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Abstract
Objective
The aim of this study was to investigate the association of social support and quality of life in patients with gynecological cancer related lymphedema.
Methods
We interviewed to patients with gynecology related lymphedema (n=27) for psychosocial effects, economic affects by questionnaire that we developed. Short form-36 ver. 2 questionnaire was used to assess quality of life of the patients. Beck's depression index questionnaire was used to assess mood change of the patients. In addition, we identified support need for patients with gynecology cancer related lymphedema. Data were collected from 2009 to 2010.
Results
Patients with gynecology cancer related lymphedema have limitations to do lives such as activity of daily living, participate to leisure and exercise. Patients perceived symptoms were heaviness, limitation of range of motion, pain, weakness and feeling expansion in lower extremity. There was negative effect for financial status because of increase medical cost and decrease income. However, there was not affect to relationship with family. Half of the patients have some depression symptoms and there was significant decrease in quality of life such as especially, body pain and social functioning, compared to general population.
REFERENCES
1. Warren AG, Brorson H, Borud LJ, Slavin SA. Lymphedema: a comprehensive review. Ann Plast Surg. 2007; 59:464–72.
2. Ryan M, Stainton MC, Slaytor EK, Jaconelli C, Watts S, Mackenzie P. Aetiology and prevalence of lower limb lymphoedema following treatment for gynaecological cancer. Aust N Z J Obstet Gynaecol. 2003; 43:148–51.
3. Maunsell E, Brisson J, Deschênes L. Arm problems and psychological distress after surgery for breast cancer. Can J Surg. 1993; 36:315–20.
4. Morgan PA, Franks PJ, Moffatt CJ. Health-related quality of life with lymphoedema: a review of the literature. Int Wound J. 2005; 2:47–62.
5. Engel J, Kerr J, Schlesinger-Raab A, Eckel R, Sauer H, Hölzel D. Predictors of quality of life of breast cancer patients. Acta Oncol. 2003; 42:710–8.
6. Towers A, Carnevale FA, Baker ME. The psychosocial effects of cancer-related lymphedema. J Palliat Care. 2008; 24:134–43.
7. Lee YH, Song JY. A study of the reliability and the validity of the BDI, SDS, and MMPI-D scales. Korean J Clin Psychol. 1991; 10:98–113.
8. Ware JE Jr, Kosinski M, Bayliss MS, McHorney CA, Rogers WH, Raczek A. Comparison of methods for the scoring and statistical analysis of SF-36 health profile and summary measures: summary of results from the Medical Outcomes Study. Med Care. 1995; 33:AS264–79.
9. Browse NL. The diagnosis and management of primary lymphedema. J Vasc Surg. 1986; 3:181–4.
10. Hwang JH, Kwon JY, Lee KW, Choi JY, Kim BT, Lee BB, et al. Changes in lymphatic function after complex physical therapy for lymphedema. Lymphology. 1999; 32:15–21.
11. Wenzel L, DeAlba I, Habbal R, Kluhsman BC, Fairclough D, Krebs LU, et al. Quality of life in longterm cervical cancer survivors. Gynecol Oncol. 2005; 97:310–7.
12. Beesley V, Janda M, Eakin E, Obermair A, Battistutta D. Lymphedema after gynecological cancer treatment: prevalence, cor- relates, and supportive care needs. Cancer. 2007; 109:2607–14.
13. Kang SH, Hwang KH, Sim YJ, Jeong HJ, Lee TH, Kim SH. The prevalence and risk factors of lower limb lymphedema in the patients with gynecologic neoplasms. Korean J Obstet Gynecol. 2009; 52:815–20.
14. Carter BJ. Women's experiences of lymphedema. Oncol Nurs Forum. 1997; 24:875–82.
Table 1.
Participant characteristics
Table 2.
Beck's depression index
| Lymphedema (n=25) | |
|---|---|
| Beck's depression index score | 7.41±8.16 |
| Depression grade | |
| Normal | 14 (51.9) |
| Depressive | 13 (48.1) |
| Mild depressive | 11 (84.6) |
| Moderate depressive | 1 (7.7) |
| Severe depressive | 1 (7.7) |
Table 3.
Quality of life of lymphedema patients
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