{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T14:53:09Z","timestamp":1788274389796,"version":"build-2803163510"},"reference-count":38,"publisher":"Wiley","issue":"13-14","license":[{"start":{"date-parts":[[2020,4,17]],"date-time":"2020-04-17T00:00:00Z","timestamp":1587081600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"The Scientific and Technological Research Council of Turkey","award":["215S656"],"award-info":[{"award-number":["215S656"]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Lymphedema is an important morbidity due to its physical and psychological restrictions and financial burden in women having breast cancer surgery. The study was performed to examine effects of Health Belief Model (HBM) based nursing interventions given at home visits on prevention of lymphedema in women having breast surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>The study had an experimental design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study included 72 women receiving radiotherapy after breast surgery, of whom 37 formed the intervention group and 35 formed the control group. The sample was based on Consolidated Standard of Reporting Trials (CONSORT). Data were collected with a personal information questionnaire, Quick\u2010Disabilities of the Arm, Shoulder and Hand Score (Q\u2010DASH), European Organization for Research and Treatment of Cancer Quality of Life for Breast Cancer 23 (EORTC QLQ\u2010BR23), Strategies Used by Patients to Promote Health (SUPPH), Arm Circumference Form at three home visits at 3\u2010month intervals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>HBM based nursing interventions regularly offered at home visits were found to create positive changes in behaviour of lymphedema prevention and improve upper extremity functions, reduce side\u2010effects, relieve arm and breast symptoms, enhance the quality of life, increase self\u2010efficacy and lower the frequency of lymphedema and costs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The HBM based nursing interventions regularly offered at home visits can create positive changes in behaviour of lymphedema prevention and prevent lymphedema in women receiving radiotherapy after breast surgery. Considering costs of treatment for lymphedema, these interventions can be considered as cost\u2010effective.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to clinical practice<\/jats:title>\n                    <jats:p>Nursing interventions directed towards behaviour of preventing lymphedema and follow\u2010ups in the long\u2010term should be supported by home visits and reminders through phone calls. Nurses should perform HBM based interventions regularly at home visits to prevent lymphedema. These interventions were found to reduce financial burden and were cost\u2010effective.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocn.15271","type":"journal-article","created":{"date-parts":[[2020,4,3]],"date-time":"2020-04-03T11:36:16Z","timestamp":1585913776000},"page":"2521-2534","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":31,"title":["Effects of Health Belief Model based nursing interventions offered at home visits on lymphedema prevention in women with breast cancer: A randomised controlled trial"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2890-156X","authenticated-orcid":false,"given":"Ayse","family":"Cal","sequence":"first","affiliation":[{"name":"Department of Nursing Ankara Medipol University School of Health Sciences Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zuhal","family":"Bahar","sequence":"additional","affiliation":[{"name":"Department of Public Health Nursing Okan University Faculty of Health Sciences Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilknur","family":"Gorken","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Dokuz Eylul University Faculty of Medicine Izmir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,4,17]]},"reference":[{"key":"e_1_2_12_2_1","first-page":"30","volume-title":"The health belief model","author":"Abraham C.","year":"2015"},{"key":"e_1_2_12_3_1","volume-title":"The quality of life and self\u2010efficacy of breast cancer patients, Istanbul University","author":"Ak\u0131n S.","year":"2007"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/01893697-200826030-00003"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2006.02.006"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.4239"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1573"},{"key":"e_1_2_12_8_1","first-page":"45","volume-title":"Health belief model","author":"Champion V.","year":"2008"},{"issue":"5","key":"e_1_2_12_9_1","first-page":"1283","article-title":"Validation of the Turkish Versions of EORTC QLQ\u2010C30 and BR23 modules in breast cancer patients","volume":"12","author":"Demirci S.","year":"2011","journal-title":"Asian Pacific Journal of Cancer Prevention"},{"key":"e_1_2_12_10_1","doi-asserted-by":"crossref","first-page":"8","DOI":"10.4103\/0019-509X.12338","article-title":"Prevalence and risk factors for development of lymphedema following breast cancer treatment","volume":"41","author":"Deo S. 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