The Development of a Nursing Intervention Program for Lymphedema Management Involving Patients after Breast Surgery

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  • 乳がん術後のリンパ浮腫に対するナーシングリンパドレナージプログラムの開発
  • ニュウガン ジュツゴ ノ リンパ フシュ ニ タイスル ナーシングリンパドレナージプログラム ノ カイハツ

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Abstract

A novel Nursing Lymph-Drainage Program (NLDP) based on the Complete Decongestive Therapy (CDT) was developed using the concept of Integrated Approach to Symptom Management (IASM). According to this program, five patients with breast cancer suffering from lymphedema were provided education, skills, and nursing support regarding lymphedema management. After a trial of three weeks, the volume of the affected upper extremity and the QOL/ADL score of all patients were improved. In addition, the patients' self-management abilities regarding lymphedema were also enhanced, indicating that IASM was effective for them. This result indicates that the NLDP is a powerful way for patients to enhance their self-management abilities and reduce the suffering from lymphedema.

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