Jeffs Eunice, Huit Martine
NIHR Clinical Doctoral Research Fellow, Florence Nightingale Faculty of Nursing and Midwifery, King's College London, and Honorary Lymphoedema Clinical Nurse Specialist, Guy's Hospital, London.
Br J Community Nurs. 2015 Apr;Suppl:S6-13. doi: 10.12968/bjcn.2015.20.Sup4.S6.
A retrospective review of all head and neck cancer-related lymphoedema (HNCRL) referrals from 1 October 2009 to 30 September 2013 was undertaken. HNCRL referrals significantly increased over a 4-year period. Lymphoedema clinic records were manually examined for the presentation of HNCRL, treatments provided, and outcomes. Some 207 HNCRL referrals were received, increasing by 251% from 2009 to 2013. A total of 110 men and 50 women were assessed and treated over the 4 years; 67% were discharged, 26% continued treatment/monitoring by clinic; 8% are deceased. The average time to discharge reduced from 16 to 5 months. From the results, it seems that self-management with exercise and counter-pressure/compression is very effective and the requirement for manual lymph drainage is reduced. There is increased patient engagement with effective self-care. Provision of appropriate education and information facilitated simple, effective self-management. This reduced treatment time, shortened time to discharge and released valuable practitioner time to treat patients with complex oedema.
对2009年10月1日至2013年9月30日期间所有头颈部癌相关淋巴水肿（HNCRL）转诊病例进行了回顾性研究。在4年期间，HNCRL转诊病例显著增加。人工检查淋巴水肿诊所记录，以了解HNCRL的表现、所提供的治疗及结果。共收到207例HNCRL转诊病例，从2009年到2013年增加了251%。在这4年期间，共评估和治疗了110名男性和50名女性；67%已出院，26%继续在诊所接受治疗/监测；8%已死亡。平均出院时间从16个月缩短至5个月。从结果来看，通过运动和反压/压迫进行自我管理似乎非常有效，且手法淋巴引流的需求减少。患者对有效自我护理的参与度有所提高。提供适当的教育和信息有助于进行简单、有效的自我管理。这缩短了治疗时间，缩短了出院时间，并腾出了宝贵的医生时间来治疗复杂水肿患者。
