Self-regulation in patients with cancer-related lymphedema: A concept analysis

Résumé fourni par la source

PURPOSE: Although sustained self-management behaviors are important for improving or preventing the worsening of cancer-related lymphedema (CRL), the definition of self-regulation, a core element of self-management behavior, remains unclear. These findings provide a foundation for the development of self-management behavior measurement scales, research advancements, and the development of effective interventions. This study aimed to define the concept of self-regulation in patients with CRL. METHODS: Walker and Avant's eight-step concept analysis method was used to clarify the attributes, antecedents, and consequences of self-regulation in patients with CRL. Literature searches were conducted using PubMed, CINAHL, Scopus, and Ichushi-Web (Japan Medical Abstracts Society Database). Related articles were searched using the search terms self-management, self-care, lymphedema, and self-regulation. RESULTS: The attributes defining self-regulation in patients with CRL were Motivational and emotional internal regulation, utilization of social resources, self-monitoring, Adjusting self-management behaviors, and Integrating self-management behaviors. Antecedents were the presence of emotional motivation and goals, Acceptance of lymphedema as a chronic condition, recognition of the necessity for self-management, understanding of self-management strategies and their effectiveness. The consequences were gaining a sense of control, symptom control, and life reconstruction and stabilization. CONCLUSION: This concept analysis clarifies self-regulation in patients with CRL and provides a theoretical foundation for the development of measurement tools and support strategies that reflect the continuity of self-management behaviors. The findings may facilitate future research and interventions aimed at improving the quality of life of patients with CRL.

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.