以质量求发展，以服务铸品牌

Journal of Nursing ›› 2022, Vol. 29 ›› Issue (21): 1-5.doi: 10.16460/j.issn1008-9969.2022.21.001

    Next Articles

Symptom Experience and Psychology of Patients with Genital Lymphedema after Treatment for Endometrial Cancer: A Qualitative Research

LIU Yuan-yuana, LIU Gao-minga, HU Jina, FAN Jie-linb, DENG Shi-jiac   

  1. a. Lymphedema Rehabilitation Center; b. Gynecologic Oncology Ward II; c. Dept. of Nursing Administration, Hunan Cancer Hospital, Changsha 410013, China
  • Received:2022-06-14 Online:2022-11-10 Published:2022-12-07

PDF (PC)

174

Like

Abstract: Objective To understand the symptom experience and psychology of patients with genital lymphedema after treatment for endometrial cancer, and to provide reference for the management and physical and psychological recovery of the patients. Methods With purposive sampling, 16 patients with genital lymphedema after treatment for endometrial cancer from a tertiary grade-A cancer hospital in Changsha from August 2020 to January 2021 were selected for semi-structured interviews, and the data were analyzed by Colaizzi 7-step analysis method. Results Four themes at different levels were extracted: body level including swelling, limited mobility of lower extremity, and trouble with urination; psychological level including stigma, negative emotions, worry about prognosis and avoidance; family level including trouble with sexual function, and increased family burden; social level including change in the job and social activities and expectation for social support. Conclusion Patients with genital lymphedema after treatment for endometrial cancer encounter much trouble. Symptom management to alleviate discomfort, psychological guidance to relieve stress, and support and guidance targeted for difficulties at the family and social level are conducive to promoting physical and psychological recovery of the patients, thus to improve the quality of life.

Key words: endometrial cancer, genital lymphedema, symptom experience, psychology, qualitative research

CLC Number: 

  • R473.73
[1] 中国研究型医院学会妇产科专业委员会.子宫内膜癌前哨淋巴结切除临床应用专家共识[J]. 中国妇产科临床杂志,2020,21(4):438-440.DOI:10.13390/j.issn.1672-1861. 2020.04.033.
[2] Plotti F, Messina G, Terranova C,et al.Sentinel Lymph node in Cervical Cancer: A Literature Review on the Use of Conservative Surgery Techniques[J]. Minerva Ginecol,2020,72(6):391-398.DOI:10.23736/S0026-4784.20.04634-1.
[3] Grada AA, Phillips TJ.Lymphedema: Pathophysiology and Clinical Manifestations[J]. J Am Acad Dermatol, 2017,77(6):1009-1020.DOI: 10.1016/j.jaad. 2017.03.022.
[4] Tiwari P, Coriddi M, Salani R,et al.Breast and Gynecologic Cancer-related Extremity Lymphedema: A Review of Diagnostic Modalities and Management Options[J]. World J Surg Oncol,2013,11:237.DOI:10.1186/1477-7819-11-237.
[5] Gatt M, Willis S, Leuschner S.A Meta-analysis of the Effectiveness and Safety of Kinesiology Taping in the Management of Cancer-related Lymphoedema[J]. Eur J Cancer Care,2017,26(5):e12510.DOI: 10.1111/ecc.12510.
[6] Stolldorf DP, Dietrich MS, Ridner SH.A Comparison of the Quality of Life in Patients with Primary and Secondary Lower Limb Lymphedema: A Mixed-methods Study[J]. West J Nurs Res,2016, 38(10):1313-1334.DOI:10.1177/0193945916647961.
[7] Executive Committee of the International Society of Lymphology. The Diagnosis and Treatment of Peripheral Lymphedema:2020 Consensus Document of the International Society of Lymphology[J]. Lymphology, 2020, 53(1):3-19. PMID: 32521126.
[8] 刘明. Colaizzi七个步骤在现象学研究资料分析中的应用[J]. 护理学杂志, 2019, 34(11):90-92.DOI:10.3870/j.issn.1001-4152.2019.11.090.
[9] 刘高明,刘媛媛,胡进,等.综合消肿疗法在妇科恶性肿瘤术后外阴淋巴水肿中的应用[J]. 解放军护理杂志,2021,38(10):73-76.DOI:10.3969/j.issn.1008-9993.2021.10. 019.
[10] Wang B, Li BH, Tan S, et al.Risk Factors for Anxiety and Depression in Chinese Patients Undergoing Surgery for Endometrial Cancer[J]. Can J Physiol Pharmacol,2020,98(1):1-5.DOI:10.1139/cjpp-2019-0302.
[11] Granzow JW, Soderberg JM, Kaji AH,et al.Review of Current Surgical Treatments for Lymphedema[J]. Ann Surg Oncol, 2014,21(4):1195-1201.DOI:10.1245/s10434-014-3518-8.
[12] Bourgeault E, Giroux L.An Approach to the Treatment of Vulvar Lymphedema[J]. J Cutan Med Surg,2011,15(1):61-62.DOI: 10.2310/7750.2010.10043.
[13] 王霞,丁焱,游菁,等.妇科恶性肿瘤患者同伴支持者角色认知与支持体验的研究[J]. 中华护理杂志,2018,53(11):1292-1293.DOI: 10.3761/j.issn.0254-1769.2018.11.002.
[14] 吴思雨. 基于德尔菲法的宫颈癌治疗相关并发症综合疗法的中国专家共识研究[D].广州:广州中医药大学, 2021.DOI:10.27044/d.cnki.ggzzu.2021.000162.
[15] 崔素英,任春梅,周敏.不同手术方式治疗子宫内膜癌的近期临床效果分析[J]. 解放军医药杂志,2019,31(3):56-59.DOI:10.3969/j.issn.2095-140X.2019.03.012.
[16] 郑进,高绪芳,王慧,等.子宫内膜癌患者术后延续性干预管理价值探究[J]. 中国计划生育和妇产科, 2018,10(7):18-21.DOI: 10.3969/j.issn.1674-4020.2018.07.05.
[17] 郑风翠,颜仁嫦,袁芳,等.延伸性护理和盆底功能训练对子宫内膜癌患者术后生存质量的影响[J]. 吉林医学,2019,40(7):1620-1621.DOI:10.3969/j.issn.1004-0412.2019.07.105.
[18] Dionne-Odom JN, Demark-Wahnefried W, Taylor RA,et al.The Self-care Practices of Family Caregivers of Persons with Poor Prognosis Cancer: Differences by Varying Levels of Caregiver Well-being and Preparedness[J]. Support Care Cancer,2017, 25(8):2437-2444.DOI:10.1007/s00520-017-3650-7.
[19] 刘敏,陶利琼,张佳,等.喉癌术后放疗病人症状体验及心理感受的质性研究[J]. 循证护理,2021,7(6):823-826.DOI: 10.12102/j.issn.2095-8668.2021.06.024.
[20] McWayne J, Heiney SP. Psychologic and Social Sequelae of Secondary Lymphedema: A Review[J]. Cancer,2005,104(3):457-466.DOI:10.1002/cncr.21195.
[1] LIU Hui, GUO Li-rui, CHEN Qiu-xiang, LIU Chun-ying, HE Juan-feng, WU Xiao-jia. Relocation Stress on Admission of Acute Stroke Patients: A Phenomenological Study [J]. Journal of Nursing, 2022, 29(8): 75-78.
[2] TIAN Yun-wei, LI Shan-ling, TIAN Wen-wen, LI Wei-guo, SHAO Qin. Qualitative Research of Cognition on Near-miss Events in Nursing Staff [J]. Journal of Nursing, 2022, 29(7): 32-35.
[3] ZHANG Hui-chao, WHANG Nan-nan, ZHANG Yu-xi. Emotional Labor Experience of Hospice Nurses: A Systematic Review of Qualitative Studies [J]. Journal of Nursing, 2022, 29(6): 37-43.
[4] LI Dan, FENG Lan-ling, FAN Luo, LI Lin, ZHU Wei, HAO Ya-ru. Nurses' Cognition and Experience of Patients' Death: A Meta-synthesis [J]. Journal of Nursing, 2022, 29(4): 34-39.
[5] LIN Yang, ZHANG Qin’e, ZHANG Li-li, ZHANG Wen-bo, XU Ning. Cognition and Experience of Nurses’ Participation in Shared Decision-making Practice: A Meta-analysis [J]. Journal of Nursing, 2022, 29(21): 32-37.
[6] LIU Yue, ZHANG Qing-yue, YU Lin-tong, WANG Hui-qing, WANG Yan. Breast Reconstruction Decision-making Experience in Elderly Patients with Breast Cancer: A Qualitative Study [J]. Journal of Nursing, 2022, 29(21): 67-70.
[7] XING Shu-jun, YU Ling, CHEN He-fang, SUN Liu, LIANG Jia-gui, ZANG Shuang, LIU Jun’e. Role Perception and Participation Experience of Tumor Patients in Clinical Trials of Neoadjuvant Immunotherapy: A Qualitative Study [J]. Journal of Nursing, 2022, 29(21): 6-10.
[8] ZHANG Hui-min, SUN Xiao-chen, MA Hong-mei. Psychological Experience of Reproductive Concerns in Young Cancer Patients：A Qualitative Meta-synthesis [J]. Journal of Nursing, 2022, 29(2): 51-56.
[9] HE Qiu, HE Ying, LI Gui-fei, CHEN Xiao-ling, LI Li-jun, WANG Yao, LIU Jie, MA Dan, LIU Qian. Willingness to Use Accompanying Robots in the Elderly in Community：A Qualitative Study [J]. Journal of Nursing, 2022, 29(19): 6-10.
[10] DANG Gui-ning, XU Ning-jun, ZHOU Jin, ZHAI Hui-min. Qualitative Research on Cognition and Attitude toward TCM Nursing Clinic in Nursing Staff [J]. Journal of Nursing, 2022, 29(18): 23-26.
[11] SUN Ya-jun, WANG Zhong-xiang, YIN Yue, LI Jia-ke, WANG Pei-xi, ZHANG Hong-mei. Experience of Patients with Implantable Cardioverter Defibrillator: A Qualitative Meta-synthesis [J]. Journal of Nursing, 2022, 29(17): 33-37.
[12] XU Xiao-zhen, HU Yun-hui, HU Yun, HU Min, GU Fen. Symptoms and Psychological Experience of Patients after Extensive Abdominal Wall Tumor Resection: A Qualitative Research [J]. Journal of Nursing, 2022, 29(16): 61-64.
[13] YAN Yan, YE Xu-chun. Qualitative Study on Working Experience of ICU Nurses in Context of Human-machine Interaction [J]. Journal of Nursing, 2022, 29(16): 6-10.
[14] GAO Yuan-zhi, MEI Guang-hai, FAN Xiao-yan, MA Shuo. Meta-integration of Qualitative Research on Stigmatization against HIV/AIDS Patients [J]. Journal of Nursing, 2022, 29(10): 47-53.
[15] XIAO Hong-mei, LI Ce, LENG Min-min, WANG Zhi-wen. Sense of Benefit of Caregivers of in-home Dementia patients: A Qualitative Research [J]. Journal of Nursing, 2022, 29(10): 1-4.
Viewed
Full text


Abstract

Cited
  Shared   
[1] XING Shu-jun, YU Ling, CHEN He-fang, SUN Liu, LIANG Jia-gui, ZANG Shuang, LIU Jun’e. Role Perception and Participation Experience of Tumor Patients in Clinical Trials of Neoadjuvant Immunotherapy: A Qualitative Study[J]. Journal of Nursing, 2022, 29(21): 6 -10 .
[2] WANG Rui-ying, XING Wei, FA Xian-en, CHEN Jun-zhuo. Latent Class Analysis of Fatigue of Pregnant Women in Late Pregnancy[J]. Journal of Nursing, 2022, 29(21): 11 -16 .
[3] HUANG Yu-lou, ZHOU Chun-lan, LIU Ning, LI Xiao-zhen, LIU Min-li, HE Yin-ying, SUN Hong-chun, HUANG Xiao-na, GONG Xiu-qun, ZHENG Ping, XIAO Xiu-ying. Construction of Step-up Nutrition Management Program for Elderly People with Mild Cognitive Impairment[J]. Journal of Nursing, 2022, 29(21): 17 -22 .
[4] . [J]. Journal of Nursing, 2022, 29(21): 23 -26 .
[5] . [J]. Journal of Nursing, 2022, 29(21): 27 -31 .
[6] LIN Yang, ZHANG Qin’e, ZHANG Li-li, ZHANG Wen-bo, XU Ning. Cognition and Experience of Nurses’ Participation in Shared Decision-making Practice: A Meta-analysis[J]. Journal of Nursing, 2022, 29(21): 32 -37 .
[7] . [J]. Journal of Nursing, 2022, 29(21): 38 -42 .
[8] TANG Qing-yun, HUANG Xia-yun, LI Yan-yun, XIE Hong-yan, LI Bing. Status of Fear of Progression in HIV/AIDS Young Men Who Have Sex with Men and Its Influencing Factors : A 286- case Study[J]. Journal of Nursing, 2022, 29(21): 43 -48 .
[9] CHEN Xue-hong, HUANG Min-juan, TAN Yu, ZHANG Jing-yu, CHEN Yun-cheng. Current Status of Vocational Maturity of Higher Vocational Nursing Students and Its Influencing Factors[J]. Journal of Nursing, 2022, 29(21): 49 -54 .
[10] . [J]. Journal of Nursing, 2022, 29(21): 55 -60 .