School of Nursing, Sun Yat-Sen University, Guangzhou, Guangdong Province, China.
School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China.
Eur J Oncol Nurs. 2022 Jun;58:102144. doi: 10.1016/j.ejon.2022.102144. Epub 2022 Apr 18.
To describe illness perceptions of breast cancer-related lymphedema (BCRL) and adherence to BCRL risk management behaviours and analyse the relationship between these factors in postoperative breast cancer survivors in China.
A cross-sectional study was conducted in the first half of 2019 using 281 breast cancer survivors. Participants' illness perceptions and adherence to BCRL risk management behaviours at the 3rd month after surgery were investigated using the Revised Illness Perception Questionnaire for BCRL (IPQ-R [BCRL]), Lymphedema Risk Management Behaviour Questionnaire (LRMBQ), and Functional Exercise Adherence Scale (FEAS). The relationship between these variables was studied using correlation analysis and multiple linear regression analysis.
Among the four dimensions of the LRMBQ, the mean score of our respondents received in "skin care" was 3.63 (S.D. 0.67), which was the lowest on the dimension, demonstrating the worst performance in this aspect. Regarding the FEAS results, better functional exercise adherence was observed in our sample compared to previous Chinese research. The results also showed that adherence to BCRL risk management behaviours was related to patient age and degree of education. Furthermore, other dimensions of illness perceptions, such as consequence, timeline acute/chronic, illness coherence and identity, follow their multiple linear regression equations with their corresponding BCRL risk management behaviour adherence.
Our findings confirmed the importance of illness perceptions for adherence to BCRL risk management behaviours, suggesting that we need to pay attention to patients' cognition in this respect and supply necessary interventions.
描述乳腺癌相关淋巴水肿（BCRL）的疾病认知，以及分析中国乳腺癌术后幸存者对 BCRL 风险管理行为的依从性，并探讨这些因素之间的关系。
本研究采用横断面研究方法，于 2019 年上半年调查了 281 例乳腺癌幸存者。采用 BCRL 修订后的疾病感知问卷（IPQ-R [BCRL]）、淋巴水肿风险管理行为问卷（LRMBQ）和功能锻炼依从量表（FEAS）评估参与者术后 3 个月的疾病认知和 BCRL 风险管理行为。采用相关分析和多元线性回归分析探讨这些变量之间的关系。
在 LRMBQ 的四个维度中，受访者在“皮肤护理”方面的平均得分为 3.63（S.D. 0.67），是维度中得分最低的，这方面表现最差。在 FEAS 结果中，我们的样本在功能锻炼依从性方面优于中国之前的研究。结果还表明，BCRL 风险管理行为的依从性与患者年龄和受教育程度有关。此外，疾病认知的其他维度，如后果、时间急性/慢性、疾病连贯性和身份，也遵循其与相应的 BCRL 风险管理行为依从性的多元线性回归方程。
本研究结果证实了疾病认知对 BCRL 风险管理行为依从性的重要性，提示我们需要关注患者在这方面的认知，并提供必要的干预措施。
