KaydedilenlerDerginizi ekleyin

Dergiler / Black Sea Journal of Health Science / 2026 / Cilt: 8 Sayı: 4

A Systematic Review of Nursing Intervention Studies for Lymphedema after Breast Cancer

Gizem Alkılınç(Sağlık Bilimleri Üniversitesi)0009-0002-5842-4044
Merve Akıncı(KIRIKKALE UNIVERSITY, KIRIKKALE VOCATIONAL SCHOOL)0000-0003-3019-8444
Betülay Kılıç(UNIVERSITY OF HEALTH SCIENCES, GULHANE SCHOOL OF NURSING, DEPARTMENT OF NURSING SCIENCE, DEPARTMENT OF INTERNAL NURSING)0000-0002-4178-4003
Sayfa
172–181
Yayın Tarihi
2025-07-15
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Further research is needed to assess long-term effects.

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:This systematic review aims to evaluate the effectiveness of nursing interventions in managing lymphedema after breast cancer treatment and their impact on clinical outcomes.
📊
Temel Bulgular & Veri:Randomized controlled trials (RCTs) published between 2014 and 2024, examining nursing interventions for lymphedema after breast cancer treatment, were included.
💡
Sonuç & Katkı:Further research is needed to assess long-term effects.
🔬Tür:Literatür & Derleme Çalışması
📍Kapsam:2014 Verileri
⚙️Değişkenler:Nursing · Lymphedema · Breast cancer

Özet

This systematic review aims to evaluate the effectiveness of nursing interventions in managing lymphedema after breast cancer treatment and their impact on clinical outcomes. Randomized controlled trials (RCTs) published between 2014 and 2024, examining nursing interventions for lymphedema after breast cancer treatment, were included. A search was conducted in PubMed, ScienceDirect, Scopus, Web of Science, Wiley, DergiPark, Turkish National Thesis Center, and Google Scholar using relevant keywords. A total of 402 studies were screened. Exclusion criteria included studies that did not involve nursing interventions (n=126), were non-interventional (n=7), were not RCTs (n=48), were unrelated to lymphedema (n=39) or breast cancer (n=32), were published outside the 2014–2024 period (n=27), were systematic reviews (n=67), research protocols (n=8), or conference abstracts/book chapters (n=9). Eighteen RCTs met the inclusion criteria. Nursing interventions were categorized into 11 types: educational programs (theory-based, web/mobile), exercise, complex decongestive therapy, bandaging, compression garments, kinesio therapy, simple lymphatic drainage, myofascial release, laser therapy, negative pressure massage, and intermittent pneumatic compression. Intervention groups showed improvements in quality of life, self-care, and upper extremity function, along with reduced arm volume and lymphedema-related symptoms. Overall, interventions yielded positive outcomes. Further research is needed to assess long-term effects.

Abstract

This systematic review aims to evaluate the effectiveness of nursing interventions in managing lymphedema after breast cancer treatment and their impact on clinical outcomes. Randomized controlled trials (RCTs) published between 2014 and 2024, examining nursing interventions for lymphedema after breast cancer treatment, were included. A search was conducted in PubMed, ScienceDirect, Scopus, Web of Science, Wiley, DergiPark, Turkish National Thesis Center, and Google Scholar using relevant keywords. A total of 402 studies were screened. Exclusion criteria included studies that did not involve nursing interventions (n=126), were non-interventional (n=7), were not RCTs (n=48), were unrelated to lymphedema (n=39) or breast cancer (n=32), were published outside the 2014–2024 period (n=27), were systematic reviews (n=67), research protocols (n=8), or conference abstracts/book chapters (n=9). Eighteen RCTs met the inclusion criteria. Nursing interventions were categorized into 11 types: educational programs (theory-based, web/mobile), exercise, complex decongestive therapy, bandaging, compression garments, kinesio therapy, simple lymphatic drainage, myofascial release, laser therapy, negative pressure massage, and intermittent pneumatic compression. Intervention groups showed improvements in quality of life, self-care, and upper extremity function, along with reduced arm volume and lymphedema-related symptoms. Overall, interventions yielded positive outcomes. Further research is needed to assess long-term effects.

🔖

Bu Makaleye Atıf Yap

Alkılınç, G., Akıncı, M., Kılıç, B. (2025). A Systematic Review of Nursing Intervention Studies for Lymphedema after Breast Cancer. Black Sea Journal of Health Science, Cilt: 8 Sayı: 4, 172–181. https://doi.org/10.19127/bshealthscience.1684336

📄 Tam Metin PDF Okuyucu

📄

PDF görüntüleyici hazırlanıyor...

Kaynakça (37)

  1. Akkaş Gürsoy A, Erdöl H, Okuyan M. 2010. Lenfödem. J Anatolia Nurs Health Sci, 9(4): 82-90.
  2. Ammitzbøll G, Johansen C, Lanng C, Andersen EW, Kroman N, Zerahn B, Hyldegaard O, Wittenkamp MC, Dalton SO. 2019. Progressive resistance training to prevent arm lymphedema in the first year after breast cancer surgery: Results of a randomized controlled trial. Cancer, 125(10): 1683-1692.
  3. Arıkan Dönmez A, Kapucu S. 2017. Meme kanseri ilişkili lenfödem: Egzersiz yapmak için bir engel midir? Mersin Univ Sağlık Bilim Derg, 10(3): 238-251.
  4. Arıkan Dönmez A, Özdemir L. 2016. Lenfödemde cilt bakımı ve koruyucu yaklaşımlar. Hacettepe Univ Hemş Fak Derg, 54: 54-64.
  5. Arinaga Y, Piller N, Sato F, Ishida T. 2019. The 10-minute holistic self-care for patients with breast cancer-related lymphedema: Pilot randomized controlled study. Tohoku J Exp Med, 247(2): 139-147.
  6. Armer JM, Radina ME, Porock D, Culbertson SD. 2003. Predicting breast cancer-related lymphedema using self-reported symptoms. Nurs Res, 52(6): 370-379.
  7. Borman P. 2016. Lenfödemde kompresif tedaviler. Turk Klin J Phys Med Rehabil-Spec Top, 9(4): 68-76.
  8. Bozdemir H, Aygin D. 2021. Effect of structured training program on arm dysfunction, lymphedema, and quality of life after breast cancer surgery. J Pak Med Assoc, 71(5): 1413-1419.
  9. Çal A, Bahar Z, Gorken I. 2020. Effects of Health Belief Model-based nursing interventions offered at home visits on lymphedema prevention in women with breast cancer: A randomised controlled trial. J Clin Nurs, 29(13-14): 2521-2534.
  10. Chowdhry M, Rozen WM, Griffiths M. 2016. Lymphatic mapping and preoperative imaging in the management of post-mastectomy lymphoedema. Gland Surg, 5(2): 187-196.
  11. Deveci Z. 2022. Meme kanserine bağlı lenfödem gelişen kadınlarda mobil lenfödem özbakım destek programının, özbakıma, yaşam kalitesine ve lenfödem ile ilgili semptomlara etkisinin incelenmesi. Dokuz Eylül Üniversitesi, Sağlık Bilimleri Enstitüsü, İzmir, Türkiye, pp: 185.
  12. DiSipio T, Rye S, Newman B, Hayes S. 2013. Incidence of unilateral arm lymphoedema after breast cancer: A systematic review and meta-analysis. Lancet Oncol, 14(6): 500-515.
  13. Donahue PMC, MacKenzie A, Filipovic A, Koelmeyer L. 2023. Advances in the prevention and treatment of breast cancer-related lymphedema. Breast Cancer Res Treat, 200(1): 1-14.
  14. Fu MR, Ridner SH, Hu SH, Stewart BR, Cormier JN, Armer JM. 2013. Psychosocial impact of lymphedema: A systematic review of literature from 2004 to 2011. Psychooncology, 22(7): 1466-1484.
  15. Fu MR. 2005. Breast cancer survivors' intentions of managing lymphedema. Cancer Nurs, 28(6): 446-457.
  16. Gillespie TC, Sayegh HE, Brunelle CL, Daniell KM, Taghian AG. 2018. Breast cancer-related lymphedema: Risk factors, precautionary measures, and treatments. Gland Surg, 7(4): 379-403.
  17. Grossman A, Sutton JR. 1985. Endorphins: What are they? How are they measured? What is their role in exercise? Med Sci Sports Exerc, 17(1): 74-81.
  18. Gül A, Erdim L. 2009. Meme kanseri ameliyatından sonra lenfödemin önlenmesinde hemşirelerin eğitim yaklaşımı. J Breast Health, 5(2): 82-86.
  19. Kilmartin L, Denham T, Fu MR, Yu G, Kuo TT, Axelrod D, Guth AA. 2020. Complementary low-level laser therapy for breast cancer-related lymphedema: A pilot, double-blind, randomized, placebo-controlled study. Lasers Med Sci, 35(1): 95-105.
  20. Kim Y, Park EY, Lee H. 2023. The effect of myofascial release in patients with breast cancer-related lymphedema: A cross-randomized controlled study. Eur J Phys Rehabil Med, 59(1): 85-93.
  21. Lampinen R, Romay-Barrero H, Pajero Otero V, et al. 2021. Treatment of breast cancer-related lymphedema using negative pressure massage: A pilot randomized controlled trial. Arch Phys Med Rehabil, 102(8): 1465-1472.e2.
  22. Lasinski BB. 2013. Complete decongestive therapy for the treatment of lymphedema. Semin Oncol Nurs, 29(1): 20-27.
  23. Lin Y, Wu C, He C, Yan J, Chen Y, Gao L, Liu R, Cao B. 2022. Effectiveness of three exercise programs and intensive follow-up in improving quality of life, pain, and lymphedema among breast cancer survivors: A randomized, controlled 6-month trial. Support Care Cancer, 31(1): 9.
  24. Nelson NL. 2016. Breast cancer-related lymphedema and resistance exercise: A systematic review. J Strength Cond Res, 30(9): 2656-2665.
  25. Omidi Z, Kheirkhah M, Abolghasemi J, Haghighat S. 2020. Effect of lymphedema self-management group-based education compared with social network-based education on quality of life and fear of cancer recurrence in women with breast cancer: A randomized controlled clinical trial. Qual Life Res, 29(7): 1789-1800.
  26. O'Toole J, Jammallo LS, Skolny MN, Miller CL, Elliott K, Specht MC, Taghian AG. 2013. Lymphedema following treatment for breast cancer: A new approach to an old problem. Crit Rev Oncol Hematol, 88(2): 437-446.
  27. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. 2021. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ, 372: n71.
  28. Pajero Otero V, García Delgado E, Martín Cortijo C, Rodríguez Ramos ML, De Carlos Iriarte E, Gil García A, Romay-Barrero H, Avendaño-Coy J. 2022. Intermittent pneumatic compression versus kinesio taping combined with intensive complex physical therapy for the treatment of upper extremity breast cancer-related lymphedema: A randomized cross-clinical study. Eur J Cancer Care, 31(5): e13625.
  29. Pekyavaş NÖ, Tunay VB, Akbayrak T, Kaya S, Karataş M. 2014. Complex decongestive therapy and taping for patients with post-mastectomy lymphedema: A randomized controlled study. Eur J Oncol Nurs, 18(6): 585-590.
  30. Ridner SH, Fu MR, Hu SH, Stewart BR, Cormier JN, Armer JM. 2013. Psychosocial impact of lymphedema: A systematic review of literature from 2004 to 2011. Psychooncology, 22(7): 1466-1484.
  31. Shi B, Lin Z, Shi X, Guo P, Wang W, Qi X, Zhou C, Zhang H, Liu X, Iv A. 2023. Effects of a lymphedema prevention program based on the theory of knowledge-attitude-practice on postoperative breast cancer patients: A randomized clinical trial. Cancer Med, 12(14): 15468-15481.
  32. Shrihari TG. 2019. Beta endorphins - Holistic therapeutic approach to cancer. Ann Ibadan Postgrad Med, 17(2): 111-114.
  33. Szuba A, Achalu R, Rockson SG. 2002. Decongestive lymphatic therapy for patients with breast carcinoma-associated lymphedema. Cancer, 95: 2260-2267.
  34. Temur K, Kapucu S. 2018. Effective methods of breast cancer-related lymphedema development and improvement of life quality: Self-controlled lymphedema management. Osmangazi J Med, 40(1): 121-129.
  35. Torres-Lacomba M, Navarro-Brazález B, Prieto-Gómez V, Ferrández JC, Bouchet JY, Romay-Barrero H. 2020. Effectiveness of four types of bandages and kinesio-tape for treating breast-cancer-related lymphoedema: A randomized, single-blind, clinical trial. Clin Rehabil, 34(9): 1230-1241.
  36. Vergili Ö, Oktaş B. 2015. Sekonder Lenfödem Tedavisinde Kinezyo Bantlama Tedavisinin Yeri. Hacettepe Univ Sağlık Bilimleri Fak Derg, pp: 25-56.
  37. World Health Organization. 2022. Breast cancer. WHO Fact Sheet (accessed date: February 20, 2025).