淋巴水肿护理中的健康指导:癌症幸存者的益处综述。

IF 1.5
Loredana Corrias, Danilo Donati, Federica Giorgi, Roberto Tedeschi
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引用次数: 0

摘要

淋巴水肿,尤其是癌症幸存者,是一种慢性衰弱性疾病,缺乏明确的治疗方法。目前的治疗策略复杂,注重症状控制。健康指导(HC)已成为一种有希望的干预措施,以提高慢性疾病患者的自我管理和生活质量,但其在淋巴水肿护理中的具体作用仍未得到充分探讨。方法:本综述综合了现有文献综述和系统综述的结果,研究了HC在改善慢性疾病(包括淋巴水肿)的健康结果方面的有效性。检索的数据库包括MEDLINE、Cochrane Central、Scopus、PEDro和Web of Science,没有日期限制。我们确定了五项相关研究,每项研究都评估了HC对生活质量、心理健康、身体活动、自我管理和决策的影响。结果回顾的研究一致表明,HC提高了生活质量,减少了精神痛苦,并支持慢性疾病的自我管理。患者参与体育活动和知情决策的情况也有所改善。然而,结果在可持续性方面有所不同,并受到HC递送方法和持续时间的影响。结论:研究结果表明,在多学科团队中进行的HC可能是淋巴水肿管理的一个有价值的补充,通过赋予患者权力,提高对护理程序的依从性,增强心理弹性。未来的研究应标准化HC方案,并评估其长期效益,特别是对淋巴水肿。这篇综述强调了HC在慢性疾病治疗中的潜力,以及对淋巴水肿进行针对性干预的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Health coaching in lymphedema care: A review of benefits for cancer survivors.

BackgroundLymphedema, particularly in cancer survivors, is a chronic, debilitating condition that lacks a definitive cure. Current management strategies are complex and focus on symptom control. Health coaching (HC) has emerged as a promising intervention to enhance patient self-management and quality of life in chronic diseases, but its specific role in lymphedema care remains underexplored.MethodsThis review synthesized findings from existing literature reviews and systematic reviews examining HC's effectiveness in improving health outcomes in chronic conditions, including lymphedema. Databases searched included MEDLINE, Cochrane Central, Scopus, PEDro, and Web of Science, with no date limitations. Five relevant studies were identified, each evaluating HC's impact on quality of life, mental health, physical activity, self-management, and decision-making.ResultsThe reviewed studies consistently indicated that HC enhances quality of life, reduces mental distress, and supports self-management in chronic conditions. Improvements were also noted in patient engagement in physical activity and informed decision-making. However, outcomes varied in sustainability and were influenced by HC delivery method and duration.ConclusionsThe findings suggest that HC, delivered within multidisciplinary teams, could be a valuable addition to lymphedema management by empowering patients, improving adherence to care routines, and enhancing psychological resilience. Future research should standardize HC protocols and assess their long-term benefits specifically for lymphedema. This review highlights HC's potential in chronic disease care and the need for tailored interventions in lymphedema.

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