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乳腺癌相关性淋巴水肿与生活质量:生存多年的定性分析。

Breast cancer-related lymphedema and quality of life: A qualitative analysis over years of survivorship.

机构信息

Sinclair School of Nursing University of Missouri, Columbia, MO, USA.

Boromarajonani College of Nursing, Buddhachinaraj, Phitsanulok, Thailand.

出版信息

Chronic Illn. 2021 Sep;17(3):257-268. doi: 10.1177/1742395319872796. Epub 2019 Sep 4.

Abstract

OBJECTIVES

The study purpose was to examine perspectives of women with newly diagnosed breast cancer-related lymphedema (BCRL) regarding their quality of life over seven years.

METHOD

Data were collected over seven years using the Lymphedema and Breast Cancer Questionnaire (LBCQ). Participants with BCRL answered open-ended questions corresponding to changes in mood and lifestyle from post-op through annual interviews and surveys. Self-reported data from 97 participants with BCRL were analyzed using in vivo coding and template-style content analysis to elicit the impact of BCRL on quality of life domains.

RESULTS

Data saturation was achieved as participants neared 30 to 36 months post- breast cancer diagnosis. Three major themes were identified related to BCRL's impact on: physical function; daily living and social function; and psychological function.

DISCUSSION

Findings suggest that BCRL impacts quality of life not only soon after diagnosis, but also throughout survivorship years. Healthcare providers should develop programs to enhance quality of life for survivors with BCRL.

摘要

目的

本研究旨在探讨新诊断为乳腺癌相关淋巴水肿(BCRL)的女性患者在七年期间对其生活质量的看法。

方法

通过使用淋巴水肿和乳腺癌问卷(LBCQ),在七年期间收集数据。患有 BCRL 的参与者回答了与术后情绪和生活方式变化相对应的开放性问题,通过年度访谈和调查进行。对 97 名患有 BCRL 的参与者的自我报告数据进行了体内编码和模板式内容分析,以引出 BCRL 对生活质量领域的影响。

结果

随着参与者接近乳腺癌诊断后的 30 至 36 个月,数据达到了饱和。确定了与 BCRL 对身体功能、日常生活和社会功能以及心理功能的影响相关的三个主要主题。

讨论

研究结果表明,BCRL 不仅在诊断后不久对生活质量产生影响,而且在整个生存期间也会产生影响。医疗保健提供者应制定计划,以提高患有 BCRL 的幸存者的生活质量。

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