{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T16:53:08Z","timestamp":1790009588574,"version":"4.0.1"},"reference-count":50,"publisher":"Wiley","issue":"5-6","license":[{"start":{"date-parts":[[2022,9,13]],"date-time":"2022-09-13T00:00:00Z","timestamp":1663027200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To analyse the status quo and influencing factors of self\u2010care ability in breast cancer\u2010related lymphedema (BCRL) patients and explore the moderating role of social support between self\u2010efficacy and self\u2010care ability, to provide references for clinical intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>The \u2018gold standard\u2019 for the treatment of lymphedema is two\u2010stage Complete Decongestion Therapy (CDT). Due to the high frequency of patients seeking treatment and CDT is not covered by medical insurance, resulting the medical cost is high, and a set integrated course of edema treatment cannot be completed. Nevertheless, with sufficient self\u2010care ability, patients can reduce the frequency of outpatient and inpatient treatments, and initiate detumescence procedures with affordable home care. Accordingly, it is necessary to pay attention to the self\u2010care ability of BCRL patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A descriptive and cross\u2010sectional study following the STROBE guideline checklist.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From June 2021 to January 2022, 156 BCRL patients were selected as convenience samples. Questionnaires were administered to the patients using the sociodemographic information questionnaire, the exercise of self\u2010care agency scale, Chinese version of strategies used by people to promote health, and social support rating scale. Spearman rank correlation was used to analyse the relationship among the three, and univariate and multiple linear regression were used for factor analysis and process to explore the moderating role of social support.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The total score of self\u2010care ability of BCRL patients was 41.00 (32.50, 51.00). The self\u2010efficacy and social support of BCRL patients were positively correlated with the total score and its dimensions of self\u2010care ability. Disease duration, severity and difficulty raising limbs were negative correlation factors influencing the self\u2010care ability of BCRL patients, and self\u2010efficacy and social support were positive correlation factors, which could explain 77.8% of the total variation. The moderating role of social support between self\u2010efficacy and self\u2010care ability was significant, and its moderating role boundary value was 15.70.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The self\u2010care ability of BCRL patients is at a low level. The longer duration of lymphedema, the more serious degree of edema, the more difficulty raising limbs, the lower self\u2010efficacy and the less social support, the poorer self\u2010care ability of BCRL patients. Self\u2010efficacy has a greater impact on the self\u2010care ability of patients with high levels of social support.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>Factors and moderator\u2010based models are the first to identify predictors of self\u2010care ability and the moderating role of social support in Chinese BCRL patients, which may facilitate healthcare practitioners to develop appropriate interventions to manage self\u2010care ability.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.16495","type":"journal-article","created":{"date-parts":[[2022,9,14]],"date-time":"2022-09-14T06:03:56Z","timestamp":1663135436000},"page":"926-940","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Analysis of the factors and moderating role of self\u2010care ability among patients with breast cancer\u2010related lymphedema"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5260-6360","authenticated-orcid":false,"given":"Wenting","family":"Jiang","sequence":"first","affiliation":[{"name":"School of Nursing Guangxi Medical University  Nanning Guangxi China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9076-5311","authenticated-orcid":false,"given":"Lijun","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Disease Process Management Guangxi Medical University Affiliated Cancer Hospital  Nanning Guangxi China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,9,13]]},"reference":[{"key":"e_1_2_14_2_1","volume-title":"Multiple regression: Testing and interpreting interactions","author":"Aiken L. 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