The Effect Of Complete Decongestıve Therapy On Fatıgue And Sleep Qualıty
In Postmastectomy Lymphodema Syndrome
Objective : To evaluate the effects of Complete Decongestive
Treatment (CDT) on both cancer-related fatigue and sleep quality using
validated and reliable questionnaires in cancer patients is commendable.
Material and Metods: 94 patients between the ages of 18 and 75
were included in the study. The demographic characteristics of the
patients were recorded. The participants’ Stages of Lymphedema , Hirai
Cancer Fatigue Scale (HCFS) score, Pittsburgh Sleep Quality Index (PSQI)
Global score, lymphedema-specific quality of life questionnaire (LYMQOL-
ARM) score, and Global health status were recorded before and after CDT.
Results : The mean age of the patients was 58.49±10.96 years.
Strong correlations were found between the severity of edema and global
health status . There was a significant positive relationship among the
HCFS score, PSQI Global score, LYMQOL- ARM score and CDT. After
decongestive physiotherapy, majority of the lymphedema stages were
downstaging .(P < 0.05), respectively. There was also a trend
toward improvement in general well-being (P < 0.05).
Conclusion : In our study, which is the first study to
investigate the HCFS score in postmastectomy patients and relationship
between PSQI Global score and CDT. The findings identify the risk
factors that affect these outcomes in women with lymphedema can provide
valuable insights for targeted interventions and improved patient care.