Eyigor S, Deveci Kocbilek Z, Ozgur Inbat M, Caliskan Kabayel S, Akgu B D
Department of Physical Therapy and Rehabilitation, Ege University Faculty of Medicine, Izmir, Turkey.
Pamukkale University, Faculty of Health Science, Nursing Department, Denizli, Turkey.
Lymphology. 2024;57(3):157-168.
This study examined the effect of lymphedema self-care patient school education on patient functionality, quality of life, body value, and lymphedema volume in patients with lower extremity lymphedema. The study utilized a single-group quasi-experimental design. The study sample included 21 patients with primary and secondary lower extremity lymphedema. A multidisciplinary team created a face-to-face lymphedema self-care patient education program that lasted three weeks with four hours each week to enhance lymphedema self-care management. Data collected from participants prior to the program and then at third and sixth months via Lower Extremity Functional Scale (LEFS), Lymphedema Functionality, Disability and Quality of Life Scale in Lower Extremity Lymphedema (LYMPH-ICF-LL), Body Value Scale, and extremity volumes. The average age of the patients was 54.85±11.99 years and two-thirds had secondary lymphedema. A statistically significant difference was found in the mean scores of LEFS (p<0.001), LYMPH-ICF-LL total (p= 0.006) in the 3rd and 6th months after the completion of the program, and in the lymphedema volume change (p= 0.031) in the 6th month. It was found that the lymphedema self-care patient school improved functionality and quality of life in patients with lower extremity lymphedema and decreased lymphedema volume. This lymphedema self-care patient education pro-gram is a safe and effective educational method for self-care management in individuals with lower extremity lymphedema.
本研究探讨了淋巴水肿自我护理患者学校教育对下肢淋巴水肿患者的功能、生活质量、身体价值和淋巴水肿体积的影响。该研究采用单组准实验设计。研究样本包括21例原发性和继发性下肢淋巴水肿患者。一个多学科团队创建了一个为期三周、每周四小时的面对面淋巴水肿自我护理患者教育项目，以加强淋巴水肿自我护理管理。在项目开始前以及项目结束后的第三个月和第六个月，通过下肢功能量表（LEFS）、下肢淋巴水肿功能、残疾和生活质量量表（LYMPH-ICF-LL）、身体价值量表和肢体体积，收集参与者的数据。患者的平均年龄为54.85±11.99岁，三分之二患有继发性淋巴水肿。在项目完成后的第3个月和第6个月，LEFS的平均得分（p<0.001）、LYMPH-ICF-LL总分（p = 0.006）以及第6个月的淋巴水肿体积变化（p = 0.031）均存在统计学上的显著差异。研究发现，淋巴水肿自我护理患者学校改善了下肢淋巴水肿患者的功能和生活质量，并减少了淋巴水肿体积。这种淋巴水肿自我护理患者教育项目是一种用于下肢淋巴水肿患者自我护理管理的安全有效的教育方法。
