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Objectives: Lymphedema is one of the most difficult long-term issues for breast cancer survivors. The purpose of this study was to identify factors affecting lymphedema and the practice of self-care of lymphedema among breast cancer survivors. Methods: This study was conducted from 103 breast cancer survivors as a descriptive cross-sectional study. Results: The level of lymphedema differed in body mass index (BMI), and lymphedema levels showed significant correlation with depression and fatigue. Factors affecting lymphedema were identified as BMI and depression, and the higher the BMI and depression, the more severe the lymphedema was. The degree of self-care practice of lymphedema differed statistically in age at first diagnosis, and the degree of self-care practice of lymphedema showed significant correlation with the symptoms of lymphedema, such as numbness, pain and stiffness, as well as lymphedema education and fatigue level. Factors affecting the practice of self-care of lymphedema were identified as numbness, education and fatigue, and the higher the degree of numbness, education and fatigue, the higher the practice of self-care of lymphedema. Conclusions: This study could confirm that physical, psychological, and educational interventions are all required in the plan for mediating to alleviate lymphedema. Nursing providers must constantly emphasize the importance of self-care to control lymphedema as it is one of the long-term complications of breast cancer treatment that require care throughout the life of breast cancer survivors. Nursing researchers will also be required to conduct various studies to provide various grounds to encourage the management of lymphedema.

Factors Affecting Lymphedema and Its Practice of Self-care in Breast Cancer Survivors