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Publication of the Medical Rehabilitation is under the auspices of the Committee on Rehabilitation, Physical Education and Social Integration of the Polish Academy of Science
Article
Medical Rehabilitation - quarterly journal
Volume 12 year 2008, Issue number 4
Knowledge of the factors inducing lymphedema and compliance with preventive recommendations in mastectomy patients
Authors: Iwona Dziura, Tomasz Grądalski
Medical Rehabilitation 2008; 12(3): 23-27
Knowledge of the factors inducing lymphedema and compliance with preventive recommendations in mastectomy patients
Wiedza o czynnikach wyzwalających powstanie obrzęku chłonnego i stosowanie się do zaleceń profilaktycznych u chorych po mastektomii
Iwona Dziura, Tomasz Grądalski
Out – Patient Lymphoedema Clinic, St Lazarus Hospice, Cracow, Poland
Key words
mastectomy, lymphedema, education, prevention, rehabilitation
Abstract
Background: Lymphedema is a clinical manifestation of lymphatic system insufficiency. The risk of lymphedema increases especially in the case of women after mastectomy with removal of axilla lymph nodes and post-surgical radiotherapy. As a result of the above, it appears in the upper limb at the side where the surgery has been carried out. The factors that increase the risk of lymphedema include fatigue, overheating and injury to the limb at risk.
Aim: To investigate the level of awareness of lymphedema prevention and the frequency of the post-mastectomy patients’ compliance with the received recommendations.
Material and methods: 40 women after one-side radical mastectomy and post-surgical radiotherapy took part in the research. None of them had symptoms of recurrence. All patients had a clinical manifestation of upper limb lymphedema at the side of the surgical intervention. The patients were asked to fill in a questionnaire that consisted of 6 questions.
Results: The research has shown that patients with risk of lymphedema display a low level of education in the matter and that they indicate problems with access to professional information on the topic of lymphedema prevention. The properly trained medical staff rarely proved to be a source of information on the topic. The women who participated in the survey mostly knew that they had to avoid injections and taking blood pressure in the affected upper limb as well as excessive upper limb exercise. Most frequently mentioned preventive recommendations included elevation of the limb and appropriate exercise. Among the factors generating lymphedema, most women indicated excessive physical effort as a subjective cause of the manifestation of the condition.
Conclusion: Despite the knowledge of lymphedema prevention measures, the patients often fail to comply with the recommendations they have been given.