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KMID : 1035120180180030143
Asian Oncology Nursing
2018 Volume.18 No. 3 p.143 ~ p.153
Development of Lower Extremity Lymphedema Nursing Practice Protocol for Patients Following Gynecologic Cancer Treatment
Lee Hyun-Jung

Chun Na-Mi
Noh Gie-Ok
Song Hyun-Ju
Kim Ju-Hyun
Ha Su-Mi
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
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