家庭运动和远程康复对乳腺癌相关淋巴水肿患者治疗过程的评价:一项病例对照研究。

IF 1.9 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL
Lymphatic research and biology Pub Date : 2025-06-01 Epub Date: 2025-01-27 DOI:10.1089/lrb.2024.0038
Merve Demirci, Canan Şanal
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引用次数: 0

摘要

背景:本研究旨在评估和比较远程康复(TR)和家庭运动计划(HEP)治疗乳腺癌相关淋巴水肿患者的有效性以及患者对这些治疗过程的依从性。方法与结果:在某大学附属医院物理医学与康复科淋巴水肿门诊,前瞻性纳入HEP组23例,TR组22例。这些患者是随机的。采用截锥公式计算治疗前后患者肢体体积差。患者的疼痛、紧绷、沉重和僵硬症状与淋巴水肿使用数值量表进行询问。采用手臂、肩部和手部残疾快速问卷(Quick- dash)和淋巴水肿生活影响量表(LLIS)评估患者的功能和日常生活活动参与情况。采用李克特量表对患者的治疗满意度和治疗依从性进行调查。共有45名患者被纳入研究。两组患者的平均年龄和体重指数比较,差异无统计学意义(p≥0.05)。在进行的评估中,在容积差、快速DASH、疼痛、紧绷、重、僵硬和LLIS评分方面,组内或组间无显著差异(p≥0.05)。TR组患者满意度显著高于对照组(p≤0.001)。在治疗随访中,TR组仅有1人未进行第5周体检(4.5%),而HEP组有5人未进行第5周体检,3人未进行第8周体检。总体而言,8名患者(34%)停止治疗。结论:虽然TR组与HEP组的临床评价无显著差异,但TR组的患者满意度和治疗依从性明显高于HEP组。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of the Treatment Process with Home Exercise Program and Telerehabilitation in Patients with Breast Cancer-Related Lymphedema: A Case-Control Study.

Background: This study aimed to evaluate and compare the effectiveness of telerehabilitation (TR) and home exercise program (HEP) in patients with breast cancer-related lymphedema and the patients' compliance with these treatment processes. Methods and Results: 23 patients were prospectively included in the HEP group and 22 patients in the TR group, who were followed up in the Lymphedema Outpatient Clinic of the Department of Physical Medicine and Rehabilitation of a University Hospital. These patients were randomized. The volume difference between the extremities of the patients was calculated with the truncated cone formula, before and after treatment. The patients' pain, tightness, heaviness, and stiffness symptoms associated with lymphedema were questioned using a numerical scale. The patients' functionality and participation in daily life activities were evaluated with disabilities of arm, shoulder, and hand Quick Questionnaire (Quick-DASH) and the Lymphedema Life Impact Scale (LLIS). Patients' treatment satisfaction and compliance with treatment were questioned using Likert scales. A total of 45 patients were included in the study. The mean age and body mass index were similar between the groups (p ≥ 0.05). In the evaluations performed, no significant differences were observed within groups or between groups in terms of volume difference, quick DASH, pain, tightness, heaviness, stiffness, and LLIS scores (p ≥ 0.05). Patient satisfaction was significantly higher in the TR group (p ≤ 0.001). During treatment follow-up, only one person from the TR group missed the 5th-week checkup (4.5%), whereas five patients from the HEP missed the 5th-week checkup and three missed the 8th-week checkup. Overall, eight patients discontinued treatment (34%). Conclusion: Although there were no significant differences in clinical assessments between TR and HEP groups, patient satisfaction, and treatment adherence were significantly higher in the TR group.

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来源期刊
Lymphatic research and biology
Lymphatic research and biology Medicine-Cardiology and Cardiovascular Medicine
CiteScore
3.10
自引率
7.10%
发文量
85
审稿时长
>12 weeks
期刊介绍: Lymphatic Research and Biology delivers the most current peer-reviewed advances and developments in lymphatic biology and pathology from the world’s leading biomedical investigators. The Journal provides original research from a broad range of investigative disciplines, including genetics, biochemistry and biophysics, cellular and molecular biology, physiology and pharmacology, anatomy, developmental biology, and pathology. Lymphatic Research and Biology coverage includes: -Vasculogenesis and angiogenesis -Genetics of lymphatic disorders -Human lymphatic disease, including lymphatic insufficiency and associated vascular anomalies -Physiology of intestinal fluid and protein balance -Immunosurveillance and immune cell trafficking -Tumor biology and metastasis -Pharmacology -Lymphatic imaging -Endothelial and smooth muscle cell biology -Inflammation, infection, and autoimmune disease
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