BACKGROUND:Secondary lymphedema is one of the common complications after malignant tumor surgery. It is a chronic and complex disease. Once lymphedema occurs, there will be discomfort such as limb swelling, pain, numbness and tension, which will eventually lead to changes in the appearance of the affected limb and will seriously affect the quality of life and require lifelong treatment and psychosocial support. This study investigated the current situation of stigma and alexithymia in patients with lymphedema, and discussed the impact of alexithymia on stigma in patients with lymphedema. AIMS: To understand the current situation of stigma and alexithymia in patients with lymphedema, and to analyze the influence of alexithymia on stigma. METHODS: 195 patients with lymphedema in a hospital were selected by convenient sampling. General information questionnaire, Toronto Alexithymia Scale and social impact scale were used to investigate respectively, to study the general situation, stigma and alexithymia of the respondents. RESULTS: The results showed that the total score of stigma in 195 patients with lymphedema was (60.36 ± 11.08), and the total score of alexithymia was (56.53 ± 8.43). Multiple linear regression analysis showed that alexithymia and family relationship were the influencing factors of stigma in patients with lymphedema. CONCLUSIONS: The patients with lymphedema have obvious stigma, and alexithymia and family relationship are the influencing factors.
References
[1]
Karlsson, K., Biguet, G., Johansson, K. and Nilsson-Wikmar, L. (2015) Perceptions of Lymphoedema Treatment in Patients with Breast Cancer: A Patient Perspective. Scandinavian Journal of Caring Sciences, 29, 110-117. https://doi.org/10.1111/scs.12138
[2]
Dessources, K., Aviki, E. and Leitao Jr., M.M. (2020) Lower Extremity Lymphedema in Patients with Gynecologic Malignancies. International Journal of Gynecological Cancer, 30, 252-260. https://doi.org/10.1136/ijgc-2019-001032
[3]
Biglia, N., Zanfagnin, V., Daniele, A., Robba, E. and Bounous, V.E. (2017) Lower Body Lymphedema in Patients with Gynecologic Cancer. Anticancer Research, 37, 4005-4015. https://doi.org/10.21873/anticanres.11785
[4]
Hareyama, H., Hada, K., Goto, K., Watanabe, S., Hakoyama, M., Oku, K., Hayakashi, Y., Hirayama, E. and Okuyama, K. (2015) Prevalence, Classification, and Risk Factors for Postoperative Lower Extremity Lymphedema in Women with Gynecologic Malignancies: A Retrospective Study. International Journal of Gynecological Cancer, 25, 751-757. https://doi.org/10.1097/IGC.0000000000000405
[5]
Liu, Y.F., Liu, J.E., Mak, Y.W., Zhu, Y., Qiu, H., Liu, L.H., Yang, S.S. and Chen, S.H. (2021) Prevalence and Predictors of Breast Cancer-Related Arm Lymphedema over a 10-Year Period in Postoperative Breast Cancer Patients: A Cross-Sectional Study. European Journal of Oncology Nursing, 51, 101909. https://doi.org/10.1016/j.ejon.2021.101909
[6]
Dunberger, G., Helene Lindquist, E., Waldenström, A.C., Nyberg, T., Steineck, G. and Åvall-Lundqvist, E. (2013) Lower Limb Lymphedema in Gynecological Cancer Survivors: Effect on Daily Life Functioning. Supportive Care in Cancer, 21, 3063-3070. https://doi.org/10.1007/s00520-013-1879-3
[7]
De Melo Ferreira, A.P., De Figueiredo, E.M., Lima, Ra., Cândido, E.B., De Castro Monteiro, M.V., De Figueiredo Franco, T.M., Traiman, P. and Da Silva-Filho, A.L. (2012) Quality of Life in Women with Vulvar Cancer Submitted to Surgical Treatment: a Comparative Study. European Journal of Obstetrics & Gynecology and Reproductive Biology, 165, 91-95. https://doi.org/10.1016/j.ejogrb.2012.06.027
[8]
Ryan, M., Stainton, M.C., Jaconelli, C., Watts, S., MacKenzie, P. and Mansber, T. (2003) The Experience of Lower Limb Lymphedema for Women after Treatment for Gynecologic Cancer. Oncology Nursing Forum, 30, 417-423. https://doi.org/10.1188/03.ONF.417-423
[9]
Fukushima, T., Tsuji, T., Sano, Y., et al.(2017)Immediate Effects of Active Exercise with Compression Therapy on Lower-Limb Lymphedema. Support Carein Cancer, 25, 2603-2610. https://doi.org/10.1007/s00520-017-3671-2
[10]
Livingston, J., Patel, N., Bryson, S., et al. (2018) Stigma Associated with Mental Illness among Asian Men in Vancouver, Canada. The International Journalof Social Psychiatry, 64, 679-689. https://doi.org/10.1177/0020764018805125
[11]
Rinaldi, R., Radian, V., Rossignol, M., et al. (2017) Thinking About One’s Feelings: Association between Alexithymia and Cognitive Styles in a Nonclinical Population. The Journalof Nervousand Mental Disease, 205, 812-815. https://doi.org/10.1097/NMD.0000000000000721
Yuan, Y.G., Shen, X.H., Zhang, X.Y., et al. (2003) Reliability and Validity of Toronto Alexithymia Scale (TAS-20). SichuanMentalHealth, 16, 25-27.
[14]
Fife, B.F. and Wright, E.R. (2000) The Dimensionality of Stigma: A Comparison of Its Impact on the Self of Persons with HIV/AIDS and Cancer. Journalof Healthand Social Behavior, 41, 50-67. https://doi.org/10.2307/2676360
[15]
Pan, A.W., Chung, L., Fife, B.L., et al. (2007)Evaluation of the Psychometrics of the Social Impact Scale: A Measure of Stigmatization. International Journalof Rehabilitation Research, 30, 235-238. https://doi.org/10.1097/MRR.0b013e32829fb3db
[16]
Gritti, P., Lombardi, S., Nobile, B., et al. (2010) Alexithymia and Cancer-Related Fatigue: A Controlled Cross-Sectional Study. Tumori Journal, 96, 131-137. https://doi.org/10.1177/030089161009600121
[17]
Reynolds, L.M. and Harris, L. (2021) Stigma in the Face of Cancer Disfigurement: A Systematic Review and Research Agenda.European Journal of Cancer Care, 30, E13327. https://doi.org/10.1111/ecc.13327
[18]
Girgis, A., Stacey, F., Lee, T., Black, D. and Kilbreath, S. (2011) Priorities for Women with Lymphoedema after Treatment for Breast Cancer: Population Based Cohort Study. BMJ, 342, 1-7. https://doi.org/10.1136/bmj.d3442
[19]
Suwankhong, D. and Liamputtong, P. (2016) Breast Cancer Treatment: Experiences of Changes and Social Stigma among Thai Women in Southern Thailand. Cancer Nursing, 39, 213-220. https://doi.org/10.1097/NCC.0000000000000255