Psychosocial benefits of postmastectomy lymphedema therapy.
Identifieur interne : 00C264 ( Main/Exploration ); précédent : 00C263; suivant : 00C265Psychosocial benefits of postmastectomy lymphedema therapy.
Auteurs : B R Mirolo [Australie] ; I H Bunce ; M. Chapman ; T. Olsen ; P. Eliadis ; J M Hennessy ; L C Ward ; L C JonesSource :
- Cancer nursing [ 0162-220X ] ; 1995.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Bandages, Bras, Facteurs temps, Femelle, Humains, Lymphoedème (psychologie), Lymphoedème (soins infirmiers), Lymphoedème (étiologie), Massage (soins infirmiers), Mastectomie (effets indésirables), Qualité de vie, Recherche clinique en soins infirmiers, Sujet âgé, Sujet âgé de 80 ans ou plus, Éducation du patient comme sujet.
- MESH :
- effets indésirables : Mastectomie.
- psychologie : Lymphoedème.
- soins infirmiers : Lymphoedème, Massage.
- étiologie : Lymphoedème.
- Adulte, Adulte d'âge moyen, Bandages, Bras, Facteurs temps, Femelle, Humains, Qualité de vie, Recherche clinique en soins infirmiers, Sujet âgé, Sujet âgé de 80 ans ou plus, Éducation du patient comme sujet.
English descriptors
- KwdEn :
- MESH :
- adverse effects : Mastectomy.
- etiology : Lymphedema.
- nursing : Lymphedema, Massage.
- psychology : Lymphedema.
- Adult, Aged, Aged, 80 and over, Arm, Bandages, Clinical Nursing Research, Female, Humans, Middle Aged, Patient Education as Topic, Quality of Life, Time Factors.
Abstract
The effect of a comprehensive lymphedema management program was assessed in 25 patients in whom moderate to severe lymphedema had developed after surgery and/or radiotherapy for carcinoma of the breast. Intensive treatment (4 weeks) involved massage, compression bandaging, and sequential pneumatic compression, with an adjunct program of education to provide skills in exercise, massage, bandage, and containment garment use. The intensive treatment phase was followed by a self-management phase based on the skills that had been acquired. A significant reduction in limb circumference and volume, with continuing improvement over 12 months of self-management, was observed. There was a decrease in need for physical assistance. Quality of life generally remained high and stable throughout the 12 months. Quality of life specific to lymphedema, however, declined during the intensive phase of treatment, but recovered and surpassed pretreatment levels during the self-management phase of treatment. Perceived comfort and strength in the lymphedematous limb improved, and perceived size decreased. The study confirmed that the combination of multimodal physical therapy and education for self-management reduces lymphedema and its adverse subjective consequences and maintains the improvement thus achieved.
PubMed: 7600551
Affiliations:
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Chapman</name></author><author><name sortKey="Olsen, T" sort="Olsen, T" uniqKey="Olsen T" first="T" last="Olsen">T. Olsen</name></author><author><name sortKey="Eliadis, P" sort="Eliadis, P" uniqKey="Eliadis P" first="P" last="Eliadis">P. Eliadis</name></author><author><name sortKey="Hennessy, J M" sort="Hennessy, J M" uniqKey="Hennessy J" first="J M" last="Hennessy">J M Hennessy</name></author><author><name sortKey="Ward, L C" sort="Ward, L C" uniqKey="Ward L" first="L C" last="Ward">L C Ward</name></author><author><name sortKey="Jones, L C" sort="Jones, L C" uniqKey="Jones L" first="L C" last="Jones">L C Jones</name></author></analytic><series><title level="j">Cancer nursing</title><idno type="ISSN">0162-220X</idno><imprint><date when="1995" type="published">1995</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Arm</term><term>Bandages</term><term>Clinical Nursing Research</term><term>Female</term><term>Humans</term><term>Lymphedema (etiology)</term><term>Lymphedema (nursing)</term><term>Lymphedema (psychology)</term><term>Massage (nursing)</term><term>Mastectomy (adverse effects)</term><term>Middle Aged</term><term>Patient Education as Topic</term><term>Quality of Life</term><term>Time Factors</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Bandages</term><term>Bras</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Lymphoedème (psychologie)</term><term>Lymphoedème (soins infirmiers)</term><term>Lymphoedème (étiologie)</term><term>Massage (soins infirmiers)</term><term>Mastectomie (effets indésirables)</term><term>Qualité de vie</term><term>Recherche clinique en soins infirmiers</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Éducation du patient comme sujet</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Mastectomy</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Mastectomie</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="nursing" xml:lang="en"><term>Lymphedema</term><term>Massage</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="soins infirmiers" xml:lang="fr"><term>Lymphoedème</term><term>Massage</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Arm</term><term>Bandages</term><term>Clinical Nursing Research</term><term>Female</term><term>Humans</term><term>Middle Aged</term><term>Patient Education as Topic</term><term>Quality of Life</term><term>Time Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Bandages</term><term>Bras</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Qualité de vie</term><term>Recherche clinique en soins infirmiers</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Éducation du patient comme sujet</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The effect of a comprehensive lymphedema management program was assessed in 25 patients in whom moderate to severe lymphedema had developed after surgery and/or radiotherapy for carcinoma of the breast. Intensive treatment (4 weeks) involved massage, compression bandaging, and sequential pneumatic compression, with an adjunct program of education to provide skills in exercise, massage, bandage, and containment garment use. The intensive treatment phase was followed by a self-management phase based on the skills that had been acquired. A significant reduction in limb circumference and volume, with continuing improvement over 12 months of self-management, was observed. There was a decrease in need for physical assistance. Quality of life generally remained high and stable throughout the 12 months. Quality of life specific to lymphedema, however, declined during the intensive phase of treatment, but recovered and surpassed pretreatment levels during the self-management phase of treatment. Perceived comfort and strength in the lymphedematous limb improved, and perceived size decreased. The study confirmed that the combination of multimodal physical therapy and education for self-management reduces lymphedema and its adverse subjective consequences and maintains the improvement thus achieved.</div></front></TEI><affiliations><list><country><li>Australie</li></country></list><tree><noCountry><name sortKey="Bunce, I H" sort="Bunce, I H" uniqKey="Bunce I" first="I H" last="Bunce">I H Bunce</name><name sortKey="Chapman, M" sort="Chapman, M" uniqKey="Chapman M" first="M" last="Chapman">M. Chapman</name><name sortKey="Eliadis, P" sort="Eliadis, P" uniqKey="Eliadis P" first="P" last="Eliadis">P. Eliadis</name><name sortKey="Hennessy, J M" sort="Hennessy, J M" uniqKey="Hennessy J" first="J M" last="Hennessy">J M Hennessy</name><name sortKey="Jones, L C" sort="Jones, L C" uniqKey="Jones L" first="L C" last="Jones">L C Jones</name><name sortKey="Olsen, T" sort="Olsen, T" uniqKey="Olsen T" first="T" last="Olsen">T. Olsen</name><name sortKey="Ward, L C" sort="Ward, L C" uniqKey="Ward L" first="L C" last="Ward">L C Ward</name></noCountry><country name="Australie"><noRegion><name sortKey="Mirolo, B R" sort="Mirolo, B R" uniqKey="Mirolo B" first="B R" last="Mirolo">B R Mirolo</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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