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Effects of Mobile Phone Usage in Supporting Leg Lymphedema Self-care

Identifieur interne : 006F91 ( Ncbi/Curation ); précédent : 006F90; suivant : 006F92

Effects of Mobile Phone Usage in Supporting Leg Lymphedema Self-care

Auteurs : Ayako Okutsu [Japon] ; Kikuyo Koiyabashi [Japon]

Source :

RBID : PMC:4310151

Abstract

Objective: The aim of this study was to implement self-care support for leg lymphedema patients using mobile phones and to investigate the effects thereof.

Patients and Methods: A total of 30 patients with lymphedema following female genital cancer surgery (stages I to II) who were referred from a nearby gynecologist were randomly divided into groups for routine self-care support (control group) and mobile telephone-assisted support (intervention group) and received the self-care support appropriate to their group. The (total) circumference of the leg with edema, FACT-G (cancer patient QOL), MHP (mental health status), and self-care self-assessment were comparatively investigated at three months after the initial interview.

Results: No significant reduction in the (total) circumferences of legs with edema was confirmed in either the control or intervention group. The intervention group was significantly better than the control group in terms of the activity circumstances and FACT-G mental status at three months after the initial interview. The intervention group was also significantly better in psychological, social, and physical items in the MHP. The intervention group was significantly better than the control group in terms of circumstances of self-care implementation at three months after the initial interview. Additionally, comparison of the circumstances of implementation for different aspects of self-care content showed that the intervention group was significantly better at selecting shoes, observing edema, moisturizing, self-drainage, wearing compression garments, and implementing bandaging.

Conclusion: Compared with routine self-care support, mobile telephone-assisted support is suggested to be effective for leg lymphedema patients’ QOL and mental health status as well as their self-care behaviors.


Url:
DOI: 10.2185/jrm.2884
PubMed: 25648778
PubMed Central: 4310151

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PMC:4310151

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<name sortKey="Okutsu, Ayako" sort="Okutsu, Ayako" uniqKey="Okutsu A" first="Ayako" last="Okutsu">Ayako Okutsu</name>
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<nlm:aff id="aff1"> Kansai University of Nursing and Health Sciences, Japan</nlm:aff>
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<wicri:regionArea> Kansai University of Nursing and Health Sciences</wicri:regionArea>
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<name sortKey="Koiyabashi, Kikuyo" sort="Koiyabashi, Kikuyo" uniqKey="Koiyabashi K" first="Kikuyo" last="Koiyabashi">Kikuyo Koiyabashi</name>
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<nlm:aff id="aff2"> Kyoto Tachibana University, Japan</nlm:aff>
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<bold>Objective:</bold>
The aim of this study was to implement self-care support for leg lymphedema patients using mobile phones and to investigate the effects thereof.</p>
<p>
<bold>Patients and Methods:</bold>
A total of 30 patients with lymphedema following female genital cancer surgery (stages I to II) who were referred from a nearby gynecologist were randomly divided into groups for routine self-care support (control group) and mobile telephone-assisted support (intervention group) and received the self-care support appropriate to their group. The (total) circumference of the leg with edema, FACT-G (cancer patient QOL), MHP (mental health status), and self-care self-assessment were comparatively investigated at three months after the initial interview.</p>
<p>
<bold>Results:</bold>
No significant reduction in the (total) circumferences of legs with edema was confirmed in either the control or intervention group. The intervention group was significantly better than the control group in terms of the activity circumstances and FACT-G mental status at three months after the initial interview. The intervention group was also significantly better in psychological, social, and physical items in the MHP. The intervention group was significantly better than the control group in terms of circumstances of self-care implementation at three months after the initial interview. Additionally, comparison of the circumstances of implementation for different aspects of self-care content showed that the intervention group was significantly better at selecting shoes, observing edema, moisturizing, self-drainage, wearing compression garments, and implementing bandaging.</p>
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<bold>Conclusion:</bold>
Compared with routine self-care support, mobile telephone-assisted support is suggested to be effective for leg lymphedema patients’ QOL and mental health status as well as their self-care behaviors.</p>
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