Eaton L H, Narkthong N, Hulett J M
School of Nursing & Health Studies, University of Washington Bothell, Box 358531, Bothell, WA 98011 USA.
Sinclair School of Nursing, University of Missouri, 115 Business Loop 70W, Mizzou North, Room 408C, Columbia, MO 65211-6000 USA.
Curr Breast Cancer Rep. 2020;12(4):216-224. doi: 10.1007/s12609-020-00376-x. Epub 2020 Aug 25.
Breast cancer-related lymphedema (BCRL) is a chronic disease affecting breast cancer survivors. The purpose of this article is to update the scientific literature regarding psychosocial issues associated with BCRL.
Reports describe economic burdens, social support, sexuality, BCRL patient-education needs, and interventions to reduce BCRL symptoms and improve QOL among women with breast cancer. The psychosocial impact of BCRL may differ between younger and older women which has implications for age-related interventions to reduce the adverse psychosocial experiences of women with BCRL. We did not locate studies reporting the psychosocial impact of BCRL on male breast cancer survivors.
More psychosocial-based interventions are needed that target the concerns of those with BCRL, including age-related needs, sexual concerns, body image, and social support. Future research is indicated to study the psychosocial impact of BCRL among men. Researchers may consider how pandemic-driven health care policies affect the psychosocial needs of those with BCRL.
乳腺癌相关淋巴水肿（BCRL）是一种影响乳腺癌幸存者的慢性疾病。本文旨在更新有关BCRL相关社会心理问题的科学文献。
报告描述了经济负担、社会支持、性方面、BCRL患者的教育需求以及减轻BCRL症状和改善乳腺癌女性生活质量的干预措施。BCRL对年轻女性和老年女性的社会心理影响可能不同，这对针对年龄的干预措施具有启示意义，以减少BCRL女性的不良社会心理体验。我们未找到报告BCRL对男性乳腺癌幸存者社会心理影响的研究。
需要更多基于社会心理的干预措施，以解决BCRL患者的担忧，包括与年龄相关的需求、性方面的担忧、身体形象和社会支持。未来研究表明要研究BCRL对男性的社会心理影响。研究人员可考虑大流行驱动的医疗保健政策如何影响BCRL患者的社会心理需求。
