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請使用永久網址來引用或連結此文件:
https://ir.cnu.edu.tw/handle/310902800/29581
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| 標題: | Role of physiotherapy and patient education in lymphedema control following breast cancer surgery |
| 作者: | Lu, Shiang-Ru
Hong, Rong-Bin
Chou, Willy
Hsiao, Pei-Chi |
| 貢獻者: | 休閒保健管理系 |
| 關鍵字: | breast cancer
lymphedema
physical therapy
education |
| 日期: | 2015 |
| 上傳時間: | 2016-04-19 19:00:59 (UTC+8) |
| 出版者: | Dove Medical Press Ltd |
| 摘要: | Introduction: This retrospective cohort study evaluated whether education in combination with physiotherapy can reduce the risk of breast cancer-related lymphedema (BCRL).Methods: We analyzed 1,217 women diagnosed with unilateral breast cancer between January 2007 and December 2011 who underwent tumor resection and axillary lymph node dissection. The patients were divided into three groups: Group A (n=415), who received neither education nor physiotherapy postsurgery; Group B (n=672), who received an educational program on BCRL between Days 0 and 7 postsurgery; and Group C (n=130), who received an educational program on BCRL between Days 0 and 7 postsurgery, followed by a physiotherapy program. All patients were monitored until October 2013 to determine whether BCRL developed. BCRL risk factors were evaluated using Cox proportional hazards models.Results: During the follow-up, 188 patients (15.4%) developed lymphedema, including 77 (18.6%) in Group A, 101 (15.0%) in Group B, and 10 (7.7%) in Group C (P=0.010). The median period from surgery to lymphedema was 0.54 years (interquartile range =0.18-1.78). The independent risk factors for BCRL included positive axillary lymph node invasion, a higher (>20) number of dissected axillary lymph nodes, and having undergone radiation therapy, whereas receiving an educational program followed by physiotherapy was a protective factor against BCRL (hazard ratio =0.35, 95% confidence interval =0.18-0.67, P=0.002).Conclusion: Patient education that begins within the first week postsurgery and is followed by physiotherapy is effective in reducing the risk of BCRL in women with breast cancer. |
| 關聯: | Therapeutics And Clinical Risk Management, v.11, pp.319-327 |
| 顯示於類別: | [休閒保健管理系(所)] 期刊論文
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