The Effectiveness of Reducing Affected Arm Volume by Self-Care Program in Patients with Breast Cancer Treatment-Related Lymphoedema

Arinaga, Yoko; Sato, F.; Sato, Naoko; Eiko, Kashiwagura

doi:10.5630/jans.35.10

Cited by 4 publications

(4 citation statements)

References 11 publications

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“…Many studies in Japan have shown that the interventions of nurses contribute to better outcomes of nursing care. Examples of effective interventions might include: an intervention based on a care package designed to relieve the depression of cancer patients (Nozue et al, 2016), or a self-care program for patients with breast cancer treatment-related lymphedema (Arinaga, Sato, Sato, & Kashiwagura, 2015). However, many of these studies were conducted on a small scale.…”

Section: Nursing In Japan and Its Influences On Patient Outcomesmentioning

confidence: 99%

Features of Women’s Leadership and Nursing in Japanese Culture

Sakashita¹

2018

Asian Pac Isl Nurs J

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Mutual respect and harmonious relationships between people can be viewed as the fundamental spirit of Japanese culture. Japanese leaders try to keep the peace in human relations, rather than to achieve a goal. They become leaders due to internal and external conditions, rather than their own abilities. Japanese society has been basically male-dominated though the ratio of women leaders has increased recently. Higher education and development of academic societies in nursing have been very successful during the last two decades and nursing is one of the most trusted professions in Japan. However, some Japanese people still think a nurse is just an assistant to doctors. The purpose of this paper is to clarify features of women’s leadership in Japan from the nursing point of view. In Japanese culture, leaders need to possess human resource leadership as an indispensable element, while good leaders may have advantages in all four frames of leadership including structural, human resource, political, and symbolic frames. Japanese organizations are also supported by excellent followership which might be influenced by the structure of Japanese society which is called “the vertical society” where leaders are fostered from among followers. What is important in Japanese leadership is to have a vision that leadership leads to the happiness of all people in a shareable form.

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Section: Nursing In Japan and Its Influences On Patient Outcomesmentioning

confidence: 99%

Features of Women’s Leadership and Nursing in Japanese Culture

Sakashita¹

2018

Asian Pac Isl Nurs J

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“…html), 2) gentle arm exercises combined with deep breathing (Moseley et al 2005), 3) skin moisturizing care with grapefruit essential oil and sweet almond massage oil using a traditional self-lymphatic drainage technique, and 4) 1 min of central lymphatic drainage around the subclavian vein. In this previous study (Arinaga et al 2015(Arinaga et al , 2016, the volume of the affected limb and tissue resistance at all measured sites were significantly reduced, and BCRL-related symptoms were also significantly improved after 6 months. We therefore conclude that the 10-min BCRL self-care program showed benefits, safety and feasibility for BCRL patients in this phase 1 study.…”

Section: Introductionmentioning

confidence: 65%

“…To introduce a simpler, yet effective, and feasible selfcare program which patients can adhere over time, we developed a 10-min holistic BCRL self-care program and evaluated it in previous studies (Arinaga et al 2015(Arinaga et al , 2016. This program consisted of 1) Japanese Radio Taiso (Radio Taiso, Radio calisthenics or Radio exercise) is the national calisthenics in Japan (Japan Post Insurance: https://www.jplife.japanpost.jp/aboutus/csr/radio/abt_csr_rdo_movie.…”

Section: Introductionmentioning

confidence: 99%

The 10-Min Holistic Self-Care for Patients with Breast Cancer-Related Lymphedema: Pilot Randomized Controlled Study

Arinaga

Piller

Sato

et al. 2019

Tohoku J. Exp. Med.

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About 20% of patients with breast cancer are likely to develop breast cancer-related lymphedema (BCRL) following an axillary clearance, and BCRL can be refractory or irreversible to treatment. The aim of this pilot randomized controlled study was to evaluate the effectiveness of a 10-min holistic self-care program for patients with BCRL in Japan. The intervention group (n = 22) practiced the BCRL self-care program including 1) modified Japanese Radio Taiso (Rajio Taiso, national calisthenics in Japan), 2) gentle arm exercises combined with deep breathing, 3) central lymphatic drainage, and 4) skin care using a traditional lymphatic drainage technique daily for 6 months, while the control group (n = 21) received usual care from their hospitals. There was significant group*time interaction in the relative edema volume and relative volume change of the hand, with the intervention group having the better outcome. The intervention group showed significant improvement in transepidermal water loss as well as the mental health component summary score of the SF-8, most of BCRL-related symptoms, self-care time and score, frequencies of exercise, self-lymphatic drainage and skin care, and perceived adherence and effectiveness to self-care, although we were unable to exclude the possibility of the Hawthorne effect. Notably, even in the control group, the self-care was similarly increased, but the significant improvements were detected only in transepidermal water loss on the forearm and upper arm, pain and coldness. In conclusion, the patients who practiced the holistic BCRL self-care for 6 months have shown greater improvement.

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“…23) Exercise and patient self-care have also been reported to be effective in the management of lymphedema. 24) Early treatment of edema is essential, and appropriate management by medical professionals can contribute to improving QOL.…”

Section: Discussionmentioning

confidence: 99%

Effect of Perioperative Docetaxel-induced Limb Edema on Health-related Quality of Life in Patients with Early-stage Breast Cancer: A Prospective Observational Study

Matsumoto,

Morimoto,

Wakatsuki

et al. 2024

YAKUGAKU ZASSHI

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Docetaxel (DTX) is a key drug used in perioperative chemotherapy for breast cancer. Edema is a known adverse effect of DTX, but its effect on health-related QOL (HRQOL) is unclear. In this study, we evaluated the effects of edema caused by administration of DTX on HRQOL in patients with early-stage breast cancer. We prospectively investigated patients diagnosed with early-stage breast cancer (stage I-III) who received 4 cycles of DTX as preoperative or postoperative chemotherapy between September 2021 and December 2022 at Yamanashi Prefectural Central Hospital. The circumference of each extremity was measured at each administration of DTX, and limb edema was evaluated by Common Terminology Criteria for Adverse Events version 5.0. HRQOL was evaluated using SF-12 version 2, which has a range of 0-100 (national standard, 50), and compared between the presence and absence of grade 2 or higher edema and between before and after administration of DTX. Twenty patients met the eligibility criteria and were included in the study. There was no difference in the HRQOL score according to whether grade 2 limb edema was present. The median HRQOL summary scores before and after administration of DTX were 51.1 and 50.8 (p=0.763), respectively, for mental health, 52.6 and 49.4 (p=0.005) for physical health, and 38.9 and 37.5 (p=1.000) for role/social health. We found no direct effect of DTX-induced limb edema on HRQOL in patients with early-stage breast cancer. However, HRQOL summary scores indicated that administration of DTX reduced physical health in these patients.

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The Effectiveness of Reducing Affected Arm Volume by Self-Care Program in Patients with Breast Cancer Treatment-Related Lymphoedema

Cited by 4 publications

References 11 publications

Features of Women’s Leadership and Nursing in Japanese Culture

Features of Women’s Leadership and Nursing in Japanese Culture

The 10-Min Holistic Self-Care for Patients with Breast Cancer-Related Lymphedema: Pilot Randomized Controlled Study

Effect of Perioperative Docetaxel-induced Limb Edema on Health-related Quality of Life in Patients with Early-stage Breast Cancer: A Prospective Observational Study

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