Abstract:

Objective To establish an expert consensus on home exercise for prevention and rehabilitation of breast cancer related lymphedema. Methods Evidence-based nursing method was used to systematically retrieve and evaluate relevant studies in databases and guideline networks，with a search period from the establishment of the databases to October 2023. Evidence was synthesized to form the expert consensus draft after literature screening，quality evaluation，evidence extraction and evidence integration. Then the final draft was formed through expert discussion meeting and 2 rounds of expert letter consultation. Results The consensus includes 5 dimensions with a total of 22 items，involving evaluation of home exercise，management of home exercise，principles of home exercise，program of home exercise and significance of home exercise. Conclusion This “consensus” was constructed in a scientific and rigorous way，and can provide guidance for promoting the home exercise for prevention and rehabilitation of breast cancer related lymphedema，and ensure the safe and effective implementation of home exercise rehabilitation.

Key words: Breast Cancer Related Lymphedema, Exercise, Rehabilitation, Home Care, Expert Consensus

摘要：

目的 制订乳腺癌术后患者淋巴水肿防治的居家运动专家共识（以下简称“共识”），为规范乳腺癌术后患者淋巴水肿防治提供借鉴。方法 基于循证方法，系统检索国内外指南网、数据库中关于乳腺癌相关淋巴水肿居家运动管理的证据，检索时限为建库至2023年10月。通过文献筛选、质量评价、证据提取和证据综合对证据内容进行汇总，形成“共识”初稿。通过专家论证会、2轮专家函询对“共识”初稿内容进行修改、完善，形成“共识”终稿。结果 “共识”包括居家运动评估、居家运动管理、居家运动原则、居家运动方式、居家运动意义5个维度，共22个条目。结论 该“共识”的构建过程科学、方法严谨，可为促进乳腺癌患者开展淋巴水肿居家运动管理提供指导依据，确保居家运动康复的安全、有效实施。

关键词: 乳腺癌相关淋巴水肿, 运动, 康复, 居家护理, 专家共识