Cobbe Sinead, Real Shirley, Slattery Sinead
Senior Physiotherapist, at Milford Care Centre, Limerick, Ireland.
Physiotherapy Manager, at Milford Care Centre, Limerick, Ireland.
Int J Palliat Nurs. 2017 Mar 16;23(3):111-119. doi: 10.12968/ijpn.2017.23.3.111.
Little is known about the treatment of oedema in palliative care patients.
To outline the assessment, goals, and interventions for patients with oedema.
A 6-month chart review of a specialist physiotherapy-led oedema service was carried out.
Of the sample group (n=63), 28.6% of patients had lymphoedema, 15.9% had non-lymphatic oedema, 46% had mixed oedema and 9.8% had lymphorrhoea; 58 patients (92%) had cancer. The most common interventions were providing education (100%, n=63), using compression garments (58%, n=37), bandaging (51%, n=32), exercise (38%, n=24), lymphatic massage and kinesio-taping (35%, n=22 each). Treatment regime differed depending on the type of oedema present. Treatment goals were pragmatic: the most common were to maintain skin quality (54%, n=34), reduce limb volume (52%, n=32), and improve quality of life (48%, n=30).
Palliative care oedema can be treated using manual methods, including compression and massage. Goals differ from other oedema populations. Research is hampered by lack of suitable measures to record skin changes and quality of life.
对于姑息治疗患者水肿的治疗了解甚少。
概述水肿患者的评估、目标及干预措施。
对一项由专科物理治疗师主导的水肿服务进行了为期6个月的病历审查。
在样本组（n = 63）中，28.6%的患者患有淋巴水肿，15.9%患有非淋巴性水肿，46%患有混合性水肿，9.8%患有淋巴漏；58名患者（92%）患有癌症。最常见的干预措施是提供教育（100%，n = 63）、使用压力衣（58%，n = 37）、绷带包扎（51%，n = 32）、运动（38%，n = 24）、淋巴按摩和肌内效贴布（各35%，n = 22）。治疗方案因现有水肿类型而异。治疗目标注重实际：最常见的是保持皮肤质量（54%，n = 34）、减少肢体体积（52%，n = 32）和改善生活质量（48%，n = 30）。
姑息治疗中的水肿可采用包括压迫和按摩在内的手法进行治疗。目标与其他水肿人群不同。由于缺乏记录皮肤变化和生活质量的合适措施，研究受到阻碍。
