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.
Support Care Cancer. 2018 Jun;26(6):2005-2013. doi: 10.1007/s00520-018-4048-x. Epub 2018 Jan 12.
The aim of this study was to describe the lived experience of lymphoedema and the barriers faced by cancer sufferers receiving physiotherapy outpatient treatment.
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.
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.
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.
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。
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。
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。
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。