Evidenced summary for comprehensive detumescence treatment for lower limb lymphedema in patients with gynecological malignant tumor
10.3760/cma.j.cn211501-20220822-02656
- VernacularTitle:妇科恶性肿瘤患者下肢淋巴水肿综合消肿治疗的最佳证据总结
- Author:
Jiaqi HU
1
;
Yidan GENG
;
Shuqin FANG
;
Nai WANG
;
Xuefan DONG
;
Jingyi MA
;
Jianli TIAN
Author Information
1. 承德医学院护理学院，承德 067000
- Keywords:
Neoplasms;
Gynecology;
Lower extremity;
Lymphedema;
Comprehensive decongestion therapy
- From:
Chinese Journal of Practical Nursing
2023;39(15):1167-1174
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate and summarize the relevant evidence of comprehensive detumescence treatment of lower limb lymphedema in patients with gynecological malignant tumors, and to provide evidence-based basis for clinical intervention of comprehensive detumescence treatment of lymphedema.Methods:This study was an evidence - based nursing research. Databases such as BMJ Best Practice, UpToDate, PubMed, CNKI, Wanfang and other domestic and foreign databases, as well as websites such as the Australian Lymphology Society, the International Lymphedema, and the European Clinical Oncology Association were searched for relevant evidence and evaluation of comprehensive treatment of gynecological malignant tumor-related lower limb lymphedema. The search time was from the establishment of the database to April 1, 2022.Results:A total of 18 articles were included, including 2 guidelines, 5 systematic reviews, 4 expert consensus, 2 evidence summaries, 4 randomized controlled trials and 1 best practice. Twenty-eight evidence were summarized from 7 aspects : treatment cycle and edema stage, free-hand lymphatic drainage, graduated compression stockings, skin care, elastic socks, functional exercise and health education.Conclusions:The evidence summarized in this study can provide reference for clinical medical staff to formulate comprehensive treatment plans for lower limb lymphedema. Evidence-based practice should consider the individual status of patients and clinical scenarios, and provide personalized comprehensive treatment plans for patients with lower limb lymphedema of gynecological malignant tumors as soon as possible to improve the quality of life of patients.
