Asian Oncol Nurs.  2018 Sep;18(3):143-153. 10.5388/aon.2018.18.3.143.

Development of Lower Extremity Lymphedema Nursing Practice Protocol for Patients Following Gynecologic Cancer Treatment

• Lee H
• Chun N
• Noh G
• Song H
• Kim J
• Ha S

• KMID: 2421828
• DOI: http://doi.org/10.5388/aon.2018.18.3.143

Abstract

PURPOSE
This study aimed to develop and evaluate the lower extremity lymphedema nursing practice protocol for patients following gynecologic cancer treatment.
METHODS
Thirteen web-sites were searched for eligible clinical practice guidelines (CPGs) and eleven databases were searched to identify evidence to develop a lower extremity lymphedema nursing practice protocol for patients following gynecologic cancer treatment.
RESULTS
Based on the inclusion and exclusion criteria, eight CPGs and ninety-six studies, two guidelines and eight studies were identified as evidence. The protocol development group consisted of ten experts who have at least five years' experience in the related area. A lower extremity lymphedema nursing practice protocol for patients following gynecologic cancer treatment was developed including forty-three recommendations in five domains. Significant differences were found in nurses' pre and post knowledge and confidence on lower extremity lymphedema prevention and management.
CONCLUSION
Nurses and other professionals could utilize this evidence based lower extremity lymphedema nursing practice protocol and apply it to patients undergoing gynecologic cancer treatment.

Keyword

Gynecologic Neoplasm; Lymphedema; Nursing Protocols

MeSH Terms

Female
Genital Neoplasms, Female
Humans
Lower Extremity*
Lymphedema*
Nursing Assessment
Nursing*

Figure

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  Fig. 1. Database Search Flow Chart.

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