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Journal of Korean Critical Care Nursing 2013;6(1):21-33.
Published online June 30, 2013.

림프부종 자가 관리 실천 정도와 유방절제술 환자의 삶의 질과의 관계
최은녀, 최혜란
1강동대학교 간호과
2울산대학교 의과대학
The Relationship between Practice in Lymphedema Self-care Management and Health-related Quality of Life in Breast Cancer Patients with Mastectomy
Eun Nyer Choi, Hye Ran Choi
1Department of Nursing, Kangdong University
2College of Medicine, University of Ulsan
Abstract
Purpose
The purpose of this study was to examine the relationship between lymphedema self-care management and quality of life in breast cancer patients with mastectomy and lymphedema.
Methods
One hundred and eighty-six breast cancer patients with mastectomy and lymphedema (n=186) were recruited at a medical center located in Seoul. The levels of lymphedema self-care management and quality of life were measured by the scale for measurement of practice in lymphedema self-care management, European Organization for Research and Treatment of Cancer-Quality of Life Core 30 (EORTC QLQ-C30) and European Organization for Research and Treatment of Cancer-Quality of Life Questionnaire Breast Cancer Module (EORTC QLQ BR23), respectively. Data were analyzed with SPSS 18.0 program.
Results
There were statistically significant correlations between lymphedema self-care management and general health status/quality of life in mastectomy patients with lymphedema (r=.30, p<.001). The physical function score of cancer related function scale (r=-.15, p=.033), fatigue score of cancer related symptom scale (r=.15, p=.036), systemic side effect score of breast cancer related symptom scale (r=.45, p=.034), and upset by hair loss (r=.27, p=.004) were significantly correlated with quality of life.
Conclusion
The findings suggest that these significant factors should be considered when caring for lymphedema patients.
Key Words: Lymphedema, Self-care, Mastectomy, Quality of life
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