Breast Cancer-Related Lymphedema: Nursing-Led Strategies - A Narrative Review

Breast cancer-related lymphedema (BCRL) is a prevalent and chronic complication that significantly impairs the quality of life of breast cancer survivors. As survivorship increases, the role of nursing in BCRL management has become increasingly critical. This review synthesizes current evidence on nursing-led strategies across the continuum of care, including early symptom recognition, risk stratification, perioperative prevention, conservative and surgical interventions, psychosocial support, patient education, and interdisciplinary collaboration. Special attention is given to the integration of novel technologies such as bioimpedance spectroscopy and wearable devices. Despite progress, gaps remain in standardized protocols, high-quality randomized controlled trials (RCTs), and patient-reported outcome research. In summary, nursing plays a central role in the management of BCRL, encompassing risk assessment, intervention implementation, and patient support. It is a key force in improving treatment outcomes and enhancing patients' quality of life.