下肢淋巴水肿患者完全消血治疗的经验：一项描述性现象学研究

IF 3.3 2区医学 Q2 PSYCHIATRY

Journal of Psychosomatic Research Pub Date : 2025-08-15 DOI:10.1016/j.jpsychores.2025.112351

Yucheng Yin, Jie Lin, Lixia Yang, Yuanyuan Zhao, Lili Zhu, Luya Pu, Dongmei Han

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引用次数: 0

摘要

背景：下肢淋巴水肿可引起严重的生理和心理困扰。完全去充血性治疗被认为是非手术治疗这种疾病的金标准。然而，在现有的研究中，接受完全去充血性治疗的患者的生活经历在很大程度上被忽视了。目的探讨下肢淋巴水肿患者接受完全消血治疗的经验。方法采用有目的抽样方法，从中国某医院招募18例下肢淋巴水肿患者，年龄39 ~ 72岁。进行一对一深度访谈，收集定性数据。采用Nvivo12.0进行数据编码和管理，采用Colaizzi描述性分析框架进行数据解释。结果从数据分析中产生了四个主要主题和十三个次要主题：(a)身体不适，(b)增加信心，(c)情绪困扰，(d)需要支持。结论下肢淋巴水肿患者在接受完全降压治疗后，会经历复杂的生理、情绪和心理挑战。提高完整的去充血性治疗体验的干预措施应侧重于五个关键领域：健康教育、心理支持、医疗器械的进步、咨询平台的建立以及解决独居者的自我保健困难。

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Experiences of complete decongestive therapy for patients with lower limb lymphedema: A descriptive phenomenological study

Background

Lower limb lymphedema can cause significant physical and psychological distress. Complete decongestive therapy is recognized as the gold standard for non-surgical management of this condition. However, the lived experiences of patients undergoing complete decongestive therapy have been largely overlooked in existing research.

Objectives

To explore the experiences of individuals with lower limb lymphedema undergoing complete decongestive therapy.

Methods

A total of 18 eligible participants with lower limb lymphedema, aged 39–72 years, were recruited through purposive sampling from a hospital in China. One-on-one in-depth interviews were conducted to collect qualitative data. Nvivo12.0 was used for data encoding and management, and Colaizzi's descriptive analysis framework was employed for data interpretation.

Results

Four major themes and thirteen subthemes were generated from the data analysis: (a) Physical discomfort, (b) Increased confidence, (c) Emotional distress, and (d) Need for support.

Conclusion

People undergoing complete decongestive therapy for lower limb lymphedema experience complex physical, emotional, and psychological challenges. Interventions to enhance the complete decongestive therapy experience should focus on five key areas: health education, psychological support, advancements in medical devices, the establishment of consultation platforms, and addressing self-care difficulties among individuals living alone.

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来源期刊

Journal of Psychosomatic Research 医学-精神病学

CiteScore

7.40

自引率

6.40%

发文量

314

审稿时长

6.2 weeks

期刊介绍： The Journal of Psychosomatic Research is a multidisciplinary research journal covering all aspects of the relationships between psychology and medicine. The scope is broad and ranges from basic human biological and psychological research to evaluations of treatment and services. Papers will normally be concerned with illness or patients rather than studies of healthy populations. Studies concerning special populations, such as the elderly and children and adolescents, are welcome. In addition to peer-reviewed original papers, the journal publishes editorials, reviews, and other papers related to the journal''s aims.