Meme Kanseri Sonrası Lenfödem Gelişen ve Gelişmeyen Kadınlarda Üst Ekstremite Fonksiyonu, Postür ve Yaşam Kalitesi Arasındaki İlişkinin İncelenmesi

Year 2019, Volume: 11 Issue: 3, 432 - 439, 23.10.2019

Mahmut Surmeli Ozlem Cinar Ozdemir

Abstract

Amaç: Bu çalışma, meme kanseri ilişkili cerrahi sonrası lenfödem gelişen ve gelişmeyen kadınlar arasında üst ekstremite fonksiyonu, postür ve yaşam kalitesini karşılaştırmak ve aralarında ilişki olup olmadığını incelemek amacıyla gerçekleştirildi.

Gereç ve Yöntem: Çalışmaya 18-70 yaş arasında unilateral meme kanseri ilişkili cerrahi geçiren, 27 üst ekstremite lenfödemli ve 29 lenfödemi olmayan kadın dahil edildi. Üst ekstremite fonksiyonu için Minnesota Manuel Beceriklilik Testi, postür için New York Postür Analiz Yöntemi ve yaşam kalitesi için Avrupa Kanser Araştırma ve Tedavi Organizasyonu Yasam Kalitesi Anketi kullanıldı.

Bulgular: Lenfödemli kadınların postür, üst ekstremite fonksiyonu ve yaşam kalitesi skorları lenfödem gelişmeyenlere göre daha düşük olacak şekilde bulundu (p<0.05). Ayrıca, postür ile yaşam kalitesi genel sağlık durumu arasında her iki grupta da pozitif yönde orta düzeyde ilişki bulundu (r=0.516, p=0.007, lenfödemli; r=0.486, p=0.008, lenfödemi olmayan). Ancak, üst ekstremite fonksiyonu ile postür ve yaşam kalitesi arasında bir ilişki saptanmadı (p>0.05).

Sonuç: Bu çalışma meme kanseri cerrahisi sonrası lenfödemi gelişen kadınların postür, üst ekstremite fonksiyonu ve yaşam kalitelerinin lenfödem olmayanlara göre daha kötü olduğunu gösterdi. Ayrıca, postür bozukluğunun daha kötü yaşam kalitesi ile ilişkili olduğu, ancak üst ekstremite fonksiyonu ile yaşam kalitesi ve postürün ilişkili olmadığı görüldü.

Keywords

Postür, Meme Kanseri, Yaşam Kalitesi, Üst Ekstremite Fonksiyonu

Examination of The Relationship Between Upper Limb Function, Posture and Quality of Life in Patients with and without Lymphedema After Breast Cancer Surgery

Abstract

Objective:
The aim of this study was to compare the upper
limb function, posture and quality of life between women with and without lymphedema
after breast cancer-related surgery and to investigate whether there is a
relationship between them.

Methods: The study included 27 women with upper limb
lymphedema and 29 women without lymphedema, aged between 18 and 70 years and undergone
unilateral breast cancer-related surgery. Minnesota Manual Dexterity Test was
used to evaluate upper limb function, New York Posture Rating Chart for posture
and European Organization for Research and Treatment of Cancer Core QoL
Questionnaire for quality of life.

Results: Women with lymphedema had lower posture,
upper limb function and quality of life scores than those without lymphedema (p
<0.05). In addition, a moderate positive correlation was found between
posture and quality of life general health status in both groups (r=0.516,
p=0.007, lymphedema; r=0.486, p=0.008, without lymphedema). However, there was
no correlation between upper limb function to posture and quality of life
(p> 0.05).

Conclusion:
This study demonstrated that women with
lymphedema after breast cancer surgery had worse posture, upper limb function
and quality of life than those without lymphedema. In addition, it was found
that posture disorder was associated with poorer quality of life, but upper limb
function was not associated with quality of life and posture.

Keywords

Posture, Breast Cancer, Quality of Life, Upper Limb Function

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