Home-Based Lymphedema Treatment in Patients With Cancer-Related Lymphedema or Noncancer-Related Lymphedema

作者：Sheila Hedden Ridner, Elizabeth McMahon, Mary S. Dietrich, Sunday Hoy · 发表于：Oncology nursing forum · 年份：2008 · DOI：10.1188/08.onf.671-680 · 被引用次数：59 · 研究领域：Lymphatic System and Diseases、Diagnosis and Treatment of Venous Diseases、Lymphatic Disorders and Treatments

PURPOSE/OBJECTIVES: To compare treatment protocol adherence, satisfaction, and perceived changes in emotional and functional status between patients with lymphedema with and without cancer using the home-based Flexitouch (Tactile Systems Technology, Inc.) system for lymphedema self-care. DESIGN: Quasi-experimental, pre- and post-test design. SETTING: Private homes in the continental United States and Alaska. SAMPLE: 155 community-dwelling individuals with lymphedema: 93 with cancer-related lymphedema and 62 with noncancer-related lymphedema. METHODS: A survey was completed before use of the Flexitouch system. Participants received in-home education about device use, safety precautions, and the two-phase therapy protocol. A post-therapy survey was completed during the maintenance phase of the protocol. MAIN RESEARCH VARIABLES: Use of the Flexitouch system, treatment protocol adherence, participant satisfaction, and emotional and functional status. FINDINGS: Participants without cancer were more adherent to the prescribed protocol. Both groups were satisfied with the system, perceived it to be effective, and reported improvement in physical and emotional status. Participants' use of professional manual lymphatic drainage (MLD) therapy, self-MLD, and bandaging declined after they initiated use of the Flexitouch system. CONCLUSIONS: Patients using the Flexitouch system were satisfied with the device and perceived it to be beneficial in management of their lymphedema. IMPLICATIONS...