Managing Lymphedema in Breast Cancer Survivors

治疗乳腺癌幸存者的淋巴水肿

• 批准号: 6406753
• 负责人: Mei Rosemary Fu
• 金额: $ 2.94万
• 依托单位: UNIVERSITY OF MISSOURI-COLUMBIA
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-08-20 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/6406753
• 关键词: age difference; behavioral /social science research tag; body fluids; breast neoplasms; coping; electrical measurement; experience; female; health care service evaluation; health services research tag; human middle age (35-64); human old age (65+); infrared radiation; interview; longitudinal human study; lymphedema; outcomes research; patient care management; psychometrics; quality of life; questionnaires; social support network; women's health

The purpose of this phenomenological study is to describe the experience of managing lymphedema in breast cancer survivors. To date, little research designed to describe how lymphedema is managed in breast cancer survivors has been found in the literature. The specific aims are: (a) to delineate phenomena and component phenomena of the experience of managing lymphedema in breast cancer survivors; (b) to delineate the intentions that reflect each woman's unique experience of managing lymphedema; (c) to identify important factors that promote or impede successful lymphedema management, such as factors related to coping strategies, psychosocial, and cognitive adjustment; (d) to explore the possible impact of age on the experience by comparing the experience of participants under and over the age of 60. A longitudinal design will be used with a three-stage sampling technique. Four semi- structured interviews will be conducted with 12 breast cancer survivors over a 12-month period. Physiological measures of limb fluid volume by circumferential measures, water displacement, and infra-red perometry will be carried out to verify the presence of lymphedema. The Husserlian phenomenological method will be employed to delineate a taxonomy of the phenomena that are the essential structures of the experience of managing lymphedema. Findings will provide an excellent foundation, in later research, for an intervention study focused on lymphedema management in the areas of coping strategies and psychosocial and cognitive adjustment. Thus, the proposed foundational study is a priority for current lymphedema research.

这项现象学研究的目的是描述管理乳腺癌幸存者中淋巴水肿的经验。迄今为止，文献中已经发现了如何在乳腺癌幸存者中研究淋巴水肿的几乎没有研究。具体目的是：（a）描绘现象和乳腺癌幸存者中淋巴水肿的经验的现象； （b）描述反映每个女人管理淋巴水肿的独特经历的意图； （c）确定促进或阻碍成功淋巴水肿的重要因素，例如与应对策略，社会心理和认知调整有关的因素； （d）通过比较60岁以下的参与者的经验来探索年龄对体验的可能影响。将使用三阶段的抽样技术使用纵向设计。在12个月的时间里，将对12个乳腺癌幸存者进行四次半结构化访谈。通过圆周测量，水位置换和红外膜的生理测量方法将进行验证淋巴水肿的存在。将采用侯赛利亚现象学方法来描述一种现象的分类法，这是管理淋巴水肿经验的基本结构。在以后的研究中，发现将为应对策略以及社会心理和认知调整领域的淋巴水肿管理提供良好的基础。因此，拟议的基础研究是当前淋巴水肿研究的优先事项。