【摘要】 目的 总结乳腺癌相关淋巴水肿（breast cancer related lymphedema, BCRL）自我管理干预的理论依据、干预内容及干预效果。方法 系统检索Cochrane Library、Embase、PubMed、Web of Science、CINAHL、PsyclNFO、CNKI、Wanfang、VIP、Sinomed等10个中英文数据库。检索时限为建库至2025年6月4日，对纳入文献进行资料提取和分析。结果 共纳入69项研究，23项研究以相关理论和模式为依据，不同研究干预内容差异较大，主要包括协助目标制定、相关知识传授、相关技能指导、心理社会支持、评估与反馈5个核心要素。干预可提升BCRL自我管理，但不同干预的临床效果存在差异。结论 BCRL自我管理干预内容多样，但干预开发仍需理论指导，尽管整体上对乳腺癌患者BCRL自我管理有积极作用，但临床效果仍需要进一步探究，未来研究应基于相关理论，进一步完善干预内容，促进相关措施在临床实践的应用。更多还原

【Abstract】 Objective To explore the theoretical basis, intervention strategies, and outcomes of self-management interventions for breast cancer-related lymphedema(BCRL).Methods Ten Chinese and English databases were systematically searched, including the Cochrane Library, Embase, PubMed, Web of Science, CINAHL, PsycINFO, CNKI, Wanfang, VIP, and Sinomed, with a retrieval time spanning from the inception to June 4, 2025. Data extraction and analysis were conducted on the included literature.Results Sixnine studies were included, with 23 focusing on theoretical frameworks. Intervention strategies varied widely but commonly involved five elements: goal setting, knowledge education, skill training, psychosocial support, and assessment and feedback. These interventions effectively improved self-management among BCRL patients, though clinical outcomes such as symptom reduction varied across studies.Conclusion Self-management interventions for BCRL are diverse but often lack clear theoretical guidance. While they generally enhance patient self-management behaviors, their clinical effectiveness remains inconsistent. Future studies should adopt theory-driven approaches to optimize intervention design and facilitate broader clinical application.更多还原