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Symptom clusters occurring with lymphedema after breast cancer.

机译：乳腺癌后出现淋巴水肿的症状群。

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摘要

Approximately 2.5 million breast cancer survivors live in the United States and lymphedema in the affected arm is a serious problem for many of them. Research suggests that despite being successfully treated, these women continue to experience a decline in quality of life. This disconnect suggests there is an underlying set of symptoms occurring with lymphedema in breast cancer survivors that is not responsive to treatment designed solely to reduce limb size. This dissertation study assessed outcomes associated with lymphedema related to breast cancer treatment and determined if lymphedema occurring subsequent to breast cancer treatment occurred within a symptom cluster. A revised version of the Lenz Theory of Unpleasant Symptoms served as the organizing framework for the study. The setting for this two group descriptive, comparative, correlational, cross-sectional, mixed methods study was a metropolitan area and surrounding rural counties in the southeastern United States. A convenience sample of 128 breast cancer survivors was recruited from healthcare and community environments; 64 with lymphedema and 64 without lymphedema. Key findings of this study were (1) women with lymphedema reported symptoms that were not reported by breast cancer survivors without lymphedema. These symptoms included alteration in limb sensation (heaviness, tightness, aching, burning, swelling, hardness, stabbing, pins and needles, and numbness), loss of confidence in body, decreased physical activity, fatigue, and psychological distress; (2) women with lymphedema reported a larger total number of symptoms than those without lymphedema; (3) women with lymphedema reported a poorer quality of life; (4) body mass index correlated with all outcome variables; (5) sociodemographic variables did not correlate with either perceived arm size difference or actual limb volume difference; (6) duration of lymphedema did not correlate with mean symptom intensity, mean symptom distress, or mean symptom total; (7) participants narrative comments revealed multiple quality of life, physical health, and psychological issues indicative of an interrupted life; (8) qualitative data supported quantitative findings; and (9) findings of a symptom cluster and physiological, psychological, and situational influencing factors were congruent with the organizing framework.
机译：大约有250万乳腺癌幸存者生活在美国，受感染的手臂中的淋巴水肿对于其中许多人来说是一个严重的问题。研究表明，尽管获得了成功的治疗，但这些妇女的生活质量继续下降。这种脱节表明在乳腺癌幸存者中存在与淋巴水肿有关的一系列潜在症状，这些症状对仅旨在减少肢体尺寸的治疗没有反应。本论文研究评估了与乳腺癌治疗相关的淋巴水肿相关的结局，并确定了乳腺癌治疗后发生的淋巴水肿是否在症状群内发生。 Lenz不适症状理论的修订版作为研究的组织框架。这两组描述性，比较性，相关性，横截面，混合方法研究的背景是美国东南部的一个大都市地区和周围的乡村县。从医疗保健和社区环境中收集了128名乳腺癌幸存者的便利样本。 64例有淋巴水肿，64例无淋巴水肿。这项研究的主要发现是（1）有淋巴水肿的女性报告的症状是没有淋巴水肿的乳腺癌幸存者没有报告的。这些症状包括肢体感觉改变（沉重，紧张，酸痛，灼热，肿胀，硬度，刺伤，大头针和麻木），对身体失去信心，身体活动减少，疲劳和心理困扰； （2）有淋巴水肿的妇女比没有淋巴水肿的妇女有更多的症状; （3）淋巴水肿妇女的生活质量较差; （4）体重指数与所有结果变量相关; （5）社交电描记法变量与感知的手臂大小差异或实际肢体体积差异均不相关; （6）淋巴水肿持续时间与平均症状强度，平均症状困扰或平均症状总数无关; （7）参与者的叙述性评论揭示了生活质量，身体健康和心理问题的多种表现，表明生活受到中断; （8）定性数据支持定量结果; （9）症状群集的发现以及生理，心理和情境影响因素与组织框架一致。

著录项

  • 作者

    Ridner, Sheila H.;

  • 作者单位

    Vanderbilt University.;

  • 授予单位 Vanderbilt University.;
  • 学科 Health Sciences Nursing.; Health Sciences Oncology.
  • 学位 Ph.D.
  • 年度 2003
  • 页码 198 p.
  • 总页数 198
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 预防医学、卫生学;肿瘤学;
  • 关键词

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