评估患有和不患有淋巴水肿的乳腺癌幸存者的身体意识和上肢功能:与健康对照的比较分析

IF 2.8 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Supportive Care in Cancer Pub Date : 2025-01-10 DOI:10.1007/s00520-024-09138-2
Cansu Şahbaz Pirinççi, Emine Cihan, Fatıma Yaman
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引用次数: 0

摘要

目的:确定与没有癌症病史的个体相比,有或没有淋巴水肿的乳腺癌手术(BCS)后患者的身体意识和上肢功能是否受到影响。方法:本研究共纳入102例患者,其中34例BCS术后出现淋巴水肿(平均年龄43.88±12.13岁),34例BCS术后未出现淋巴水肿(平均年龄44.67±11.20岁),34例无肿瘤手术史(平均年龄45.41±12.13岁)。参与者的人口统计数据被记录下来。使用身体意识问卷评估身体意识,使用手臂、肩膀和手的快速残疾问卷评估上肢功能。结果:两组人口学资料相似(p < 0.05)。BCS组间手术时间差异有统计学意义(p < 0.05)。淋巴水肿组身体意识和上肢功能明显低于无淋巴水肿BCS组和对照组(p = 0.021和p)。结论:BCS后上肢淋巴水肿的发生对身体意识和上肢功能均有不利影响。
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Assessing body awareness and upper extremity functionality in breast cancer survivors with and without lymphedema: a comparative analysis with healthy controls.

Purpose: To determine whether body awareness and upper extremity functionality are affected in patients with or without lymphedema development after breast cancer surgery (BCS) in comparison with individuals without a history of cancer.

Methods: The study included a total of 102 individuals, including 34 who developed lymphedema after BCS (mean age: 43.88 ± 12.13 years), 34 who did not develop lymphedema after BCS (age: 44.67 ± 11.20 years), and 34 without a history of any cancer surgery (age: 45.41 ± 12.13 years). The participants' demographic data were recorded. Body awareness was evaluated using the Body Awareness Questionnaire, and upper extremity functionality was evaluated using the Quick-Disabilities of the Arm, Shoulder, and Hand questionnaire.

Results: The demographic data of the groups were similar (p > 0.05). While there were differences between the BCS groups in terms of operative time (p < 0.001) and operated breast (p = 0.001), the number of lymph nodes dissected and the type of surgery performed were homogeneously distributed (p > 0.05). Body awareness and upper extremity functionality were significantly lower in the lymphedema group than in the BCS group without lymphedema and the control group (p = 0.021 and p < 0.001, respectively).

Conclusion: The development of upper extremity lymphedema after BCS adversely affects both body awareness and upper extremity functionality.

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来源期刊
Supportive Care in Cancer
Supportive Care in Cancer 医学-康复医学
CiteScore
5.70
自引率
9.70%
发文量
751
审稿时长
3 months
期刊介绍: Supportive Care in Cancer provides members of the Multinational Association of Supportive Care in Cancer (MASCC) and all other interested individuals, groups and institutions with the most recent scientific and social information on all aspects of supportive care in cancer patients. It covers primarily medical, technical and surgical topics concerning supportive therapy and care which may supplement or substitute basic cancer treatment at all stages of the disease. Nursing, rehabilitative, psychosocial and spiritual issues of support are also included.
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