为接受淋巴水肿手术治疗的患者提供术后护理。

IF 2.8 4区 医学 Q2 ONCOLOGY
Ann Marie Flores, Mei Rosemary Fu, Karen J Bock, Elizabeth Campione, Kathleen Francis, Corinne Kellerman, Traci L Norris, Stacy Tylka
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引用次数: 0

摘要

手术疗法在治疗淋巴水肿方面大有可为。重要的是,患者、医疗服务提供者和淋巴水肿社区要明白,手术治疗目前还不能根治淋巴水肿,但为患者提供了很有前景的选择。淋巴水肿手术治疗后的患者术后护理对于优化和维持患者的治疗效果至关重要。这份专家共识声明阐述了目前在标准化术后护理、一套核心结果测量指标、护理质量和医护人员培训方面的实践和研究需求。目前的研究和临床实践都支持将非手术淋巴水肿疗法(又称淋巴水肿保守疗法,如压力疗法、人工淋巴引流或完全去充血疗法)作为术后护理的重要组成部分。重要的是,患者教育应侧重于让患者了解手术并不能治愈淋巴水肿,以及坚持术后护理和终身自我监测的重要性,以维持手术效果,减少肢体体积,缓解症状,并减少已知或持续存在的淋巴水肿复发风险因素。要想优化患者的治疗效果,关键是要有一个多学科的专业团队,该团队由资历深厚、有资质的医护人员组成,并参与持续的培训和教育。本专家共识所推荐的要点是建立最佳临床实践标准的第一步,也是基础性的一步,并为未来的研究提供了方向。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Post-operative care for patients following surgical treatment of lymphedema.

Surgical treatments are promising for the treatment of lymphedema. It is important for patients, healthcare providers, and lymphedema community to understand that surgical treatments currently are not a cure for lymphedema but have provided promising options for patients. Post-operative care for patients following surgical treatment of lymphedema is vital to optimize and sustain patient outcomes. This expert-consensus statement addresses current practice and research needs for standardized post-operative care, a core set of outcome measures, quality of care, and training of healthcare providers. Current research and clinical practice support non-surgical lymphedema therapy, also known as conservative therapy of lymphedema (e.g., compression therapy, or manual lymph drainage, or Complete Decongestive Therapy) as an essential part of post-operative care. Importantly, patient education should focus on patients' understanding that surgery is not a cure and the importance to adhere to post-operative care and life-long self-monitoring to sustain surgical results of limb volume reduction, relief of symptoms, and mitigate known or ongoing risk factors for recurrence of lymphedema. To optimize patient outcomes, it is crucial to have a multidisciplinary professional team consisting of well-qualified and credentialed healthcare providers participating in ongoing training and education. The essentials recommended by this expert-consensus are an initial and foundational step to build clinical standards for best practice and provide directions for future research.

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来源期刊
Medical Oncology
Medical Oncology 医学-肿瘤学
CiteScore
4.20
自引率
2.90%
发文量
259
审稿时长
1.4 months
期刊介绍: Medical Oncology (MO) communicates the results of clinical and experimental research in oncology and hematology, particularly experimental therapeutics within the fields of immunotherapy and chemotherapy. It also provides state-of-the-art reviews on clinical and experimental therapies. Topics covered include immunobiology, pathogenesis, and treatment of malignant tumors.
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