2.50
Hdl Handle:
http://hdl.handle.net/10755/164653
Category:
Abstract
Type:
Presentation
Title:
Symptoms Clusters Occurring With Lymphedema After Breast Cancer
Author(s):
Rider, S.
Author Details:
S. Rider, Vanderbilt University, School of Nursing, Nashville, Tennessee, USA
Abstract:
Literature suggests that up to 28% of the 2 million United States breast cancer survivors seen by oncology nurses develop lymphedema in the affected arm. Purpose: Despite treatment that reduces limb volume, ongoing lymphedema related problems/symptoms interfere with QOL. The purpose of this study was to assess outcomes associated with lymphedema occurring after breast cancer treatment and determine if it occurs within a symptom cluster. Theoretical/Scientific Framework: A revised version of the Lenz Theory of Unpleasant Symptoms served as the theoretical framework. This theory proposes that symptoms do not occur in isolation, they cluster, and all symptoms must be addressed to achieve maximum performance/function. Methods: A convenience sample of 128 breast cancer survivors, 64 with breast cancer related lymphedema and 64 without breast cancer related lymphedema, age matched within three years, participated in this two-group, descriptive, mixed methods, correlational, cross-sectional study. Concurrent data on symptoms, sociodemographic, disease and treatment variables, and QOL were collected from all participants. Narrative comments about problems related to lymphedema were solicited from those with lymphedema. Data Analysis: Descriptive statistics, ANCOVA’s, partial correlations, and regression analyses were used. Thematic analysis of narrative commentary was conducted. Cronbach’s Alpha and Kuder-Richardson-20 were .78 or higher for all instruments used. Findings and Implications: (1) sociodemographic variables did not correlate with perceived arm size difference or actual limb volume difference; (2) BMI correlated with all outcome variables and mean symptom distress, mean symptom intensity, and lymphedema grade varied as a function of BMI; (3) individuals with lymphedema reported poorer QOL; (4) narrative comments revealed QOL, physical health, and psychological issues indicative of an interrupted life; and (5) participants with lymphedema experienced a cluster of symptoms that included alteration in limb sensation, loss of loss of confidence in body, decreased physical activity, fatigue, and psychological distress. A holistic approach to lymphedema management that addresses not only reduction of limb volume, but also altered sensations in limbs, enhancing body confidence, increasing physical activity, managing fatigue, and relieving psychological distress is needed. Research designed to gather more information about this symptom cluster and the influence of BMI on lymphedema development and symptoms is indicated.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2004
Conference Name:
29th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Anaheim, California, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleSymptoms Clusters Occurring With Lymphedema After Breast Canceren_GB
dc.contributor.authorRider, S.en_US
dc.author.detailsS. Rider, Vanderbilt University, School of Nursing, Nashville, Tennessee, USAen_US
dc.identifier.urihttp://hdl.handle.net/10755/164653-
dc.description.abstractLiterature suggests that up to 28% of the 2 million United States breast cancer survivors seen by oncology nurses develop lymphedema in the affected arm. Purpose: Despite treatment that reduces limb volume, ongoing lymphedema related problems/symptoms interfere with QOL. The purpose of this study was to assess outcomes associated with lymphedema occurring after breast cancer treatment and determine if it occurs within a symptom cluster. Theoretical/Scientific Framework: A revised version of the Lenz Theory of Unpleasant Symptoms served as the theoretical framework. This theory proposes that symptoms do not occur in isolation, they cluster, and all symptoms must be addressed to achieve maximum performance/function. Methods: A convenience sample of 128 breast cancer survivors, 64 with breast cancer related lymphedema and 64 without breast cancer related lymphedema, age matched within three years, participated in this two-group, descriptive, mixed methods, correlational, cross-sectional study. Concurrent data on symptoms, sociodemographic, disease and treatment variables, and QOL were collected from all participants. Narrative comments about problems related to lymphedema were solicited from those with lymphedema. Data Analysis: Descriptive statistics, ANCOVA’s, partial correlations, and regression analyses were used. Thematic analysis of narrative commentary was conducted. Cronbach’s Alpha and Kuder-Richardson-20 were .78 or higher for all instruments used. Findings and Implications: (1) sociodemographic variables did not correlate with perceived arm size difference or actual limb volume difference; (2) BMI correlated with all outcome variables and mean symptom distress, mean symptom intensity, and lymphedema grade varied as a function of BMI; (3) individuals with lymphedema reported poorer QOL; (4) narrative comments revealed QOL, physical health, and psychological issues indicative of an interrupted life; and (5) participants with lymphedema experienced a cluster of symptoms that included alteration in limb sensation, loss of loss of confidence in body, decreased physical activity, fatigue, and psychological distress. A holistic approach to lymphedema management that addresses not only reduction of limb volume, but also altered sensations in limbs, enhancing body confidence, increasing physical activity, managing fatigue, and relieving psychological distress is needed. Research designed to gather more information about this symptom cluster and the influence of BMI on lymphedema development and symptoms is indicated.en_GB
dc.date.available2011-10-27T12:04:35Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:04:35Z-
dc.conference.date2004en_US
dc.conference.name29th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationAnaheim, California, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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