Japanese
English
- 販売していません
- Abstract 文献概要
- 参考文献 Reference
要旨
目的：エクササイズ，アロマセラピーによる皮膚保湿ケアとセルフリンパドレナージを含む1日10分間のセルフケアプログラムの乳がん治療関連リンパ浮腫患者（BCRL）への3か月後の効果を評価する．
方法：片側BCRL患者27名が研究に参加した．主要評価項目は上肢体積，副次評価項目は浮腫体積，相対的体積変化率，皮膚組織抵抗値，BMI，自記によるBCRL関連症状，皮膚状態，セルフケア時間，セルフケア点数，自主的・積極的なセルフケア実施の程度，セルフケアによるリンパ浮腫効果の程度，負担感の程度である．測定はプログラム開始前と開始後1か月，3か月に行った．
結果：25名が3か月のプログラムを完遂した．多重比較を行い終了時点で有意差があったのは患側上肢と上腕体積，患側および健側の前腕皮膚組織抵抗値，BMI，違和感であった．健側上肢体積に有意差はなかった．セルフケア時間，セルフケア点数，自主的・積極的なセルフケア実施の程度は有意に上昇した．
結論：3か月間の本セルフケアプログラムは，片側乳がん治療関連リンパ浮腫を和らげる可能性がある．
Purpose: To assess the effectiveness of a daily 10-minute self-care program, which involves exercising and skin moisturizing with aromatherapy using a self-lymphatic drainage technique over 3 months for patients with breast cancer treatment-related lymphoedema (BCRL).
Methods: Twenty-seven patients with unilateral BCRL participated in this study. The primary endpoint was based on arm volume, whereas the secondary endpoints were based on oedema volume, relative volume change, skin tissue resistance, BMI, self-reported BCRL-related symptoms, skin condition, and time, score, adherence, effectiveness and burden in self-care. Measurements were taken at baseline, after 1 and 3 months of the program.
Results: Twenty-five participating patients completed the program. The significant difference between baseline and 3 months with Bonferroni multiple comparison procedure was shown in the volume of the upper arm and whole arm on the affected side, whereas the unaffected side showed no notable change. Skin tissue resistance significantly declined in the both forearms. BMI was also reduced significantly. There was a significant decrease in severity of arm discomfort regarding BCRL-related symptoms. Self-reported self-care time and self-care score, as well as patients' perception regarding self-care adherence, significantly increased.
Conclusion: Our 3-month self-care program may significantly lessen the severity of unilateral BCRL.
Copyright © 2015, Japan Academy of Nursing Science. All rights reserved.
