Evaluation Of Compression Garment Compliance Factors İn Breast Cancer Patients

Yıl 2024, Cilt: 15 Sayı: 4, 547 - 553, 31.12.2024

Songül Keskin Kavak , Lale Aktekin

https://doi.org/10.18663/tjcl.1540060

Öz

Aim: Complete decongestive therapy (CDT) is the standard treatment of postmastectomy lymphedema. Our study aimed to determine the factors that impair compliance with the compression garment, one of the main phases of CDT, and to reduce the limiting effects of lymphedema by increasing the treatment compliance of lymphedema patients.
Material and Methods: In this prospective study, demographic and clinical information of the patients were recorded. The stage of lymphedema (International Society of Lymphology (ISL)) and whether they had received lymphedema treatment before were questioned. The experience of pressure garment use was evaluated with a 5-point Likert-type scale questionnaire covering factors affecting patient compliance.
Results: The mean age of 71 postmastectomy lymphedema patients was 56.3±8.6 years. 29 patients (40.8%) used their compression garments regularly every day, while 42 (59.1%) patients did not use them regularly. Regarding the mean score values, the top 3 reasons for limiting factors impairing compliance with the pressure garment were as follows: the patients had the most problems putting on and taking off the garment (3.94±1.30), had difficulty in housework in daily life (3.92±1.36), and had difficulty in participating in sports and hobby activities (3.84±1.41).
Conclusion: Patients' specific characteristics, lifestyle, and history are important in the selection of compression garments. It is important to identify factors that impair compliance with the compression garment, to inform patients about lymphedema preventive measures, and to enable them to better adapt to daily life with the compression garment may improve self-treatment management and reduce the need for caregivers

Anahtar Kelimeler

Postmastectomylymphedema, completedecongestivetherapy, compressiongarment, night compressionbandage

Etik Beyan

The Ankara Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital Ethics Committee approved the study in June 2021, with approval number 2021-06/1246. Informed consent forms were obtained from the patients. The study was conducted using generally accepted ethical principles for research stemming from the 1975 Declaration of Helsinki.

Meme kanseri hastalarında kompresyon giysisi uyum faktörlerinin değerlendirilmesi

Öz

Amaç: Kompleks dekonjestif tedavi (KDT) postmastektomi lenfödemin standart tedavisidir. Çalışmamızın amacı KDT'nin
ana aşamalarından biri olan kompresyon giysisine uyumu bozan faktörleri belirlemek ve lenfödem hastalarının tedaviye uyumunu artırarak lenfödemin sınırlayıcı etkilerini azaltmaktır.
Gereç ve Yöntem: Bu prospektif çalışmada, hastaların demografik ve klinik bilgileri, Lenfödem evresi (International Society of Lymphology (ISL)) ve daha önce lenfödem tedavisi alıp almadıkları sorgulandı. Kompresyon giysisi kullanım deneyimi ve kompresyon giysisi kullanımında hasta uyumunu etkileyen faktörler; 5'li Likert tipi ölçekli bir anket ile değerlendirildi. Bulgular: Postmastektomi sonrası 71 lenfödem hastasının yaş ortalaması 56.3±8.6 yıldı. Hastaların 29'u (%40.8) kompresyon giysilerini her gün düzenli olarak kullanırken, 42'si (%59.1) düzenli olarak kullanmıyordu. Ortalama puan değerlerine bakıldığında, kompresyon giysisine uyumu bozan kısıtlayıcı faktörlerin ilk 3 nedeni şöyleydi: hastalar en çok kompresyon giysisini giyip çıkarmakta sorun yaşıyordu (3,94±1,30), kompresyon giysisini kullanırken günlük yaşamda ev işlerini yaparken (3,92±1,36) ve spor ve hobi aktivitelerine katılmakta zorlanıyorlardı (3,84±1,41).
Sonuç: Hastaların spesifik özellikleri, yaşam tarzı ve öyküsü kompresyon giysilerinin seçiminde önemlidir. Kompresyon giysisine uyumu bozan faktörleri belirlemek, hastaları lenfödem önleyici tedbirler hakkında bilgilendirmek ve kompresyon giysisi ile günlük yaşama daha iyi uyum sağlamalarını sağlamak, kendi kendine tedavi yönetimini iyileştirebilir ve bakıcılara olan ihtiyacı azaltabilir.

Anahtar Kelimeler

Postmastektomi lenfödem, kompleks dekonjestif tedavi, kompresyon giysisi, gece kompresyon bandajı.

Etik Beyan

Ankara Dr. Abdurrahman Yurtaslan Onkoloji Eğitim ve Araştırma Hastanesi Etik Kurulu 2021-06/1246 onay numarası ile Haziran 2021'de çalışmayı onaylamıştır. Hastalardan bilgilendirilmiş onam formları alınmıştır. Çalışma, 1975 Helsinki Bildirgesi'nden kaynaklanan araştırmalar için genel kabul görmüş etik ilkeler kullanılarak yürütülmüştür.

Kaynakça

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