淋巴水肿自我护理：节省经济成本及提高依从性的机会。
Lymphedema self-care: economic cost savings and opportunities to improve adherence.
作者信息
Karaca-Mandic Pinar, Solid Craig A, Armer Jane M, Skoracki Roman, Campione Elizabeth, Rockson Stanley G
机构信息
Carlson School of Management, University of Minnesota, Carlson School of Management, 321 19th Avenue South, Minneapolis, MN, 55455, USA.
Solid Research Group, St Paul, Minneapolis, MN, USA.
出版信息
Cost Eff Resour Alloc. 2023 Jul 29;21(1):47. doi: 10.1186/s12962-023-00455-7.
BACKGROUND
Breast cancer-related lymphedema (BCRL) imposes a significant economic burden on patients, providers, and society. There is no curative therapy for BCRL, but management through self-care can reduce symptoms and lower the risk of adverse events.
MAIN BODY
The economic burden of BCRL stems from related adverse events, reductions in productivity and employment, and the burden placed on non-medical caregivers. Self-care regimens often include manual lymphatic drainage, compression garments, and meticulous skin care, and may incorporate pneumatic compression devices. These regimens can be effective in managing BCRL, but patients cite inconvenience and interference with daily activities as potential barriers to self-care adherence. As a result, adherence is generally poor and often worsens with time. Because self-care is on-going, poor adherence reduces the effectiveness of regimens and leads to costly treatment of BCRL complications.
CONCLUSION
Novel self-care solutions that are more convenient and that interfere less with daily activities could increase self-care adherence and ultimately reduce complication-related costs of BCRL.
背景
乳腺癌相关淋巴水肿（BCRL）给患者、医疗服务提供者和社会带来了巨大的经济负担。目前尚无治愈BCRL的疗法，但通过自我护理进行管理可以减轻症状并降低不良事件的风险。
主体
BCRL的经济负担源于相关不良事件、生产力和就业的下降以及非医疗护理人员所承受的负担。自我护理方案通常包括手动淋巴引流、压力衣和细致的皮肤护理，可能还会使用气动压缩装置。这些方案在管理BCRL方面可能有效，但患者认为不便以及对日常活动的干扰是坚持自我护理的潜在障碍。因此，依从性普遍较差，且往往会随着时间的推移而恶化。由于自我护理是持续进行的，依从性差会降低方案的有效性，并导致BCRL并发症的昂贵治疗。
结论
更方便且对日常活动干扰较小的新型自我护理解决方案可以提高自我护理的依从性，并最终降低BCRL并发症相关的成本。
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