妇科肿瘤综合治疗后下肢淋巴水肿患者居家管理指南  

Home management guideline for patients with lower limb lymphedema after comprehensive treatment for gynecological malignancies

作　　者：胡进 刘华云[2] 刘高明[3] 叶沙[1] 孙玫 刘媛媛[1] 曾元丽[5] 郑有卯 付柳 戴婵媛[8] 陶艳 夏铃丽 田军 王蕾 孙洋 Hu Jin;Liu Huayun;Liu Gaoming;Ye Sha;Sun Mei;Liu Yuanyuan;Zeng Yuanli;Zheng Youmao;Fu Liu;Dai Chanyuan;Tao Yan;Xia Lingli;Tian Jun;Wang Lei;Sun Yang(Gynecologic Oncology WardⅡ,Hunan Cancer Hospital,Changsha 410013,China)

机构地区：[1]湖南省肿瘤医院妇瘤二科,湖南长沙410013 [2]湖南省肿瘤医院造口伤口失禁护理中心,湖南长沙410013 [3]湖南省肿瘤医院护理部,湖南长沙410013 [4]中南大学湘雅护理学院 [5]湖南省肿瘤医院妇瘤五科,湖南长沙410013 [6]浙江省人民医院淋巴外科 [7]湘潭市中心医院普外二科 [8]中南大学湘雅三医院妇科 [9]中国科学技术大学附属第一医院门诊部 [10]浙江省肿瘤医院淋巴水肿门诊 [11]北京大学肿瘤医院乳腺内科 [12]赣州市肿瘤医院淋巴水肿门诊 [13]海南省肿瘤医院乳腺肿瘤中心

出　　处：《护理学杂志》2025年第6期1-10,共10页Journal of Nursing Science

基　　金：湖南省自然科学基金项目(2024JJ5242);湖南省卫生健康委科研项目(202214055350);湖南省卫生健康委科研项目(W20243226)。

摘　　要：目的制定妇科肿瘤综合治疗后下肢淋巴水肿患者居家管理指南,提高患者居家自我管理水平和应对能力。方法参照《患者版本指南构建规范》,在多学科专家、患者、家属和公众代表的共同参与下,收集下肢淋巴水肿患者关注的临床问题,系统检索与评价证据,形成推荐意见,通过专家函询对推荐意见进行修改并达成共识。结果形成的妇科肿瘤综合治疗后下肢淋巴水肿患者居家管理指南包括12个问题52个条目。结论制定的指南针对妇科肿瘤综合治疗后下肢淋巴水肿患者居家管理常见问题给出了清晰明确的推荐意见,有利于患者居家自我管理。Objective To develop a home management guideline for patients with lower limb lymphedema after comprehensive treatment for gynecological malignancies,and to improve their self-management level and coping ability.Methods Following the guidance for developing public or patient versions of guidelines(PVG),with the involvement of multidisciplinary experts,patients,family members,and public representatives,statements were formulated by collecting concerns of patients with lower limb lymphedema,systematically searching the current literature and critically evaluating the evidence.At last,expert consultation was conducted to reach a consensus.Results The evidence-based PVG covers 12 questions and 52 items.Conclusion The guideline provides clear recommendations on common problems in home management of lower limb lymphedema after comprehensive treatment for gynecological malignancies,which is conducive to enhancing patients′self-management in the home.

关 键 词：妇科肿瘤 下肢淋巴水肿 居家管理 患者指南 手法淋巴引流 自我管理 证据总结 循证护理 

分 类 号：R473.71[医药卫生—护理学] R473.2[医药卫生—临床医学]