Jinekolojik kanser cerrahisi sonrası lenfödemi olan ve olmayan kişilerin fiziksel aktivite düzeyi ve yaşam kaliteleri arasındaki ilişkinin incelenmesi

Abstract

Amaç: Bu çalışmanın amacı, jinekolojik kanser cerrahisi sonrası lenfödem gelişen ve gelişmeyen kişilerde fiziksel aktivite düzeyi ile yaşam kalitesi arasındaki ilişkiyi incelemektir.
Yöntem: Çalışmaya, jinekolojik kanser cerrahisi geçiren, alt ekstremitesinde lenfödemi olan, yaş ortalamaları 59,15±11,57 yıl arasında değişen 60 kişi lenfödem grubu olarak ve jinekolojik kanser cerrahisi geçiren, alt ekstremite lenfödemi olmayan, yaş ortalamaları 55,97±11,25 yıl arasında değişen 30 kişi ise lenfödem olmayan grup olarak katıldı. Lenfödem varlığının değerlendirilmesi lenfosintigrafi ve çevre ölçümü ile yapıldı. Lenfödemi olan ve olmayan gruplardaki kişilerin fiziksel aktivite düzeyleri Uluslararası Fiziksel Aktivite Anketi (kısa form), yaşam kaliteleri Lymph-ICF-LL ile değerlendirildi.
Bulgular: Lenfödemi olan ve olmayan gruplardaki kişilerin fiziksel aktivite düzeyleri arasında istatistiksel olarak anlamlı farklılık görülmedi (p0,05). Lenfödemi olan gruptaki kişilerin yaşam kalitesini değerlendirdiğimiz Lymph-ICF-LL’nin alt gruplarındaki değerlerinin lenfödem olmayan gruba göre anlamlı şekilde yüksek olduğu görüldü (p<0,05). Lenfödemi olan gruptaki kişilerin fiziksel aktivite düzeyi ile Lymph-ICF-LL anketinin fiziksel fonksiyon skorları, hareketlilik skorları, yaşam alanları skorları ve toplam skorları arasında istatistiksel olarak anlamlı negatif yönde orta düzeyde ilişki bulundu (r: -0,336, p<0,05). Bu ilişki, lenfödem olmayan grupta bulunmadı (r: -0,114, p0,05).
Sonuç: Jinekolojik kanser sonrası lenfödemli bireylerin fiziksel aktivite düzeyi ile yaşam kalitesi arasında negatif yönde ilişki olduğu sonucuna varıldı.

Keywords

• jinekolojik kanser
• lenfödem
• fiziksel aktivite
• yaşam kalitesi

Investigation of the relationship between physical activity level and quality of life of individuals with and without lymphedema after gynecological cancer surgery

Abstract

Purpose: This study aimed to investigate the relationship between physical activity level and quality of life of individuals with and without lymphedema after gynecological cancer surgery.
Methods: In the study, 60 individuals aged 59.15±11.57 years who underwent gynecological cancer surgery and had lymphedema in their lower extremities were set as the lymphedema group, while 30 individuals aged 55.97±11.25 years who had gynecological cancer surgery and had no lymphedema in their lower extremities were set as the none-lymphedema group. The presence of lymphedema was evaluated by lymphoscintigraphy and measuring the extremity circumferences. Physical activity levels of individuals with or without lymphedema were evaluated by the International Physical Activity Questionnaire (short form), the quality of life was assessed using the Lymphedema Functioning, Disability, and Health Questionnaire for Lower Limb Lymphedema (Lymph-ICF-LL).
Results: There were no statistically significant differences between the physical activity levels of individuals with and without lymphedema (p0.05). Evaluating the quality of life of the individuals in the group with lymphedema, the Lymph-ICF-LL values in the subgroups were significantly higher than those of the non-lymphedema group (p<0.05). There was a statistically significant negative moderate correlation between the physical activity level of the lymphedema group and the physical function scores, mobility scores, living area scores and total scores of the lymphedema group (r: -0.336, p<0.05). This relationship was not found in the none-lymphedema group (r: -0.114, p0.05).
Conclusion: It was concluded that there was a negative relationship between physical activity level and quality of life of individuals with lymphedema after gynecological cancer.

Keywords

• Gynecological diseases
• Lymphedema
• Physical activity
• Quality of life.

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