KANSER CERRAHİSİ SONRASI ALT VE ÜST EKSTREMİTESİNDE LENFÖDEM GELİŞEN HASTALARIN FİZİKSEL AKTİVİTE DÜZEYİ VE YAŞAM KALİTESİNİN KARŞILAŞTIRILMASI

Year 2024, Volume: 22 Issue: 1, 113 - 122, 25.03.2024

Cansu Şahbaz Pirinççi , Evrim Gökçe , Ayşenur Gökşen

https://doi.org/10.33689/spormetre.1399970

Abstract

Bu çalışmanın amacı, meme kanseri ve jinekolojik kanser cerrahisi sonrası alt ve üst ekstremitesinde lenfödem gelişen hastaların fiziksel aktivite düzeyi ve yaşam kalitesini sağlıklı kontroller ile karşılaştırmalı araştırmaktır. Çalışmaya meme kanseri cerrahisi sonrası üst ekstremitesinde lenfödemi olan yaş ortalaması 54.92±8.43 yıl olan 25 kadın; jinekolojik kanser cerrahisi sonrası alt ekstremitesinde lenfödemi olan yaş ortalaması 55.12±8.88 yıl olan 25 kadın; sağlıklı kontrol grubuna yaş ortalaması 54.96±8.73 yıl olan 25 kadın olmak üzere, toplam 75 kadın dahil edildi. Katılımcıların demografik ve hastalık bilgileri alındı. Fiziksel aktivite düzeyi Uluslararası Fiziksel Aktivite Anketi kısa form ile, yaşam kalitesi ise Lenfödem Yaşam Kalitesi Anketi ile değerlendirildi. Katılımcıların demografik ve hastalık değerlendirmesi açısından gruplar arasında farklılık görülmedi (p>0.05). Fiziksel aktivite düzeyi, yaşam kalitesi alt parametreleri ve genel yaşam kalitesi açısından gruplar arasında farklılık bulundu (p<0.05). Hem üst ekstremite hem de alt ekstremitesinde lenfödem gelişen grupların fiziksel aktivite düzeyi ile yaşam kalitesi arasında ilişki saptanmadı (p>0.05). Jinekolojik kanser cerrahisi sonrası alt ekstremitesinde lenfödem gelişen grubun fiziksel aktivite düzeyi düşük bulunurken; üst ve alt ekstremitesinde lenfödem görülen grupların yaşam kalitesi, sağlıklı kadınlara göre düşüktü.

Keywords

Lenfödem, fiziksel aktivite, yaşam kalitesi

COMPARISON OF PHYSICAL ACTIVITY LEVEL AND QUALITY OF LIFE OF PATIENTS WHO DEVELOPED LYMPHEDEMA IN THE LOWER AND UPPER EXTREMITIES AFTER CANCER SURGERY

Abstract

The aim of this study is to investigate the physical activity level and quality of life of patients who developed lymphedema in their lower and upper extremities after breast cancer and gynecological cancer surgery in comparison with healthy controls. The study included 25 women with an average age of 54.92±8.43 years who had lymphedema in their upper extremities after breast cancer surgery, 25 women with an average age of 55.12±8.88 years who had lymphedema in their lower extremities after gynecological cancer surgery, and 25 women with an average age of 54.96±8.73 years in the healthy control group. A total of 75 women were included. Participants' demographic and disease information was collected. Physical activity level was evaluated with the International Physical Activity Survey short form, and quality of life was evaluated with the Lymphedema Quality of Life Questionnaire. There was no difference between the groups in terms of the demographic and disease evaluation of the participants (p > 0.05). There were differences between the groups in physical activity levels, quality of life sub-parameters, and overall quality of life (p<0.05). No relationship was found between physical activity level and quality of life in the groups that developed lymphedema in both the upper and lower extremities (p > 0.05). While the physical activity level of the group with lymphedema in the lower extremities after gynecological cancer surgery was found to be low, the quality of life of the groups with lymphedema in the upper and lower extremities was lower than that of healthy women.

Keywords

lymphedema, physical activity, quality of life

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