Publication details

PSYCHOSOMATIC BASIS OF LYMPHEDEMA TREATMENT IN MAINTENANCE PHASE

Authors

BENDOVÁ Marcela BENDA Karel

Year of publication 2013
Type Conference abstract
MU Faculty or unit

Faculty of Medicine

Citation
Description Introduction: Paramount prohlnm of chronic lymphedcma management seems to he patient's acceptance, of long-termed complex decongestive therapy (CIYF) For achieving positive outcomes patient's psychical compliance, takes decisive role. Objectives: Lyiiiphcdcma causes both physical as well as psychical buidcn lu ihc ill. Therefore, integrated lliciapy of patient's body and soul is needed. Present stale (if this problem is not generally inspected. Methods/Design: Since 10/2005 till 12/2012 in general 652 lymphedcma patients underwent complex treatment in maintenance phase, including regular checking, educational seminars and specialized questionnaire evaluation. Collected data evoked consequential cognitions. Results and recommendations: As decisive items in patients' management: communication, therapy acceptance, cooperation and self-treatment were identified. In clinical survey: (a) Communication: main goals for lymphologic stuff to evoke patients' feeling of confidence, trust and of being tin integrated and self-responsible member in the team combating patients' disease; training in communication skill is needed. (b) Acceptance of long-term treatment: there arc rational and emotional factors (positive/negative) influencing patients' attitude to CTD; identification of factors and support of positive ones is necessary. (c) Cooperation's prospective steps: contact? communication? cooperation? compliance? adherence. Self-treatment: must beincorporating in daily-regime (skin care, self-applied manual and pneumatic lymph drainage, self-bandaging, elevation of the limbs, appropriate sport activities, etc.; requirements: patients" information, motivation and education focused on positive changes in patients' behaviour. Conclusion: Treatment of lymphedcma in maintanance phase has to be based on psychosomatic approach to the disease integrating both soinato- and psychotherapy.
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