Frid Marianne, Strang Peter, Friedrichsen Maria J, Johansson Karin
Physiotherapy Unit, Karolinska University Hospital, Stockholm, Sweden.
J Palliat Care. 2006 Spring;22(1):5-11.
Lower limb lymphedema (LLL) is a common but neglected problem in palliative cancer patients. No studies have focused on these patients' experiences of lymphedema. The aims of this study were to explore patients' experiences regarding LLL and how they manage to deal with this in the late palliative stage.
Thirteen patients with cancer-related LLL were included to satisfy a maximum variation sampling strategy. Interviews were analyzed using a qualitative phenomenographic method.
LLL influenced the patients' thoughts about the future. Body image was often strongly influenced. Interactions with other persons were perceived as both positive and negative, and a range of coping strategies were expressed.
LLL can exert a considerable influence on the physical experiences and the psychosocial situation of cancer patients in palliative care. Areas in need of increased education, attention, and further research are highlighted.
下肢淋巴水肿(LLL)在姑息治疗的癌症患者中是一个常见但被忽视的问题。尚无研究关注这些患者的淋巴水肿经历。本研究的目的是探讨患者关于LLL的经历以及他们在姑息治疗晚期如何应对这一问题。
纳入13例与癌症相关的LLL患者以满足最大差异抽样策略。采用定性现象学方法分析访谈内容。
LLL影响了患者对未来的看法。身体形象常受到强烈影响。与他人的互动既有积极的也有消极的,并且患者表达了一系列应对策略。
LLL可对姑息治疗中癌症患者的身体体验和心理社会状况产生相当大的影响。强调了需要加强教育、关注和进一步研究的领域。