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乳腺癌幸存者对癌症和淋巴水肿的知识评估。

Assessment of knowledge of cancer and lymphoedema among breast cancer survivors.

作者信息

Krzywonos Aleksandra, Ochałek Katarzyna, Krzywonos-Zawadzka Anna, Pitala Kamil

机构信息

Department of Rehabilitation in Traumatology, Clinical Rehabilitation University School of Physical Education, Cracow, Poland.

Department of Clinical Chemistry, Medical University of Wroclaw, Wroclaw, Poland.

出版信息

Prz Menopauzalny. 2014 Oct;13(5):273-9. doi: 10.5114/pm.2014.45170. Epub 2014 Nov 2.

Abstract

AIM

To evaluate the knowledge of breast cancer and lymphoedema symptoms among mastectomy survivors.

MATERIAL AND METHODS

The research was carried out in the Centre of Oncology Branch in Cracow. The survey comprised 60 hospitalized patients as well as 30 healthy subjects from the Małopolska region. The scientific method used was a specially designed questionnaire.

RESULTS

Women with a history of cancer demonstrate a health-oriented approach. The subjects known as the experimental group perform breast self-examinations, regularly visit a gynaecologist, are aware of the most severe mastectomy complication - lymphoedema, and recognize the impact of physical activity on it. Breast cancer operation survivors have a good knowledge of breast cancer and lymphoedema, however, existing shortcomings in practical issues are worrying. On the contrary, the control group neglects regular check-ups, evaluates its own knowledge as negligible and, most surprisingly, is not interested in the subject of breast cancer and lymphoedema, even though the subjects of the group believe that arm swelling is connected to all types of breast cancer surgeries.

CONCLUSIONS

Breast cancer survivors have a good knowledge of their disorder but are still lacking some essential information. Respondents from the control group have a limited knowledge in the field of cancer and lymphoedema, are not interested in breast cancer matters and are not encouraged by gynaecologists to perform breast self-examinations. Educational prevention programs should develop a health-oriented approach among all women and emphasize their basic role in therapy.

摘要

目的

评估乳房切除术后幸存者对乳腺癌和淋巴水肿症状的了解程度。

材料与方法

研究在克拉科夫肿瘤学分支中心进行。调查包括60名住院患者以及来自小波兰地区的30名健康受试者。所采用的科学方法是一份专门设计的问卷。

结果

有癌症病史的女性表现出以健康为导向的态度。被称为实验组的受试者会进行乳房自我检查,定期看妇科医生,知晓乳房切除最严重的并发症——淋巴水肿,并认识到体育活动对其的影响。乳腺癌手术幸存者对乳腺癌和淋巴水肿有较好的了解,然而,实际问题中存在的不足之处令人担忧。相反,对照组忽视定期检查,认为自己的知识微不足道,最令人惊讶的是,即使该组受试者认为手臂肿胀与所有类型的乳腺癌手术有关,但他们对乳腺癌和淋巴水肿的话题并不感兴趣。

结论

乳腺癌幸存者对自己的疾病有较好的了解,但仍缺乏一些重要信息。对照组的受访者在癌症和淋巴水肿领域的知识有限,对乳腺癌问题不感兴趣,也未受到妇科医生鼓励去进行乳房自我检查。教育预防项目应在所有女性中培养以健康为导向的态度,并强调她们在治疗中的基础作用。

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本文引用的文献

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Improving quality of life after breast cancer: dealing with symptoms.改善乳腺癌后的生活质量:应对症状。
Maturitas. 2011 Dec;70(4):343-8. doi: 10.1016/j.maturitas.2011.09.008. Epub 2011 Oct 19.
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Prevention of breast cancer (Part II): risk reduction strategies.乳腺癌的预防(第二部分):降低风险策略。
Cancer Invest. 2010 Dec;28(10):1070-7. doi: 10.3109/07357907.2010.512593. Epub 2010 Oct 11.
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Post-breast cancer lymphedema: part 2.乳腺癌后淋巴水肿:第2部分。
Am J Nurs. 2009 Aug;109(8):34-41; quiz 42. doi: 10.1097/01.NAJ.0000358492.91678.78.
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Post-breast cancer. Lymphedema: part 1.乳腺癌后。淋巴水肿:第1部分。
Am J Nurs. 2009 Jul;109(7):48-54; quiz 55. doi: 10.1097/01.NAJ.0000357172.94131.58.

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