Lymphoedema management

  • 文章类型: Journal Article
    淋巴水肿专家的接触以及他们与患者之间的沟通不良,无法进行适当的淋巴水肿管理。因此,远程系统的开发和传播对于改善医务人员有限或获得医疗协调的农村地区的护理是必要的。
    作者评估了为患者提供淋巴水肿保守治疗教育所需的要素,以确定远程管理的可行性。
    这项研究涉及在当地诊所(A点)中联系健康专业人员治疗淋巴水肿患者,他和临床医生在一起,与位于远程大学的专家认证的淋巴水肿治疗师(CLT)(B点)。
    CLT能够打招呼,访谈并指导患者进行保守治疗。与病人直接接触是不可能的,限制了可视化,触诊,腿部周长测量,和淋巴引流管理。
    研究结果表明,包括保守治疗的远程淋巴水肿管理方法对患者和卫生专业人员都有好处,特别是在农村地区。未来的研究需要证实这种方法的有效性,以确认适当的治疗。
    UNASSIGNED: Poor access to lymphoedema specialists and communication between them and patients prevents appropriate lymphoedema management. Therefore, development and dissemination of remote systems is necessary to improve care in rural areas with limited medical personnel or access to medical coordination.
    UNASSIGNED: The authors evaluated the elements required for providing patient education on conservative therapy for lymphoedema, to determine the feasibility of remote management.
    UNASSIGNED: The study involved connecting a health professional in a local clinic (point A) treating a patient with lymphoedema, who was present alongside the clinician, with a specialist certified lymphoedema therapist (CLT) located remotely in a university (point B).
    UNASSIGNED: The CLT was able to greet, interview and provide guidance to the patient on conservative therapy. Direct contact with the patient was not possible, which limited visualisation, palpation, leg circumference measurement, and lymphatic drainage management.
    UNASSIGNED: The findings suggest that remote a lymphoedema management approach involving conservative therapy benefits both patients and health professionals, particularly in rural regions. Future studies are needed to confirm the effectiveness of this approach to confirm adequate treatment.
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    文章类型: Journal Article
    BACKGROUND: Many clinicians recognise the importance of the patient\'s role in treating and managing lymphoedema and that optimal outcomes depend on patients\' compliance to treatment, or a prescribed daily lymphoedema care regimen. Such a widespread belief can be called a \'compliance paradigm\'.
    OBJECTIVE: To ascertain whether breast cancer survivors with lymphoedema have the same concept of compliance as clinicians to characterise their experiences.
    METHODS: Using a descriptive phenomenological method, 34 participants were recruited and 102 interviews completed.
    RESULTS: The findings of the study reveal that, from the perspective of breast cancer survivors, managing lymphoedema is broader than compliance to treatment. The women actively structured their lives to make lymphoedema management feasible by incorporating it into a daily routine. The study offers an alternative insight into the compliance approach to lymphoedema management and it is important for researchers and clinicians to be aware that breast cancer survivors do not consider compliance to treatment as part of their daily lymphoedema care.
    CONCLUSIONS: In research and practice, it may be more appropriate to assess the presence or absence of breast cancer survivors\' intentions, effective and ineffective strategies, and barriers to effective strategies.
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