Living with breast cancer-related lymphedema: a synthesis of qualitative research

Oncol Nurs Forum. 2014 Jul 1;41(4):E220-37. doi: 10.1188/14.ONF.E220-E237.

Abstract

Purpose/objectives: To describe the experience of female patients living with breast cancer-related lymphedema (BCRL) to gain a comprehensive understanding of this experience. The review is designed as a qualitative meta-synthesis.

Data sources: Electronic searches were conducted in MEDLINE®, CINAHL®, EMBASE, PsycINFO, and Social Sciences Citation Index. Articles were included where researchers used qualitative research methods and when a comprehensive description of methods and the study's findings were provided.

Data synthesis: From 2,185 references, 13 articles were included. A total of 94 author and participant aggregations were extracted, qualitatively assessed, and assigned to one of 14 categories. Four themes relating to the experience of living with BCRL were identified: experience of everyday life, energy sapping, personal empowerment, and contribution of others.

Conclusions: Requirements of living with BCRL may only be influenced to a limited extent by the women themselves. They struggle with their situation, appearance, and the concomitant uncertainties. They feel strengthened where they succeed in developing a helpful view of their situation and where support structures are available to them.

Implications for nursing: Professionals can employ this meta-synthesis by contextualizing it as part of a process of critical reflection on their own endeavors to meet the requirements of women living with BCRL.

Keywords: breast cancer; lymphedema; nursing research; qualitative; quality of life; systematic review.

Publication types

  • Meta-Analysis
  • Review
  • Systematic Review

MeSH terms

  • Breast Neoplasms* / nursing
  • Breast Neoplasms* / psychology
  • Breast Neoplasms* / surgery
  • Female
  • Humans
  • Lymphedema* / etiology
  • Lymphedema* / nursing
  • Lymphedema* / psychology
  • Mastectomy / adverse effects
  • Mastectomy / nursing*
  • Oncology Nursing / methods*
  • Qualitative Research
  • Quality of Life / psychology*