Self-management experiences in breast cancer-related lymphedema patients: a Meta-synthesis
10.3760/cma.j.cn115682-20240514-02719
- VernacularTitle:乳腺癌相关淋巴水肿患者自我管理体验的Meta整合
- Author:
Yiyan LIU
1
;
Shanshan LIANG
;
Yuqi LIANG
;
Liping JIANG
Author Information
1. 上海交通大学护理学院，上海 200025
- Publication Type:Journal Article
- Keywords:
Breast neoplasms;
Lymphedema;
Self-management;
Qualitative research;
Meta-synthesis
- From:
Chinese Journal of Modern Nursing
2025;31(5):567-576
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically integrate the real experiences of self-management in breast cancer-related lymphedema (BCRL) patients and provide evidence for optimizing home self-management support strategies.Methods:A computer-based search was conducted in PubMed, Web of Science, CINAHL, Embase, Cochrane Library, China Biology Medicine disc, China National Knowledge Infrastructure, Wanfang Database, and VIP Database for qualitative studies on self-management experiences in BCRL patients, with the search period extending from the inception of each database to November 30, 2023. The quality of the included studies was assessed using the Joanna Briggs Institute Critical Appraisal Checklist for Qualitative Research, and the results were synthesized using an integrative approach.Results:A total of 20 articles were included, with 87 research findings extracted and summarized into 11 new categories, which were integrated into 4 main outcomes: the psychological, family function, and social adaptation associated with lymphedema symptoms; the multiple factors affecting patients' self-management of lymphedema; varied levels of self-management participation and coping behaviors; diverse self-management support needs.Conclusions:Healthcare professionals need to address the barriers and needs of patients performing self-management of lymphedema at home. By integrating coping resources and enhancing self-regulation and self-management capabilities, healthcare providers can help patients adapt to and cope with lymphedema more effectively.
