A Nationwide Survey on the Current Status of Lymphedema Care Associated with Surgical Therapy for Cancer

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  • がん手術治療に伴うリンパ浮腫ケアの現状に関する全国調査
  • ガン シュジュツ チリョウ ニ トモナウ リンパ フシュ ケア ノ ゲンジョウ ニ カンスル ゼンコク チョウサ

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Purpose : To elucidate the current status of lymphedema care associated with surgical therapy for cancer and related issues. Subjects and Method : The subjects were nurses most closely involved in lymphedema care at 136 cooperating facilities that were located throughout the country. A survey using questionnaire was conducted on edema prevention, care of those patients who have developed edema and issues related to the care. Results : Preventive care and instructions were given to all postoperative patients and their families at 4.3% of the facilities but given only to those patients at high risk at 43.5% of them. Care was given to those patients already suffering from edema at specializing ambulatory services at 8.6% of the facilities surveyed. For applying this care, problems cited were : an insufficient number of available specialists, inadequacy of the care system and a lack of correlation with the remuneration for medical services. Recognized as much needed were self-care support, a support system provided by specialized units and information concerning edema. Conclusion : The care for lymphedema is administered to postoperative cancer patients through the independent effort of health personnel in a difficult environment where a specific care system has not been established. A need for an immediate systemic approach to the problem was indicated.

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