护理学报2025,Vol.32Issue(23):30-36,7.DOI:10.16460/j.issn2097-6569.2025.23.030
乳腺癌相关淋巴水肿自我管理干预研究的范围综述
Self-management intervention for breast cancerrelated lymphedema:a scoping review
摘要
Abstract
Objective To explore the theoretical basis,intervention strategies,and outcomes of self-management interventions for breast cancer-related lymphedema(BCRL).Methods Ten Chinese and English databases were systematically searched,including the Cochrane Library,Embase,PubMed,Web of Science,CINAHL,PsycINFO,CNKI,Wanfang,VIP,and Sinomed,with a retrieval time spanning from the inception to June 4,2025.Data extraction and analysis were conducted on the included literature.Results Six-nine studies were included,with 23 focusing on theoretical frameworks.Intervention strategies varied widely but commonly involved five elements:goal setting,knowledge education,skill training,psychosocial support,and assessment and feedback.These interven-tions effectively improved self-management among BCRL patients,though clinical outcomes such as symptom reduction varied across studies.Conclusion Self-management interventions for BCRL are diverse but often lack clear theoretical guidance.While they gen-erally enhance patient self-management behaviors,their clinical effectiveness remains inconsistent.Future studies should adopt theo-ry-driven approaches to optimize intervention design and facilitate broader clinical application.关键词
乳腺癌/淋巴水肿/自我管理/范围综述Key words
breast cancer/lymphedema/self-management/scoping review分类
医药卫生引用本文复制引用
胡倩,孙梦莹,张紫娟,沈傲梅,杨盼,路潜..乳腺癌相关淋巴水肿自我管理干预研究的范围综述[J].护理学报,2025,32(23):30-36,7.基金项目
国家自然科学基金资助项目(72174011) (72174011)