacks that were investigated. It is recommended that the CHBC programme be implemented as a national programme in Sri Lanka.</div></front></TEI><affiliations><list><country><li>Sri Lanka</li></country></list><tree><country name="Sri Lanka"><noRegion><name sortKey="Wijesinghe, R S" sort="Wijesinghe, R S" uniqKey="Wijesinghe R" first="R. S." last="Wijesinghe">R. S. Wijesinghe</name></noRegion><name sortKey="Ekanayake, S" sort="Ekanayake, S" uniqKey="Ekanayake S" first="S." last="Ekanayake">S. Ekanayake</name><name sortKey="Perera, M S A" sort="Perera, M S A" uniqKey="Perera M" first="M. S. A." last="Perera">M. S. A. Perera</name><name sortKey="Wickremasinghe, A R" sort="Wickremasinghe, A R" uniqKey="Wickremasinghe A" first="A. R." last="Wickremasinghe">A. R. Wickremasinghe</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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