Skip to main content

Advertisement

SpringerLink
Log in

Acceptance of disability, coping style, perceived social support and quality of life among patients with chronic lymphedema: a cross-sectional study

  • Original Article
  • Published:
Supportive Care in Cancer Aims and scope Submit manuscript

A Correction to this article was published on 03 February 2022

This article has been updated

Abstract

Objective

To examine acceptance of disability, coping style, perceived social support, and quality of life and to explore the relationships between acceptance of disability, coping style, perceived social support, and quality of life among Chinese patients with chronic lymphedema.

Methods

Chronic lymphedema patients were recruited from five tertiary hospitals between May and July 2020 in China. Recruited patients were assessed for quality of life (QOL), acceptance of disability (AOD), coping styles, perceived social support (PSS), and sociodemographic and disease-related factors. Multivariate linear regression models were conducted to examine the multivariate effect of AOD, coping style, PSS, and sociodemographic and disease-related factors on QOL.

Results

A total of 163 chronic lymphedema patients were recruited. The mean score of QOL was 2.23 (SD = 0.68). AOD, number of symptoms, acceptance-resignation, avoidance, degree of pain, PSS, and educational level were found to be significant predictors of QOL.

Conclusion

Chinese patients with chronic lymphedema had moderate levels of QOL. The QOL and specific domains of patients were affected by different factors. Special attention and targeted interventions should be given to improve patients’ QOL.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

Data availability

The data are available from the corresponding author on reasonable request.

Code availability

Not applicable.

Change history

References

  1. Mercier G, Pastor J, Moffatt C, Franks P, Quéré I (2019) LIMPRINT: health-related quality of life in adult patients with chronic edema. Lymphat Res Biol 17:163–167. https://doi.org/10.1089/lrb.2018.0084

    Article  PubMed  PubMed Central  Google Scholar 

  2. Lopez M, Roberson ML, Strassle PD, Ogunleye A (2020) Epidemiology of Lymphedema-related admissions in the United States: 2012–2017. Surg Oncol 35:249–253. https://doi.org/10.1016/j.suronc.2020.09.005

    Article  Google Scholar 

  3. Ridner SH, Doersam JK, Stolldorf DP, Dietrich MS (2018) Development and validation of the lymphedema symptom intensity and distress survey-lower limb. Lymphat Res Biol 16:538–546. https://doi.org/10.1089/lrb.2017.0069

    Article  PubMed  PubMed Central  Google Scholar 

  4. Gutknecht M, Herberger K, Klose K, Purwins S, Dietz D, Blome C, Augustin M (2017) Cost-of-illness of patients with lymphoedema. J Eur Acad Dermatol Venereol 31:1930–1935. https://doi.org/10.1111/jdv.14442

  5. Tzani I, Tsichlaki M, Zerva E, Papathanasiou G, Dimakakos E (2018) Physiotherapeutic rehabilitation of lymphedema: state-of-the-art. Lymphology 51:1–12

    CAS  PubMed  Google Scholar 

  6. Borman P, Moffatt C, Murray S, Yaman A, Denizli M, Dalyan M, Unsal-Delialioğlu S, Eyigör S, Ayhan F, Çakıt BD, Vural S, Özdemir O, Kurt E, Çelik EC, Cerrahoğlu L, Kepekçi M, Terzioğlu F, Donmez AA (2019) LIMPRINT study: The Turkish experience. Lymphat Res Biol 17:202–210. https://doi.org/10.1089/lrb.2019.0015

    Article  PubMed  PubMed Central  Google Scholar 

  7. Zhang Q, Xiao S, Yan L, Sun L, Wang Y, Huang M (2019) Psychosocial predictors of adjustment to disability among patients with breast cancer: a cross-sectional descriptive study. J Nurs Res 27:e15. https://doi.org/10.1097/jnr.0000000000000283

  8. Wright BA (1983) Physical disability - a psychosocial approach, 2nd edn. HarperCollins Publishers, New York

    Book  Google Scholar 

  9. Yehene E, Lichtenstern G, Harel Y, Druckman E, Sacher Y (2019) Self-efficacy and acceptance of disability following mild traumatic brain injury: A pilot study. Appl Neuropsychol Adult: 1–10. https://doi.org/10.1080/23279095.2019.1569523

  10. Zhang X, Liu Y, Deng X, Deng C, Pan Y, Hu A (2019) The correlation between quality of life and acceptability of disability in patients with facial burn scars. Front Bioeng Biotechnol 7:329. https://doi.org/10.3389/fbioe.2019.00329

    Article  PubMed  PubMed Central  Google Scholar 

  11. Folkman S, Lazarus RS, Gruen RJ, DeLongis A (1986) Appraisal, coping, health status, and psychological symptoms. J Pers Soc Psychol 50:571–579

    Article  CAS  Google Scholar 

  12. Torkzadeh F, Danesh M, Mirbagher L, Daghaghzadeh H, Emami MH (2019) Relations between coping skills, symptom severity, psychological symptoms, and quality of life in patients with irritable bowel syndrome. Int J Prev Med 10:72. https://doi.org/10.4103/ijpvm.IJPVM_464_17

    Article  PubMed  PubMed Central  Google Scholar 

  13. Teo I, Fingeret MC, Liu J, Chang DW (2016) Coping and quality of life of patients following microsurgical treatment for breast cancer-related lymphedema. J Health Psychol 21:2983–2993. https://doi.org/10.1177/1359105315589801

    Article  PubMed  Google Scholar 

  14. Lo Buono V, Corallo F, Bramanti P, Marino S (2017) Coping strategies and health-related quality of life after stroke. J Health Psychol 22:16–28. https://doi.org/10.1177/1359105315595117

    Article  PubMed  Google Scholar 

  15. Howard S, Creaven A-M, Hughes BM, O’Leary ÉD, James JE (2017) Perceived social support predicts lower cardiovascular reactivity to stress in older adults. Biol Psychol 125:70–75. https://doi.org/10.1016/j.biopsycho.2017.02.006

    Article  PubMed  Google Scholar 

  16. Wang J, Mann F, Lloyd-Evans B, Ma R, Johnson S (2018) Associations between loneliness and perceived social support and outcomes of mental health problems: a systematic review. BMC Psychiatry 18:156. https://doi.org/10.1186/s12888-018-1736-5

    Article  PubMed  PubMed Central  Google Scholar 

  17. Tsai W, Lu Q (2018) Perceived social support mediates the longitudinal relations between ambivalence over emotional expression and quality of life among Chinese American breast cancer survivors. Int J Behav Med 25:368–373. https://doi.org/10.1007/s12529-017-9705-9

    Article  PubMed  Google Scholar 

  18. Hirani SS, Norris CM, Van Vliet KJ, Van Zanten SV, Karmaliani R, Lasiuk G (2018) Social support intervention to promote resilience and quality of life in women living in Karachi, Pakistan: a randomized controlled trial. Int J Public Health 63:693–702. https://doi.org/10.1007/s00038-018-1101-y

    Article  PubMed  Google Scholar 

  19. Livneh HF, Antonak R (1997) Psychosocial adaptation to chronic illness and disability. Aspen Publishers

  20. Chen NI, Yun C, Xiao-chun SUN, Jing-jing HU (2009) Relationship between acceptance of disability and posttraumatic stress response in patients with brachial plexus injury. Chin J Nurs 44:677–680

    Google Scholar 

  21. Shen XH, Jiang QJ (2000) Report on application of Chinese version of MCMQ among 701 patients. Chin J Behav Med Sci 9:18–20

    Google Scholar 

  22. Huang L, Jiang QJ, Ren WH (1996) The correlational study on coping modes, social support and psychosomatic symptoms among cancer patients. Chin Mental Health J 8:199–201

    Google Scholar 

  23. Augustin M, Conde Montero E, Hagenstrom K, Herberger K, Blome C (2018) Validation of a short-form of the Freiburg Life Quality Assessment for lymphoedema (FLQA-LS) instrument. Br J Dermatol 179:1329–1333. https://doi.org/10.1111/bjd.16902

    Article  CAS  PubMed  Google Scholar 

  24. Herberger K, Blome C, Heyer K, Ellis F, Munter KC, Augustin M (2017) Quality of life in patients with primary and secondary lymphedema in the community. Wound Repair Regen 25:466–473

    Article  Google Scholar 

  25. Taghian NR, Miller CL, Jammallo LS, O’Toole J, Skolny MN (2014) Lymphedema following breast cancer treatment and impact on quality of life: a review. Crit Rev Oncol Hematol 92:227–234. https://doi.org/10.1016/j.critrevonc.2014.06.004

    Article  PubMed  Google Scholar 

  26. Zhang TL, Hu AL, Xu HL, Zheng MC, Liang MJ (2013) Patients after colostomy: relationship between quality of life and acceptance of disability and social support. Chin Med J (Engl) 126:4124–4131

    Google Scholar 

  27. Shi S, Lu Q, Fu MR, Ouyang Q, Liu C, Lv J, Wang Y (2016) Psychometric properties of the breast cancer and lymphedema symptom experience index: the Chinese version. Eur J Oncol Nurs 20:10–16. https://doi.org/10.1016/j.ejon.2015.05.002

  28. Dominick SA, Natarajan L, Pierce JP, Madanat H, Madlensky L (2014) The psychosocial impact of lymphedema-related distress among breast cancer survivors in the WHEL study. Psychooncology 23:1049–1056. https://doi.org/10.1002/pon.3510

    Article  PubMed  PubMed Central  Google Scholar 

  29. Du R, Wang P, Ma L, Larcher LM, Wang T, Chen C (2020) Health-related quality of life and associated factors in patients with myocardial infarction after returning to work: a cross-sectional study. Health Qual Life Outcomes 18:190. https://doi.org/10.1186/s12955-020-01447-4

    Article  PubMed  PubMed Central  Google Scholar 

  30. Liu Z, Zhou X, Zhang W, Zhou L (2020) Resilience and its correlates among first ischemic stroke survivors at acute stage of hospitalization from a tertiary hospital in China: a cross-sectional study. Aging Ment Health 24:828–836. https://doi.org/10.1080/13607863.2018.1550630

    Article  PubMed  Google Scholar 

  31. Jalali-Farahani S, Amiri P, Karimi M, Vahedi-Notash G, Amirshekari G, Azizi F (2018) Perceived social support and health-related quality of life (HRQoL) in Tehranian adults: Tehran lipid and glucose study. Health Qual Life Outcomes 16:90. https://doi.org/10.1186/s12955-018-0914-y

    Article  PubMed  PubMed Central  Google Scholar 

  32. Zimet GD, Powell SS, Farley GK, Werkman S, Berkoff KA (1990) Psychometric characteristics of the multidimensional scale of perceived social support. J Pers Assess 55:610–617

    Article  CAS  Google Scholar 

  33. Xie Y, Yu Y, Wang J-X, Yang X, Zhao F, Ma J-Q, Chen Z-Y, Liang F-R, Zhao L, Cai D-J, Yang C-X (2020) Health-related quality of life and its influencing factors in Chinese with knee osteoarthritis. Qual Life Res 29:2395–2402. https://doi.org/10.1007/s11136-020-02502-9

  34. Barbareschi G, Sanderman R, Leegte IL, van Veldhuisen DJ, Jaarsma T (2011) Educational level and the quality of life of heart failure patients: a longitudinal study. J Cardiac Fail 17:47–53. https://doi.org/10.1016/j.cardfail.2010.08.005

    Article  Google Scholar 

  35. Santos-Iglesias P, Mohamed B, Walker LM (2018) A systematic review of sexual distress measures. J Sex Med 15:625–644. https://doi.org/10.1016/j.jsxm.2018.02.020

    Article  PubMed  Google Scholar 

  36. Noonan D, LeBlanc M, Conley C, Benecha H, Leak-Bryant A, Peter K, Zimmerman S, Mayer D, Smith S (2020) Quality of life and impact of cancer: differences in rural and nonrural non-Hodgkin’s lymphoma survivors. J Rural Health 36:536–542. https://doi.org/10.1111/jrh.12420

    Article  PubMed  PubMed Central  Google Scholar 

  37. Yihedego E, Aga F, Gela D, Boka A (2020) Quality of life and associated factors among family caregivers of adult cancer patients in Addis Ababa, Ethiopia. Cancer Manag Res 12:10047–10054. https://doi.org/10.2147/cmar.S266416

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Funding

This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

Author information

Authors and Affiliations

  1. The Nethersol School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Horse Material Water, Shatin, New Territories, Hong Kong, Hong Kong SAR, China

    Zehao Huang

  2. School of Nursing, Sun Yat-Sen University, Guangzhou, China

    Zehao Huang

  3. Foshan Hospital of Traditional Chinese Medicine, Foshan, China

    Siyu Wu

Authors
  1. Zehao Huang
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Siyu Wu
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

ZH contributed to the study’s conception and design. Data collection and analysis were performed by ZH and SW. The first draft of the manuscript was written by ZH. SW reviewed and edited the manuscript. Both authors read and approved the final manuscript.

Corresponding author

Correspondence to Zehao Huang.

Ethics declarations

Ethical approval

All procedures performed in studies involving human participants were following the ethical standards of the institutional and/or national research committee (Medical Ethics Committee of * Affiliated Hospital of * University [2019] 02–545-01) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Consent to participate

All patients agreed to participate in this study and we did not provide compensation.

Consent for publication

All participants agreed to publish their data.

Conflict of interest

The authors declare no competing interests.

Additional information

Publisher's note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

The original version of this article was revised. A total score of 12-35, 36-61, and 62-84 indicate a low, moderate, and high level of disability acceptance” should be changed into “A total score of 12-35, 36-60, and 61-84 indicate a low, moderate, and high level of perceived social support”.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Huang, Z., Wu, S. Acceptance of disability, coping style, perceived social support and quality of life among patients with chronic lymphedema: a cross-sectional study. Support Care Cancer 30, 4099–4108 (2022). https://doi.org/10.1007/s00520-022-06855-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00520-022-06855-4

Keywords

Search

Navigation