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与乳腺癌相关的继发性淋巴水肿女性的生活质量和体积减小情况

Quality of Life and Volume Reduction in Women with Secondary Lymphoedema Related to Breast Cancer.

作者信息

Lanza Marcus, Bergmann Anke, Ferreira Maria Giseli da Costa Leite, de Aguiar Suzana Sales, Dias Ricardo de Almeida, Abrahão Karen de Souza, Paltrinieri Ester M, Allende Ruy G Martínez, de Andrade Mauro Figueiredo Carvalho

机构信息

Centro Universitário Augusto Motta, Rio de Janeiro, Brazil.

Instituto Nacional de Câncer, Rio de Janeiro, Brazil.

出版信息

Int J Breast Cancer. 2015;2015:586827. doi: 10.1155/2015/586827. Epub 2015 Dec 30.

Abstract

Purpose. To assess the quality of life (QOL) as a predictor of volume reduction in women undergoing complex physical therapy (CPT) for lymphoedema following breast cancer. Methods. Clinical trial in 57 women undergoing CPT. Results. At baseline, in measuring quality of life for the EORTC QLQ-C30 questionnaire subscale of functionality, the worst scores for emotional function (55 points) and better social function (89 points) were observed. The symptom scales showed the worst pain averaged (66 points). The overall quality of life showed a low score (40 points). In the BR 23 module, low scores were observed in the field of future perspective (47 points). After treatment of lymphoedema, absolute reduction of excess volume between the upper limbs of 282 mL was observed, representing a reduction of 15%. No association was observed between the domains of quality of life and response to treatment of lymphoedema. Conclusion. This study included 57 women with advanced and chronic lymphoedema in early treatment with CPT and low scores for quality of life. The lymphoedema therapeutic response was not influenced by the QOL at the beginning of treatment.

摘要

目的。评估生活质量(QOL)作为接受乳腺癌后淋巴水肿综合物理治疗(CPT)的女性体积减少预测指标的情况。方法。对57名接受CPT的女性进行临床试验。结果。在基线时,在测量欧洲癌症研究与治疗组织(EORTC)QLQ - C30问卷功能性子量表的生活质量时,观察到情感功能得分最差(55分),社会功能得分较好(89分)。症状量表显示疼痛平均得分最差(66分)。总体生活质量得分较低(40分)。在BR 23模块中,未来展望领域得分较低(47分)。淋巴水肿治疗后,观察到上肢之间多余体积绝对减少282 mL,减少了15%。未观察到生活质量领域与淋巴水肿治疗反应之间的关联。结论。本研究纳入了57名早期接受CPT治疗的晚期和慢性淋巴水肿女性,生活质量得分较低。治疗开始时的生活质量并未影响淋巴水肿的治疗反应。

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