{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T17:25:48Z","timestamp":1781198748834,"version":"3.54.1"},"reference-count":34,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T00:00:00Z","timestamp":1767830400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>As a common chronic complication after gynecological cancer surgery, lower limb lymphedema significantly compromises patients\u2019 quality of life, both physically and psychologically. However, patients\u2019 adherence to home-based CDT, the internationally recommended first-line treatment, was frequently inadequate. This study aimed to explore the lived experiences and core challenges faced by women managing lower limb lymphedema at home after gynecologic cancer surgery. The insights gained can guide the formulation of improved nursing care strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A descriptive phenomenological design was employed in this study. Semi-structured, in-depth interviews were carried out with participants managing lower limb lymphedema at home after gynecologic cancer surgery. The collected data were analyzed using Colaizzi\u2019s seven-step phenomenological framework. NVivo version 12.0 software was utilized to facilitate the systematic management of the interview transcripts, supporting a rigorous process of coding and thematic extraction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The final study sample included 10 patients aged from 35 to 75\u202fyears. Node integration and refinement led to the construction of a thematic structure comprising 4 parent nodes and 17 child nodes. These 4 central themes about patients\u2019 lived experiences and challenges were elaborated as follows: (1) the burden of illness and psychological adaptation struggles, (2) the knowledge-practice gap in self-care, (3) limitations in social and systemic support networks, and (4) the critical demand for professional nursing support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The process of home-based self-management among patients with lower limb lymphedema after gynecological cancer is complex and influenced by multiple factors, which including physiological, psychological, and social dimensions. Current nursing support systems remain insufficient to meet their actual needs. It is recommended to develop a multi-level intervention model, strengthen family-community-hospital collaborative care mechanisms, and promote digital health tools to enhance patients\u2019 self-management capabilities and quality of life.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyg.2025.1728488","type":"journal-article","created":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T06:34:05Z","timestamp":1767854045000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Self-management of lower limb lymphedema at home following gynecologic cancer surgery: a qualitative study of women\u2019s experiences and challenges"],"prefix":"10.3389","volume":"16","author":[{"given":"Yuting","family":"Tan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cong","family":"Yu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiuzhen","family":"Mo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chenghua","family":"Sun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huina","family":"Gao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shufen","family":"Song","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qian","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,1,8]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1080\/03630242.2022.2155900","article-title":"Association of lower extremity lymphedema with pelvic floor functions, sleep quality, kinesiophobia, body image in patients with gynecological cancers","volume":"63","author":"Abakay","year":"2023","journal-title":"Women Health"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"589","DOI":"10.1016\/j.cpm.2021.06.011","article-title":"Lower limb lymphedema: an exploration of various treatment methods","volume":"38","author":"Abboud","year":"2021","journal-title":"Clin. 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Cancer"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"e43557","DOI":"10.1097\/MD.0000000000043557","article-title":"A qualitative study on the post-discharge self-management experiences and needs of patients with secondary lymphedema","volume":"104","author":"Guan","year":"2025","journal-title":"Medicine"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1097\/NCC.0000000000001439","article-title":"\"I cannot walk far or go anywhere\": the experience of lower limb lymphedema among women with gynecological cancer","author":"Hsu","year":"2024","journal-title":"Cancer Nurs."},{"key":"ref12","doi-asserted-by":"publisher","first-page":"107590","DOI":"10.1016\/j.actatropica.2025.107590","article-title":"Access, utilisation and barriers to lymphedema care: a mixed method study in Puducherry, India","volume":"264","author":"Jabir","year":"2025","journal-title":"Acta Trop."},{"key":"ref13","first-page":"1735","article-title":"Diagnosis, treatment and quality of life in patients with cancer-related lymphedema","volume":"26","author":"Kalemikerakis","year":"2021","journal-title":"J. Balkan Union Oncol."},{"key":"ref14","doi-asserted-by":"publisher","first-page":"100180","DOI":"10.1016\/j.gloepi.2024.100180","article-title":"Lower limb lymphoedema-related mental depression: a systematic review and meta-analysis of non-cancer-related studies","volume":"9","author":"Kitaw","year":"2024","journal-title":"Glob. Epidemiol."},{"key":"ref15","doi-asserted-by":"publisher","first-page":"254","DOI":"10.1016\/j.ygyno.2023.01.019","article-title":"Functional and psychosocial quality of life in gynecologic Cancer survivors with and without lymphedema symptoms","volume":"170","author":"Koehler","year":"2023","journal-title":"Gynecol. Oncol."},{"key":"ref16","doi-asserted-by":"publisher","first-page":"e0013384","DOI":"10.1371\/journal.pntd.0013384","article-title":"Social and healthcare-seeking experiences of people affected with lymphedema in Bangladesh","volume":"19","author":"Koly","year":"2025","journal-title":"PLoS Negl. Trop. Dis."},{"key":"ref17","doi-asserted-by":"publisher","first-page":"50","DOI":"10.1186\/s12905-017-0403-1","article-title":"Risk factors and a prediction model for lower limb lymphedema following lymphadenectomy in gynecologic cancer: a hospital-based retrospective cohort study","volume":"17","author":"Kuroda","year":"2017","journal-title":"BMC Womens Health"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"e086805","DOI":"10.1136\/bmjopen-2024-086805","article-title":"Behavioural trajectories of delay in seeking medical care in participants with breast cancer-related lymphoedema: a qualitative study","volume":"15","author":"Li","year":"2025","journal-title":"BMJ Open"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"112","DOI":"10.1016\/j.ejogrb.2017.02.021","article-title":"Lymphedema after treatment for endometrial cancer - a review of prevalence and risk factors","volume":"211","author":"Lindqvist","year":"2017","journal-title":"Eur. J. Obstet. Gynecol. Reprod. Biol."},{"key":"ref20","doi-asserted-by":"publisher","first-page":"221","DOI":"10.1089\/lrb.2018.0076","article-title":"A study to explore the professional conceptualization and challenges of self-Management in Children and Adolescents with lymphedema","volume":"17","author":"Moffatt","year":"2019","journal-title":"Lymphat. Res. Biol."},{"key":"ref21","doi-asserted-by":"publisher","first-page":"625","DOI":"10.1007\/s00520-025-09668-3","article-title":"Patients understanding, perceptions and experiences of head and neck lymphoedema management following treatment for head and neck cancer: a qualitative study","volume":"33","author":"Mullan","year":"2025","journal-title":"Support. 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Care Cancer"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"643","DOI":"10.1016\/S1474-4422(25)00201-7","article-title":"Safety and effectiveness of the walk 'n watch structured, progressive exercise protocol delivered by physical therapists for inpatient stroke rehabilitation in Canada: a phase 3, multisite, pragmatic, stepped-wedge, cluster-randomised controlled trial","volume":"24","author":"Peters","year":"2025","journal-title":"Lancet Neurol."},{"key":"ref25","doi-asserted-by":"publisher","first-page":"102996","DOI":"10.1016\/j.ejon.2025.102996","article-title":"Effect of family-centered empowerment program on quality of life and caregiving burden in family caregivers of patients with hematologic malignancies: a quasi-experimental study","volume":"79","author":"Rashidi","year":"2025","journal-title":"Eur. J. Oncol. 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Nurs."},{"key":"ref29","doi-asserted-by":"publisher","first-page":"E339","DOI":"10.1097\/NCC.0000000000001340","article-title":"Factors influencing the self-management of breast Cancer-related lymphedema: a Meta-synthesis of qualitative studies","volume":"48","author":"Wang","year":"2025","journal-title":"Cancer Nurs."},{"key":"ref30","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1007\/s00520-024-09086-x","article-title":"Application of stepped care model in cancer patients: a scoping review","volume":"33","author":"Yang","year":"2024","journal-title":"Support Care Cancer"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"203","DOI":"10.1016\/j.jdmv.2024.09.001","article-title":"Financial burden of lymphedema among breast cancer survivors in Iran: a qualitative study","volume":"49","author":"Yarmohammadi","year":"2024","journal-title":"J. Med. 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