{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T16:56:18Z","timestamp":1777913778290,"version":"3.51.4"},"reference-count":34,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T00:00:00Z","timestamp":1761177600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["West J Nurs Res"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>With adequate self-care capacity, patients with breast cancer-related lymphedema (BCRL) can reduce the frequency of outpatient and hospitalization treatments and execute decongestive procedures at home at a substantially reduced economic outlay.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To test whether coping styles moderate the relationship between body image and self-care capacity among patients with BCRL and to identify the simple slope change trajectories and threshold value.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>From May 2022 to December 2023, the Body Image Scale, Medical Coping Modes Questionnaire, and the Appraisal of Self-Care Agency Scale-Revised were used to investigate 358 patients with BCRL. Pearson correlation analysis was used for the correlation relationship. Hierarchical multiple regression analysis of Model 1 in Process v3.5 was applied to identify the moderating effect. Johnson-Neyman technology was used to explore the detection of simple slope trajectories.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The moderating effect was found for coping styles (confrontation, avoidance, yielding) (\u0394\n                      <jats:italic toggle=\"yes\">R<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090.012, 0.009, 0.010,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.05), with critical thresholds of 29.87, 15.09, and 9.04, respectively. The trend and strength of body image\u2019s influence on self-care capacity differed at high\/low coping style (simple slope\u2009=\u2009\u22120.365\/\u22120.936\/\u22120.880, simple slope\u2009=\u2009\u22120.753\/\u22120.654\/\u22120.548,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Coping styles partially moderate between body image and self-care capacity, and body image exhibits a less negative impact on the self-care capacity of those with highly positive coping styles, while negative coping exacerbates this relationship. Pathway-role interactions and moderating effects of coping styles may facilitate nursing practitioners in formulating targeted interventions to effectively enhance self-care capacity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/01939459251377901","type":"journal-article","created":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T11:31:05Z","timestamp":1761219065000},"page":"1193-1202","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Body Image, Coping Styles, and Self-Care Capacity Among Breast Cancer Patients With Lymphedema: A Moderating Model Analysis"],"prefix":"10.1177","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5260-6360","authenticated-orcid":false,"given":"Wenting","family":"Jiang","sequence":"first","affiliation":[{"name":"School of Nursing, Guangxi University of Chinese Medicine, Nanning, Guangxi, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8497-8978","authenticated-orcid":false,"given":"Yuanqiang","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Nanxishan Hospital of Guangxi Zhuang Autonomous Region (The Second peoples Hospital of Guangxi Zhuang Autonomous Region), Guilin, Guangxi, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,10,23]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21834"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jncc.2024.05.001"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/0193945917744351"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/NCC.0000000000001340"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/JS9.0000000000001278"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/jan.15005"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-010-0870-5"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-018-4418-4"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-019-00799-1"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-017-0669-1"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/jan.15759"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1935.02760390060031"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.3390\/bs14090797"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.dhjo.2019.100830"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-019-04940-9"},{"key":"e_1_3_3_17_2","volume-title":"Stress, Appraisal and Coping","author":"Lazarus RS","year":"1984","unstructured":"Lazarus RS, Folkman S. 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