关键词: Compression therapy Implementation Indocyanine green lymphography Lymphoedema Self-care Ultrasonography Compression therapy Implementation Indocyanine green lymphography Lymphoedema Self-care Ultrasonography

Mesh : Edema Female Humans Indocyanine Green Lymphedema / etiology therapy Lymphography / adverse effects methods Middle Aged Self Care Stockings, Compression / adverse effects

来  源:   DOI:10.12968/bjon.2022.31.15.S22

Abstract:
UNASSIGNED: Compression therapy is important in oedema control in lymphoedema. However, some patients have difficulties starting compression therapy because standard self-care education does not enable them to fully understand lymphoedema and recognise it as their problem. To overcome this, real-time image-sharing education, using a combination of indocyanine green lymphography (ICG) and ultrasonography, may be used to educate patients. In this case study, real-time image-sharing education promoted decision-making and behaviour change in a patient with lower extremity lymphoedema so she would wear elastic stockings.
UNASSIGNED: A 51-year-old woman with a BMI of 31.7 kg/m2 and secondary lower extremity lymphoedema following cervical cancer surgery did not adhere to self-care instructions regarding wearing elastic stockings for 5 years. The oedema worsened, her limb circumference increased and she had two episodes of cellulitis within a year. Because the patient had a negative attitude towards elastic stockings, real-time image-sharing education was used to promote recognition of illness using ICG and an understanding of the condition of lymphoedema using ultrasonography. After the images were shared and explained, the patient discussed her recognition and understanding of lymphoedema, then decided to use compression stockings. She continued to wear them for 4 months, and her limb circumference decreased.
UNASSIGNED: Real-time image-sharing education using ICG and ultrasonography as self-care support for a lymphoedema patient who would not start compression therapy could result in behavioural changes and the patient starting and continuing to wear elastic stockings.
摘要:
压迫治疗在淋巴水肿控制中很重要。然而,一些患者难以开始压迫治疗,因为标准的自我护理教育不能使他们充分了解淋巴水肿并认识到这是他们的问题。为了克服这一点,实时图像共享教育,使用吲哚菁绿淋巴造影(ICG)和超声检查的组合,可以用来教育病人。在这个案例研究中,实时图像共享教育促进了下肢淋巴水肿患者的决策和行为改变,因此她会穿上弹力袜。
一名51岁女性,BMI为31.7kg/m2,在宫颈癌手术后继发下肢淋巴水肿,5年来没有遵守有关穿弹力袜的自我保健指示。水肿加重,她的肢体周长增加,一年内发生了两次蜂窝织炎。因为病人对弹力袜持消极态度,使用实时图像共享教育来促进使用ICG对疾病的识别以及使用超声检查对淋巴水肿状况的了解。在分享和解释图像后,病人讨论了她对淋巴水肿的认识和理解,然后决定使用压缩长袜。她继续穿了4个月,她的四肢周长减少了。
使用ICG和超声检查的实时图像共享教育作为无法开始压迫治疗的淋巴水肿患者的自我护理支持,可能会导致行为改变,患者开始并继续穿弹力袜。
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