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ヤマシタ シュウジ
Shuji Yamashita
山下 修二 所属 川崎医科大学 医学部 臨床医学 形成外科学 職種 教授 |
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| 論文種別 | 症例報告 |
| 言語種別 | 英語 |
| 査読の有無 | 査読あり |
| 表題 | Real-time image-sharing to educate a patient with lymphoedema on self-care: a case study. |
| 掲載誌名 | 正式名：British journal of nursing (Mark Allen Publishing) 略 称：Br J Nurs ISSNコード：09660461/09660461 |
| 掲載区分 | 国外 |
| 巻・号・頁 | 31(15),pp.S22-S29 |
| 著者・共著者 | Dai Misako, Yamashita Shuji, Okazaki Mutsumi, Kimori Keiko, Sanada Hiromi, Sugama Junko |
| 担当区分 | 2nd著者 |
| 発行年月 | 2022/08 |
| 概要 | INTRODUCTION:Compression therapy is important in oedema control in lymphoedema. However, some patients have difficulties starting compression therapy because standard self-care education does not enable them to fully understand lymphoedema and recognise it as their problem. To overcome this, real-time image-sharing education, using a combination of indocyanine green lymphography (ICG) and ultrasonography, may be used to educate patients. In this case study, real-time image-sharing education promoted decision-making and behaviour change in a patient with lower extremity lymphoedema so she would wear elastic stockings.CASE:A 51-year-old woman with a BMI of 31.7 kg/m2 and secondary lower extremity lymphoedema following cervical cancer surgery did not adhere to self-care instructions regarding wearing elastic stockings for 5 years. The oedema worsened, her limb circumference increased and she had two episodes of cellulitis within a year. Because the patient had a negative attitude towards elastic stockings, real-time image-sharing education was used to promote recognition of illness using ICG and an understanding of the condition of lymphoedema using ultrasonography. After the images were shared and explained, the patient discussed her recognition and understanding of lymphoedema, then decided to use compression stockings. She continued to wear them for 4 months, and her limb circumference decreased.CONCLUSION:Real-time image-sharing education using ICG and ultrasonography as self-care support for a lymphoedema patient who would not start compression therapy could result in behavioural changes and the patient starting and continuing to wear elastic stockings. |
| DOI | 10.12968/bjon.2022.31.15.S22 |
| PMID | 35980918 |