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在妇科癌症幸存者中进行预防性复杂物理治疗:患者报告的结果基于淋巴胀问卷调查
Mine Daggez1, Esra Gizem Koyuncu2, Rukiye Kocabaş2
1Department of Gynecologic Oncology, Tekirdag Dr Ismail Fehmi Cumalioglu City Hospital, Tekirdag, Turkey minedaggez@gmail.com.
概括
预防性复杂物理治疗显著减少了妇科癌症幸存者的下肢淋巴. 这种干预措施还改善了患者报告的症状得分,提高了治疗后的生活质量.
科学领域:
- 在瘤学瘤学.
- 物理疗法物理治疗
- 淋巴 edem 管理 淋巴 edem 管理
背景情况:
- 下肢淋巴是妇科癌症治疗的常见和令人衰弱的副作用,严重影响幸存者的生活质量.
- 复杂的脱血理疗是诊断为淋巴的标准治疗方法,但其预防性使用仍在调查中.
- 早期干预可以缓解二次淋巴的发展和严重程度.
研究的目的:
- 评估预防性复杂物理治疗在预防或减少妇科癌症患者下肢淋巴的疗效.
- 评估预防性物理治疗对患者报告的症状的影响,使用妇科癌症淋巴发问卷.
主要方法:
- 一组100名经过淋巴切除术的妇科癌症患者被前性评估.
- 患者被分为两组:接受预防性复杂物理治疗 (按摩和运动) 的人和拒绝接受物理治疗的人.
- 在多个时间点测量下肢周长,并使用验证的问卷评估患者报告的症状.
主要成果:
- 在接受预防性物理治疗的患者中,淋巴瘤发病率仅为5%,而对照组中为60%.
- 接受预防性物理治疗的患者报告症状得分明显更好 (中位数为3) 比未接受物理治疗的患者 (中位数为16).
- 系统性淋巴切除术和更多的移除淋巴结与非物理治疗组的淋巴有关.
结论:
- 预防性复杂物理治疗是一种有效的策略,可以减少妇科癌症幸存者下肢淋巴的发生率.
- 这种主动的方法也导致了患者报告的结果和症状管理的改善.
- 实施预防性物理治疗可以成为标准的护理,以提高这些患者的生活质量.
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