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患有淋巴水肿的癌症患者的生活体验:一项定性研究。

Living with lymphoedema-the perspective of cancer patients: a qualitative study.

机构信息

School of Sport Science and Physical Therapy, Universidad Europea de Madrid, Madrid, Spain.

Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Avenida Atenas s/n, CP 28922, Alcorcón, Madrid, Spain.

出版信息

Support Care Cancer. 2018 Jun;26(6):2005-2013. doi: 10.1007/s00520-018-4048-x. Epub 2018 Jan 12.

Abstract

PURPOSE

The aim of this study was to describe the lived experience of lymphoedema and the barriers faced by cancer sufferers receiving physiotherapy outpatient treatment.

METHODS

A qualitative, phenomenological study was performed. Purposeful sampling method was used. Data collection methods included unstructured and semi-structured interviews and researcher field notes. A thematic analysis was used. The study was conducted following the Consolidated Criteria for Reporting Qualitative Research guidelines.

RESULTS

Eleven patients (62.18 ± 10.14 years) (90.91% women) participated. One theme was identified with different subgroups. The main theme 'Living a life with multiple barriers'-formed by the subthemes 'Discovering physical and psychological barriers', 'Searching information', 'Building relationships' and 'Controlling expenses'-displays the daily difficulties they must face in areas such as work. The patients reported that lymphoedema is a constant emotional and physical challenge. They need to adapt their lives to their new situation, learning how to manage the lymphoedema.

CONCLUSIONS

Patients considered lymphoedema as a clinical situation with multiple barriers and they found that it does alter their quality of life. These results can be applied in onco-haematology units to develop specific protocols for customers.

摘要

目的

本研究旨在描述淋巴水肿的真实体验,以及接受物理治疗门诊治疗的癌症患者所面临的障碍。

方法

采用定性、现象学研究。使用目的性抽样法。数据收集方法包括非结构化和半结构化访谈以及研究者现场记录。采用主题分析法。本研究遵循《定性研究报告的统一标准》进行。

结果

11 名患者(62.18±10.14 岁)(90.91%为女性)参与了研究。确定了一个主题和不同的亚组。主要主题“生活在充满多种障碍的环境中”-由亚主题“发现身体和心理障碍”、“搜索信息”、“建立关系”和“控制费用”-组成,展示了他们在工作等领域必须面对的日常困难。患者报告称,淋巴水肿是一种持续的身体和情绪挑战。他们需要调整自己的生活以适应新的情况,并学习如何管理淋巴水肿。

结论

患者认为淋巴水肿是一种存在多种障碍的临床情况,它确实会改变他们的生活质量。这些结果可以在肿瘤血液科病房中应用,为患者制定特定的方案。

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