McCaulley Lauren, Smith Jennifer
Surgical Oncology department, University Hospitals Seidman Cancer Center, Cleveland, OH.
Louis B. Stokes Cleveland VA Medical Center, Cleveland, OH.
Clin J Oncol Nurs. 2014 Oct;18(5):E97-102. doi: 10.1188/14.CJON.E97-E101.
Lymphedema is a distressing consequence of breast cancer treatment affecting the patient in all domains of quality of life. Early identification and diagnosis are key to preventing long-term consequences. The goal of lymphedema management is to slow the progression and provide symptomatic relief to maintain quality of life. Preoperative education, intensive postoperative follow-up, and long-term survivorship care are important to minimize risk factors for developing lymphedema and to provide a mechanism for early detection, treatment, and patient self-care. An interdisciplinary approach, including nutritionists, physical therapists, psychologists, and advanced practice registered nurses (APRNs), is essential to provide a patient-centered approach to the management of lymphedema. APRNs are critical in providing comprehensive assessments, ongoing follow-up care, and patient education in self-care strategies.
淋巴水肿是乳腺癌治疗令人苦恼的后果，会在生活质量的各个方面影响患者。早期识别和诊断是预防长期后果的关键。淋巴水肿管理的目标是减缓病情进展并缓解症状以维持生活质量。术前教育、强化术后随访和长期生存护理对于将发生淋巴水肿的风险因素降至最低以及提供早期检测、治疗和患者自我护理的机制非常重要。包括营养师、物理治疗师、心理学家和高级执业注册护士（APRNs）在内的多学科方法对于提供以患者为中心的淋巴水肿管理方法至关重要。APRNs在提供全面评估、持续的后续护理以及自我护理策略的患者教育方面至关重要。
