A scoping review on the current status and influencing factors of adherence to lymphedema prevention behaviors in postoperative breast cancer patients
10.3760/cma.j.cn115682-20250107-00103
- VernacularTitle:乳腺癌术后患者淋巴水肿预防行为依从性现状及其影响因素的范围综述
- Author:
Mengdi CAO
1
;
Yanyan WANG
;
Jing LI
;
Xing LI
;
Zezhao WANG
Author Information
1. 郑州大学护理与健康学院，郑州 450001
- Publication Type:Journal Article
- Keywords:
Review;
Breast cancer;
Lymphedema;
Preventive behavior;
Adherence;
Influencing factor
- From:
Chinese Journal of Modern Nursing
2025;31(34):4743-4749
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To conduct a scoping review on the current status and influencing factors of adherence to lymphedema prevention behaviors among postoperative breast cancer patients, with the aim of providing a scientific basis for developing targeted interventions.Methods:A comprehensive search was conducted in both Chinese and English databases, including China National Knowledge Infrastructure, Wanfang Data, SinoMed, PubMed, Cochrane Library, Embase, CINAHL, and Web of Science, for literature published up to August 31, 2024, related to adherence to lymphedema prevention behaviors in breast cancer survivors. Eligible articles were screened, and data were extracted to analyze adherence levels. Influencing factors were mapped to the domains of the Theoretical Domains Framework to identify and analyze key behavioral determinants.Results:A total of 15 articles were included: nine quantitative and six qualitative. Overall, adherence to lymphedema prevention behaviors among postoperative breast cancer patients was found to be suboptimal. A total of 25 influencing factors were identified and categorized into eight theoretical domains: knowledge (lymphedema awareness) ; skills (coping strategies, time since surgery) ; beliefs about capabilities (self-efficacy, illness perception, unawareness of tumor stage, surgical type, symptom distress) ; beliefs about consequences (outcome expectations, attitudes) ; emotions (negative emotions, fatigue, age) ; behavior regulation (self-regulation, exercise habits, behavioral control) ; social influences (social support, family support, marital status, behavioral cues) ; environmental context and resources (healthcare access, ethnicity, professional supervision, financial status, employment situation) .Conclusions:Adherence to lymphedema prevention behaviors in postoperative breast cancer patients remains unsatisfactory, with influencing factors being multifaceted, diverse, and overlapping. Future efforts should focus on uncovering the potential interrelationships among these factors to enhance adherence and support long-term self-management in this population.
