Chinese Journal of Nursing ›› 2022, Vol. 57 ›› Issue (2): 237-244.DOI: 10.3761/j.issn.0254-1769.2022.02.019

• Evidence Synthesis Research • Previous Articles     Next Articles

Evidence summary for self-management of lymphedema in breast cancer patients

WEI Xiaoxia(), FU Xin, SHEN Aomei, WANG Yujie, ZHANG Lichuan, LU Qian()   

  • Received:2021-07-20 Online:2022-01-20 Published:2022-01-20
  • Contact: LU Qian

乳腺癌患者淋巴水肿自我管理的证据总结

韦小夏(), 符鑫, 沈傲梅, 王玉洁, 张力川, 路潜()   

  1. 100191 北京市 北京大学护理学院内外科护理学教研室
  • 通讯作者: 路潜
  • 作者简介:韦小夏:女,本科(硕士在读),E-mail: weixiaoxia@bjmu.edu.cn
  • 基金资助:
    2021年国家自然科学基金项目(72174011)

Abstract:

Objective To retrieve,evaluate and summarize the best evidence of self-management of lymphedema of breast cancer patients’,and to provide references for education and evaluation of self-management of patients. Methods We searched relevant guideline networks and association websites,as well as PubMed,Web of Science,Embase,CINAHL,CNKI,VIP,Wanfang,CBM and other databases to collect relevant guidelines,expert consensuses,best practices and recommended practices related to self-management of lymphedema in breast cancer patients published from January 1,2011 to May 31,2021. 2 researchers evaluated the quality of various literature,and extracted relevant evidence from the included literature. Results A total of 24 articles were included,including 7 guidelines,6 expert consensuses,3 best practices and 8 recommended practices. Finally,28 pieces of best evidence including 8 dimensions were summarized,namely learning about lymphedema,exercise,maintaining a healthy weight,protecting the affected limb,promoting lymphatic circulation,self-monitoring,psychological adjustment and role adaptation. Conclusion This study summarized the best evidence of breast cancer patients’ self-management of lymphedema,which can provide references for medical staffs to conduct self-management guidance for patients and dynamically evaluate their self-management status,so as to effectively prevent or control lymphedema.

Key words: Breast Neoplasm, Lymphedema, Self-Management, Evidence-Based Nursing

摘要:

目的 评价并总结乳腺癌患者淋巴水肿自我管理的相关证据,为临床医护人员指导患者进行自我管理,规范化评估患者自我管理状况提供依据。方法 系统检索国内外相关指南网站、专业协会网站以及PubMed、Web of Science、Embase、CINAHL、中国知网、维普、万方等数据库中关于乳腺癌患者淋巴水肿自我管理相关指南、专家共识、最佳实践和推荐实践等,检索时限为2011年1月1日—2021年5月31日。由2名研究者独立进行文献质量评价和资料提取。结果 共纳入24篇文献,其中指南7篇、专家共识6篇、最佳实践3篇、推荐实践8篇。从学习淋巴水肿相关知识、运动锻炼、保持健康体重、患肢保护、促进淋巴液回流、自我监测、心理调节、角色适应等8个方面汇总了28条最佳证据。结论 该研究总结了乳腺癌患者淋巴水肿自我管理的最佳证据,可为临床医护人员规范患者自我管理指导,动态评估患者自我管理状况提供依据。

关键词: 乳腺肿瘤, 淋巴水肿, 自我管理, 循证护理学