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“赛龙舟”运动降低淋巴水肿发病风险的效果:一项观察性研究。

The Effectiveness of the Sport "Dragon Boat Racing" in Reducing the Risk of Lymphedema Incidence: An Observational Study.

机构信息

Author Affiliations: "Regina Elena" National Cancer Institute, Rome (Drs Iacorossi and Gambalunga and Ms De Domenico); "Hospice San Francesco," Rieti (Dr Molinaro); and Biostatistics Unit (Dr Giannarelli) and Division of Medical Oncology A (Dr Fabi), "Regina Elena" National Cancer Institute, Rome, Italy.

出版信息

Cancer Nurs. 2019 Jul/Aug;42(4):323-331. doi: 10.1097/NCC.0000000000000615.

DOI:10.1097/NCC.0000000000000615
PMID:29933309
Abstract

BACKGROUND

Upper extremity lymphedema is a complication that often occurs in women with breast cancer as a result of surgery and/or radiotherapy. Some studies report that a boating activity known as the "dragon boat" sport can benefit these women.

AIM

The aim of this study was to assess whether this type of sport prevents or reduces lymphedema, its impact on quality of life (QoL), and the possible predictors of this condition.

METHODS

This was an observational study of 2 groups: group A (women who participated in dragon boat racing for at least 6 months) and group B (women who participated in other forms of physical exercise biweekly). Data were collected at the National Cancer Institute of Rome and the lake of Castel Gandolfo from June to October 2016. The instruments used were a questionnaire created for sociodemographic and clinical data, the European Organisation for Research and Treatment of Cancer Core Questionnaire for evaluating QoL, and a tape measure applied to estimate the local lymphedema.

RESULTS

One hundred women participated in the study. Lymphedema incidence in group A was 4.0% (2 of 50), whereas in group B it was 26.0% (13 of 50). Women who participated in dragon boat racing also reported a healthier lifestyle, lower body mass index, and a better QoL (set point: 61.8 group B vs 80.0 group A).

CONCLUSIONS

The dragon boat sport participants had more positive clinical and QoL outcomes than did the women who did not participate in that sporting activity.

IMPLICATIONS FOR CLINICAL PRACTICE

It would be important to make women with breast cancer aware of the practice of dragon boat racing.

摘要

背景

上肢淋巴水肿是乳腺癌患者手术后和/或放疗后常发生的并发症。一些研究报告称,一种名为“龙舟”的划船运动对这些女性有益。

目的

本研究旨在评估这种运动是否预防或减少淋巴水肿,及其对生活质量(QoL)的影响,以及这种情况的可能预测因素。

方法

这是一项观察性研究,分为两组:A 组(至少参加 6 个月龙舟比赛的女性)和 B 组(每两周参加其他形式体育锻炼的女性)。数据于 2016 年 6 月至 10 月在罗马国家癌症研究所和 Castel Gandolfo 湖收集。使用的工具包括为社会人口统计学和临床数据创建的问卷、用于评估 QoL 的欧洲癌症研究和治疗组织核心问卷,以及用于估计局部淋巴水肿的卷尺。

结果

共有 100 名女性参加了这项研究。A 组的淋巴水肿发生率为 4.0%(50 名中的 2 名),而 B 组的发生率为 26.0%(50 名中的 13 名)。参加龙舟比赛的女性还报告了更健康的生活方式、更低的体重指数和更好的 QoL(设定点:B 组 61.8 分,A 组 80.0 分)。

结论

与未参加该运动的女性相比,参加龙舟运动的女性具有更积极的临床和 QoL 结果。

临床实践意义

让乳腺癌女性了解龙舟运动的实践将是很重要的。

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