{"title":"Factors Influencing the Self-management of Breast Cancer-Related Lymphedema: A Meta-synthesis of Qualitative Studies.","authors":"Ying Wang, Tingting Wei, Miaomiao Li, Peipei Wu, Wanmin Qiang, Xian Wang, Aomei Shen","doi":"10.1097/NCC.0000000000001340","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Patients with breast cancer have an estimated 14% to 60% risk of developing lymphedema after treatment. Self-management behavior strategies regarding lymphedema are essential in preventing and alleviating the severity of lymphedema.</p><p><strong>Objective: </strong>The aim of this study was to evaluate qualitative research evidence on the potential influencing factors for self-management behaviors of lymphedema in patients with breast cancer.</p><p><strong>Methods: </strong>A systematic search of 10 electronic databases was conducted to identify qualitative studies on patient experience of lymphedema self-management. The following databases were included and appraised using the Joanna Briggs Institute Critical Appraisal Checklist: Cochrane Library, PubMed, EMBASE, Web of Science, PsycINFO, Scopus, Cumulative Index to Nursing and Allied Health Literature, China National Knowledge Infrastructure, Wanfang Med Online, and Chinese Biomedical Database.</p><p><strong>Results: </strong>The literature search yielded 5313 studies, of which only 22 qualitative studies fulfilled the eligibility criteria. Five synthesized findings were derived encompassing personal characteristics, personal knowledge and experience, personal health beliefs, self-regulation skills and abilities, and social influences and support.</p><p><strong>Conclusions: </strong>Patients with breast cancer are confronted with many challenges when performing self-management of lymphedema. Therefore, it is important to recognize potential facilitators and barriers to further offer practical recommendations that promote self-management activities for lymphedema.</p><p><strong>Implications for practice: </strong>Healthcare professionals should receive consistent training on lymphedema management. On the basis of individual patient characteristics, tailored education and support should be provided, including transforming irrational beliefs, and improving related knowledge and skills, with the aim to promote self-management behaviors with respect to lymphedema.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":null,"pages":null},"PeriodicalIF":2.4000,"publicationDate":"2024-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cancer Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/NCC.0000000000001340","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Patients with breast cancer have an estimated 14% to 60% risk of developing lymphedema after treatment. Self-management behavior strategies regarding lymphedema are essential in preventing and alleviating the severity of lymphedema.
Objective: The aim of this study was to evaluate qualitative research evidence on the potential influencing factors for self-management behaviors of lymphedema in patients with breast cancer.
Methods: A systematic search of 10 electronic databases was conducted to identify qualitative studies on patient experience of lymphedema self-management. The following databases were included and appraised using the Joanna Briggs Institute Critical Appraisal Checklist: Cochrane Library, PubMed, EMBASE, Web of Science, PsycINFO, Scopus, Cumulative Index to Nursing and Allied Health Literature, China National Knowledge Infrastructure, Wanfang Med Online, and Chinese Biomedical Database.
Results: The literature search yielded 5313 studies, of which only 22 qualitative studies fulfilled the eligibility criteria. Five synthesized findings were derived encompassing personal characteristics, personal knowledge and experience, personal health beliefs, self-regulation skills and abilities, and social influences and support.
Conclusions: Patients with breast cancer are confronted with many challenges when performing self-management of lymphedema. Therefore, it is important to recognize potential facilitators and barriers to further offer practical recommendations that promote self-management activities for lymphedema.
Implications for practice: Healthcare professionals should receive consistent training on lymphedema management. On the basis of individual patient characteristics, tailored education and support should be provided, including transforming irrational beliefs, and improving related knowledge and skills, with the aim to promote self-management behaviors with respect to lymphedema.
背景：据估计，乳腺癌患者在治疗后发生淋巴水肿的风险为14%至60%。淋巴水肿的自我管理行为策略对于预防和减轻淋巴水肿的严重程度至关重要：本研究旨在评估乳腺癌患者淋巴水肿自我管理行为潜在影响因素的定性研究证据：对 10 个电子数据库进行了系统检索，以确定有关淋巴水肿患者自我管理经验的定性研究。采用乔安娜-布里格斯研究所（Joanna Briggs Institute）的批判性评估清单（Critical Appraisal Checklist）对以下数据库进行了评估：Cochrane Library、PubMed、EMBASE、Web of Science、PsycINFO、Scopus、Cumulative Index to Nursing and Allied Health Literature、China National Knowledge Infrastructure、Wanfang Med Online 和 Chinese Biomedical Database：文献检索共获得 5313 项研究，其中只有 22 项定性研究符合资格标准。研究得出了五项综合结论，包括个人特征、个人知识和经验、个人健康信念、自我调节技能和能力以及社会影响和支持：结论：乳腺癌患者在进行淋巴水肿自我管理时面临着许多挑战。因此，必须认识到潜在的促进因素和障碍，以进一步提供促进淋巴水肿自我管理活动的实用建议：医护人员应接受有关淋巴水肿管理的持续培训。根据患者的个体特点，提供有针对性的教育和支持，包括转变不合理的观念、提高相关知识和技能，以促进淋巴水肿患者的自我管理行为。
期刊介绍：
Each bimonthly issue of Cancer Nursing™ addresses the whole spectrum of problems arising in the care and support of cancer patients--prevention and early detection, geriatric and pediatric cancer nursing, medical and surgical oncology, ambulatory care, nutritional support, psychosocial aspects of cancer, patient responses to all treatment modalities, and specific nursing interventions. The journal offers unparalleled coverage of cancer care delivery practices worldwide, as well as groundbreaking research findings and their practical applications.
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