Impact of a self management mobile application on quality of life and limb circumference in women with breast cancer related lymphedema

Abstract Breast cancer-related lymphedema (BCRL) adversely affects the daily performance and quality of life (QoL) in affected patients. This study aimed to determine the Impact of a self-management mobile application on quality of life and limb circumference in women with BCRL. This randomized clin...

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Main Authors: Mehrvash Hemati, Zahra Khademian, Mozhgan Rivaz, Sedigheh Tahmasebi
Format: Article
Language:English
Published: Nature Portfolio 2025-08-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-15725-y
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author Mehrvash Hemati
Zahra Khademian
Mozhgan Rivaz
Sedigheh Tahmasebi
author_facet Mehrvash Hemati
Zahra Khademian
Mozhgan Rivaz
Sedigheh Tahmasebi
author_sort Mehrvash Hemati
collection DOAJ
description Abstract Breast cancer-related lymphedema (BCRL) adversely affects the daily performance and quality of life (QoL) in affected patients. This study aimed to determine the Impact of a self-management mobile application on quality of life and limb circumference in women with BCRL. This randomized clinical trial was conducted on 180 patients with BCRL in Shiraz, Iran, from May 2023 to January 2024. The participants were randomly assigned to the intervention (n = 90) and control (n = 90) groups. The control group received the normal treatments at the lymph clinic. In addition to the usual clinic treatments, the intervention group had access to a mobile application for 3 months. The primary outcomes were QoL, assessed using the Lymphedema Life Impact Scale (LLIS), and the difference in arm circumference, measured using a standard tape. After the intervention, the mean (SD) LLIS score in the intervention group was 29.1 (10.7), which was significantly lower than the control group with 39.3 (15.5). This difference was statistically significant (p < 0.001), indicating a substantial improvement in QoL in the intervention group compared to the control group. Additionally, the intervention group showed a lower mean (SD) arm circumference difference of 2.18 (1.4) compared to the control group with 3.78 (2.6). This result also was statistically significant (p < 0.001). Therefore, we recommend using the application to support self-management among women with BCRL.
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spelling doaj-art-6385f477cf744681ac4acf0dbcefed1e2025-08-20T03:07:24ZengNature PortfolioScientific Reports2045-23222025-08-0115111010.1038/s41598-025-15725-yImpact of a self management mobile application on quality of life and limb circumference in women with breast cancer related lymphedemaMehrvash Hemati0Zahra Khademian1Mozhgan Rivaz2Sedigheh Tahmasebi3Student Research Committee, School of Nursing and Midwifery, Shiraz University of Medical SciencesDepartment of Nursing, School of Nursing and Midwifery, Shiraz University of Medical SciencesDepartment of Nursing, School of Nursing and Midwifery, Shiraz University of Medical SciencesBreast Diseases Research Center, Shiraz University of Medical SciencesAbstract Breast cancer-related lymphedema (BCRL) adversely affects the daily performance and quality of life (QoL) in affected patients. This study aimed to determine the Impact of a self-management mobile application on quality of life and limb circumference in women with BCRL. This randomized clinical trial was conducted on 180 patients with BCRL in Shiraz, Iran, from May 2023 to January 2024. The participants were randomly assigned to the intervention (n = 90) and control (n = 90) groups. The control group received the normal treatments at the lymph clinic. In addition to the usual clinic treatments, the intervention group had access to a mobile application for 3 months. The primary outcomes were QoL, assessed using the Lymphedema Life Impact Scale (LLIS), and the difference in arm circumference, measured using a standard tape. After the intervention, the mean (SD) LLIS score in the intervention group was 29.1 (10.7), which was significantly lower than the control group with 39.3 (15.5). This difference was statistically significant (p < 0.001), indicating a substantial improvement in QoL in the intervention group compared to the control group. Additionally, the intervention group showed a lower mean (SD) arm circumference difference of 2.18 (1.4) compared to the control group with 3.78 (2.6). This result also was statistically significant (p < 0.001). Therefore, we recommend using the application to support self-management among women with BCRL.https://doi.org/10.1038/s41598-025-15725-yBreast cancerLymphedemaLymphedema managementSelf-managementMobile applicationsSmartphone
spellingShingle Mehrvash Hemati
Zahra Khademian
Mozhgan Rivaz
Sedigheh Tahmasebi
Impact of a self management mobile application on quality of life and limb circumference in women with breast cancer related lymphedema
Scientific Reports
Breast cancer
Lymphedema
Lymphedema management
Self-management
Mobile applications
Smartphone
title Impact of a self management mobile application on quality of life and limb circumference in women with breast cancer related lymphedema
title_full Impact of a self management mobile application on quality of life and limb circumference in women with breast cancer related lymphedema
title_fullStr Impact of a self management mobile application on quality of life and limb circumference in women with breast cancer related lymphedema
title_full_unstemmed Impact of a self management mobile application on quality of life and limb circumference in women with breast cancer related lymphedema
title_short Impact of a self management mobile application on quality of life and limb circumference in women with breast cancer related lymphedema
title_sort impact of a self management mobile application on quality of life and limb circumference in women with breast cancer related lymphedema
topic Breast cancer
Lymphedema
Lymphedema management
Self-management
Mobile applications
Smartphone
url https://doi.org/10.1038/s41598-025-15725-y
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AT mozhganrivaz impactofaselfmanagementmobileapplicationonqualityoflifeandlimbcircumferenceinwomenwithbreastcancerrelatedlymphedema
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