Process of Adherence to Complex Decongestive Therapy Acquired by the Patients with Secondary Lymphedema Tomoko Izawa 1 , Harue Arao 2 1Doctoral course, Osaka University Graduate School of Medicine 2Osaka University Graduate School of Medicine Keyword: アドヒアランス , リンパ浮腫 , 複合的治療 , 質的研究 , adherence , lymphedema , complex decongestive therapy , qualitative research pp.184-192
Published Date 2018/12/31
  • Abstract
  • Reference

Objective: The purpose of this study was to clarify the process of adherence to complex decongestive therapy (CDT) acquired by the patients with secondary lymphedema.

Method: Semi-structured interview was conducted with 10 female lymphedema patients who had well-established adherence to CDT. Interview transcripts were qualitatively analyzed.

Result: Five categories including “perception of lymphedema,” “motivation,” “practice,” “medical profession,” “barrier” were associated with the process of adherence to CDT acquired by the patients. These were divided into 4 aspects based on time distribution. Aspects were changed from the first aspects of getting on the CDT caused by worsening of lymphedema to final aspects of becoming a habit to CDT spontaneously.

Conclusion: In order to acquire adherence to CDT, it is important for the patients who suffer from secondary lymphedema to recognize the lightness in their arms or legs with lymphedema and additionally to motive them with customized CDT.

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