Summary of best evidence for exercise therapy in patients with breast cancer related lymphedema
10.3760/cma.j.cn115682-20230115-00184
- VernacularTitle:乳腺癌相关淋巴水肿患者运动疗法的最佳证据总结
- Author:
Xueting LI
1
;
Jingjing QIN
;
Xia NING
;
Shuang MA
;
Li WANG
;
Yingli PAN
Author Information
1. 中国医科大学附属第四医院护理部，沈阳 110032
- Keywords:
Breast neoplasms;
Lymphedema;
Exercise therapy;
Rehabilitation nursing;
Evidence summary
- From:
Chinese Journal of Modern Nursing
2023;29(36):4916-4924
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrieve, evaluate and summarize the evidence on exercise therapy in patients with breast cancer related lymphedema, so as to provide basis for clinical practice.Methods:According to the "6S" evidence resource pyramid model, all the evidence on exercise therapy for patients with breast cancer related lymphedema, including clinical guideline, expert consensus, best practice information book, Meta-analysis, systematic review and other evidence, were searched layer by layer from top to bottom in British Medical Journal (BMJ) Best Practice, UpToDate, Guidelines International Network, National Institute for Health and Clinical Excellence, Scottish Intercollegiate Guidelines Network, Agency for Healthcare Research and Quality, National Comprehensive Cancer Network, National Lymphedema Network, International Society of Lymphedema, Yimaitong, Cochrane Library, China Biology Medicine, PubMed, Web of Science, China National Knowledge Infrastructure, and WanFang Data. The search period was from January 2000 to October 2021. Two researchers conducted literature quality evaluation, evidence extraction and summary.Results:A total of 28 articles were included, including one best clinical practice, one clinical decision-making, 7 clinical guidelines, three expert consensus, and 16 systematic reviews. A total of 40 best pieces of evidence were extracted from 7 aspects, including exercise guarantee, exercise instructions, exercise form, exercise intensity, exercise time, exercise frequency, and follow-up and health education.Conclusions:Exercise therapy is very important for patients with breast cancer related lymphedema. In the process of applying evidence, medical and nursing staff should combine the actual situation to form a professional medical team, fully consider the patient's physical and mental condition and exercise habits, dynamically adjust and develop personalized exercise plans based on the patient's health status and preferences, thereby improving the effectiveness of exercise therapy and patient's quality of life.
