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The experience of lower limb lymphedema for women after treatment for gynecologic cancer.

Identifieur interne : 004269 ( PubMed/Corpus ); précédent : 004268; suivant : 004270

The experience of lower limb lymphedema for women after treatment for gynecologic cancer.

Auteurs : Mary Ryan ; M Colleen Stainton ; Carmel Jaconelli ; Sally Watts ; Patricia Mackenzie ; Tamar Mansberg

Source :

RBID : pubmed:12719742

English descriptors

Abstract

To describe women's experiences with lower limb lymphedema to inform both preventive and management clinical practices.

DOI: 10.1188/03.ONF.417-423
PubMed: 12719742

Links to Exploration step

pubmed:12719742

Le document en format XML

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<title xml:lang="en">The experience of lower limb lymphedema for women after treatment for gynecologic cancer.</title>
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<name sortKey="Ryan, Mary" sort="Ryan, Mary" uniqKey="Ryan M" first="Mary" last="Ryan">Mary Ryan</name>
<affiliation>
<nlm:affiliation>Gynaecological Cancer Centre of the Royal Hospital for Women, Randwick, New South Wales, Australia. mryan@mail.usyd.edu.au</nlm:affiliation>
</affiliation>
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<author>
<name sortKey="Stainton, M Colleen" sort="Stainton, M Colleen" uniqKey="Stainton M" first="M Colleen" last="Stainton">M Colleen Stainton</name>
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<name sortKey="Jaconelli, Carmel" sort="Jaconelli, Carmel" uniqKey="Jaconelli C" first="Carmel" last="Jaconelli">Carmel Jaconelli</name>
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<name sortKey="Watts, Sally" sort="Watts, Sally" uniqKey="Watts S" first="Sally" last="Watts">Sally Watts</name>
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<name sortKey="Mackenzie, Patricia" sort="Mackenzie, Patricia" uniqKey="Mackenzie P" first="Patricia" last="Mackenzie">Patricia Mackenzie</name>
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<name sortKey="Mansberg, Tamar" sort="Mansberg, Tamar" uniqKey="Mansberg T" first="Tamar" last="Mansberg">Tamar Mansberg</name>
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<title xml:lang="en">The experience of lower limb lymphedema for women after treatment for gynecologic cancer.</title>
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<term>Adaptation, Psychological</term>
<term>Bandages</term>
<term>Clothing</term>
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<term>Female</term>
<term>Genital Neoplasms, Female (complications)</term>
<term>Genital Neoplasms, Female (radiotherapy)</term>
<term>Genital Neoplasms, Female (surgery)</term>
<term>Humans</term>
<term>Interviews as Topic (methods)</term>
<term>Leg</term>
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<term>Lymphedema (nursing)</term>
<term>Lymphedema (psychology)</term>
<term>Lymphedema (rehabilitation)</term>
<term>Pain (etiology)</term>
<term>Patient Education as Topic (methods)</term>
<term>Patient Education as Topic (standards)</term>
<term>Patient Education as Topic (statistics & numerical data)</term>
<term>Physical Therapy Modalities</term>
<term>Population Surveillance</term>
<term>Quality of Life</term>
<term>Referral and Consultation (statistics & numerical data)</term>
<term>Retrospective Studies</term>
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<term>Genital Neoplasms, Female</term>
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<term>Interviews as Topic</term>
<term>Patient Education as Topic</term>
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<keywords scheme="MESH" qualifier="nursing" xml:lang="en">
<term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="psychology" xml:lang="en">
<term>Lymphedema</term>
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<term>Genital Neoplasms, Female</term>
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<term>Lymphedema</term>
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<term>Patient Education as Topic</term>
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<term>Patient Education as Topic</term>
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<term>Bandages</term>
<term>Clothing</term>
<term>Cohort Studies</term>
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<term>Leg</term>
<term>Life Style</term>
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<div type="abstract" xml:lang="en">To describe women's experiences with lower limb lymphedema to inform both preventive and management clinical practices.</div>
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<AbstractText Label="PURPOSE/OBJECTIVES" NlmCategory="OBJECTIVE">To describe women's experiences with lower limb lymphedema to inform both preventive and management clinical practices.</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">A retrospective survey.</AbstractText>
<AbstractText Label="SETTING" NlmCategory="METHODS">The gynecology/oncology unit of a tertiary referral women's hospital in Australia.</AbstractText>
<AbstractText Label="SAMPLE" NlmCategory="METHODS">82 women who developed lower limb lymphedema after surgical and radiation treatment for gynecologic cancers.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Structured interviews.</AbstractText>
<AbstractText Label="MAIN RESEARCH VARIABLES" NlmCategory="METHODS">Psychosocial and emotional impact, physical effects, knowledge, support, treatment modalities.</AbstractText>
<AbstractText Label="FINDINGS" NlmCategory="RESULTS">Women identified changes in appearance and sensation in the legs and the triggers that both preceded and exacerbated symptoms. Women described seeking help and receiving inappropriate advice with as many as three assessments prior to referral to lymphedema specialists. Many women implemented self-management strategies. Lower limb lymphedema had an impact on appearance, mobility, finances, and self-image.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Increasing longevity after gynecologic oncology treatment requires all practitioners to be aware of known or potential triggers of lower limb lymphedema and the appropriate referral and management strategies available. Women at risk need to know early signs and symptoms and where to seek early care.</AbstractText>
<AbstractText Label="IMPLICATIONS FOR NURSING" NlmCategory="CONCLUSIONS">The role of nursing in acute and community care of women at risk for developing lower limb lymphedema includes (a) engaging women in protecting their legs from infection or trauma pre- and postoperatively, (b) providing nursing care and education during the pre- and postoperative phases, and (c) ensuring that women being discharged are aware of early signs and symptoms of lower limb lymphedema and how to access qualified, specialized therapists so that early and effective management can be initiated.</AbstractText>
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