{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T16:54:08Z","timestamp":1790009648497,"version":"4.0.1"},"reference-count":53,"publisher":"Wiley","issue":"19-20","license":[{"start":{"date-parts":[[2023,7,25]],"date-time":"2023-07-25T00:00:00Z","timestamp":1690243200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["72174011"],"award-info":[{"award-number":["72174011"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims and Objectives<\/jats:title>\n                    <jats:p>The purpose of this empirical study was to explore the current status and associated factors of lymphedema self\u2010management behaviours among Chinese breast cancer survivors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Breast cancer\u2010related lymphedema is a lifetime concern for survivors and is currently incurable. Lifetime lymphedema self\u2010management takes a significant role in preventing development and progression of lymphedema. Understanding influencing factors of lymphedema self\u2010management behaviours can help to develop targeted intervention programs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A multicentre cross\u2010sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>From December 2021 to April 2022, a convenience sample of 586 participants were recruited at four tertiary hospitals in four cities in China. Self\u2010reported questionnaires were used to measure socio\u2010demographic characteristics, disease\u2010and treatment\u2010related characteristics, lymphedema self\u2010management behaviours, lymphedema knowledge, illness perception, self\u2010efficacy, self\u2010regulation and social support. Descriptive analysis, bivariate analysis and hierarchical multiple regression were conducted. This study was registered at Chinese Clinical Trial Registry (ChiCTR2200057084), and was reported followed the STROBE checklist.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Breast cancer survivors reported moderate level of lymphedema self\u2010management behaviours. Promotion of lymph reflux management was ranked the least performed self\u2010management behaviours, while the affected limb protection management ranked the most. 36.2% of self\u2010management behaviours was explained by exercise regularly, level of attention on lymphedema prevention, unclear about the tumour stage (vs. stage I), knowledge, self\u2010efficacy, emotional illness representation and social support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Lymphedema self\u2010management behaviours of breast cancer survivors was insufficient. Performance of lymphedema self\u2010management varied with different socio\u2010demographic characteristics, along with different levels of knowledge, self\u2010efficacy, perception and social support. All these identified predictors should be reckoned in assessment and intervention of lymphedema self\u2010management behaviours.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance To Clinical Practice<\/jats:title>\n                    <jats:p>This study addressed that breast cancer survivors' lymphedema self\u2010management behaviours should be promoted. Focusing on identified predictors, further lymphedema surveillance, knowledge education or social facilitation programs are recommended to enhance their self\u2010management performance and adherence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocn.16833","type":"journal-article","created":{"date-parts":[[2023,7,26]],"date-time":"2023-07-26T02:39:55Z","timestamp":1690339195000},"page":"7330-7345","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Factors associated with lymphedema self\u2010management behaviours among breast cancer survivors: A cross\u2010sectional study"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0569-8746","authenticated-orcid":false,"given":"Aomei","family":"Shen","sequence":"first","affiliation":[{"name":"Department of Nursing Tianjin Medical University Cancer Institute &amp; Hospital  Tianjin China"},{"name":"Division of Medical &amp; Surgical Nursing, School of Nursing Peking University  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6385-9646","authenticated-orcid":false,"given":"Peipei","family":"Wu","sequence":"additional","affiliation":[{"name":"Lymphedema Clinic, Tianjin Medical University Cancer Institute &amp; Hospital  Tianjin China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9044-7476","authenticated-orcid":false,"given":"Wanmin","family":"Qiang","sequence":"additional","affiliation":[{"name":"Department of Nursing Tianjin Medical University Cancer Institute &amp; Hospital  Tianjin China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8028-3597","authenticated-orcid":false,"given":"Xin","family":"Fu","sequence":"additional","affiliation":[{"name":"Division of Medical &amp; Surgical Nursing, School of Nursing Peking University  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fei","family":"Zhu","sequence":"additional","affiliation":[{"name":"School of Nursing Hebei University  Baoding China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisha","family":"Pang","sequence":"additional","affiliation":[{"name":"School of Nursing Hebei University  Baoding China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fangfang","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Nursing Shanxi Provincial Cancer Hospital  Taiyuan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2611-3284","authenticated-orcid":false,"given":"Qian","family":"Lu","sequence":"additional","affiliation":[{"name":"Division of Medical &amp; Surgical Nursing, School of Nursing Peking University  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,7,25]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520\u2010015\u20102766\u2010x"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/1540415321990621"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.1188\/20.ONF.518\u2010538"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2014.12.014"},{"key":"e_1_2_15_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/08870446.2019.1626395"},{"key":"e_1_2_15_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/1090198104263660"},{"key":"e_1_2_15_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2005.10.020"},{"key":"e_1_2_15_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520\u2010013\u20101962\u20109"},{"key":"e_1_2_15_10_1","doi-asserted-by":"publisher","DOI":"10.1188\/13.ONF.E403\u2010E410"},{"key":"e_1_2_15_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jnu.12377"},{"key":"e_1_2_15_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/pzaa087"},{"key":"e_1_2_15_13_1","doi-asserted-by":"publisher","DOI":"10.5606\/tftrd.2021.5022"},{"key":"e_1_2_15_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470\u20102045(13)70076\u20107"},{"key":"e_1_2_15_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12609\u2010020\u201000376\u2010x"},{"key":"e_1_2_15_16_1","volume-title":"Global cancer observatory: Cancer today","author":"Ferlay J.","year":"2020"},{"key":"e_1_2_15_17_1","doi-asserted-by":"publisher","DOI":"10.5306\/wjco.v5.i3.241"},{"key":"e_1_2_15_18_1","doi-asserted-by":"publisher","DOI":"10.1249\/MSS.0000000000002918"},{"issue":"4","key":"e_1_2_15_19_1","first-page":"1907","article-title":"Evaluation the reliability and validity of medical outcomes study social support survey(Chinese version)applied for gynecological cancer patients","volume":"31","author":"He W. 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