The Effect of Providing Information about Lymphedema on the Cognitive and Symptom Outcomes of Breast Cancer Survivors
The Effect of Providing Information about Lymphedema on the Cognitive and Symptom Outcomes of Breast Cancer Survivors
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DOI：
10.1245/s10434-010-0941-3
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发表时间：
2010-07-01
影响因子：
3.7
通讯作者：
Axelrod, Deborah
中科院分区：
文献类型：
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作者：
Fu, Mei R.;Chen, Constance M.;Axelrod, Deborah
尽管最近在乳腺癌治疗方面取得了进展，但乳腺癌相关性水肿（BCRL）仍然是许多幸存者的重要问题。一些BCRL风险因素可能在很大程度上是不可避免的，如乳房切除术，腋窝淋巴结清扫术（ALND）或放射治疗。与乳腺癌治疗无关的潜在可避免的风险因素包括轻微的上肢感染，手臂受伤或创伤，肢体过度使用和航空旅行。本研究调查如何提供有关BCRL的信息影响的认知和症状outcome.Data收集了136名乳腺癌幸存者使用人口统计学和医学信息访谈工具，淋巴水肿教育状况访谈工具，知识测试的认知结果，和淋巴水肿和乳腺癌问卷的症状结局。数据分析包括描述性统计、t检验、卡方检验和回归分析。在治疗期间，57%的受试者获得了BCRL信息。水肿相关症状的平均数量为3个症状。接受信息的患者报告的症状明显较少，并且在知识测试中得分明显较高。在控制混杂因素后，患者教育仍然是BCRL结局的额外预测因素。接受BCRL相关信息的女性中，出现肿胀、沉重、肩关节活动障碍、血清肿形成和乳房肿胀的女性明显较少。接受BCRL相关信息的乳腺癌幸存者症状明显减轻，对BCRL的了解增加。在临床实践中，乳腺癌幸存者应该参与支持性对话，以便他们可以接受有关降低BCRL风险的方法的教育。
Despite recent advances in breast cancer treatment, breast cancer related lymphedema (BCRL) continues to be a significant problem for many survivors. Some BCRL risk factors may be largely unavoidable, such as mastectomy, axillary lymph node dissection (ALND), or radiation therapy. Potentially avoidable risk factors unrelated to breast cancer treatment include minor upper extremity infections, injury or trauma to the arm, overuse of the limb, and air travel. This study investigates how providing information about BCRL affects the cognitive and symptomatic outcome of breast cancer survivors.Data were collected from 136 breast cancer survivors using a Demographic and Medical Information interview instrument, a Lymphedema Education Status interview instrument, a Knowledge Test for cognitive outcome, and the Lymphedema and Breast Cancer Questionnaire for symptom outcome. Data analysis included descriptive statistics, t tests, chi-square (chi(2)) tests, and regression.BCRL information was given to 57% of subjects during treatment. The mean number of lymphedema-related symptoms was 3 symptoms. Patients who received information reported significantly fewer symptoms and scored significantly higher in the knowledge test. After controlling for confounding factors, patient education remains an additional predictor of BCRL outcome. Significantly fewer women who received information about BCRL reported swelling, heaviness, impaired shoulder mobility, seroma formation, and breast swelling.Breast cancer survivors who received information about BCRL had significantly reduced symptoms and increased knowledge about BCRL. In clinical practice, breast cancer survivors should be engaged in supportive dialogues so they can be educated about ways to reduce their risk of developing BCRL.