| 摘要 |
[Objectives] To explore the effectiveness of exercise therapy for lower limb lymphedema after cervical cancer surgery, and to inform future research and clinical practice in developing evidence-based nursing interventions. [Methods] Using the JBI scoping review guidelines as a methodological framework, relevant studies were retrieved from PubMed, Embase, Web of Science, Cochrane Library, CINAHL, CNKI, Wanfang Data, and Chinese Biomedical Literature Database from their inception to December 2024. [Results] The findings of included 18 studies showed that exercise therapy, mainly including progressive resistance training, aerobic exercise, aquatic exercise, and mixed exercise modalities, could effectively alleviate lower limb lymphedema symptoms in patients after cervical cancer surgery and improve quality of life. Progressive resistance training has been proven to be a safe and feasible preventive intervention; aerobic exercise and aquatic exercise have certain relieving effects on established lymphedema; mixed exercise interventions can improve patients’ functional activity capacity. [Conclusions] Exercise therapy is a feasible, safe, and effective intervention for lower limb lymphedema after cervical cancer surgery. Future high-quality randomized controlled trials are required to validate the effectiveness of different exercise modalities and to develop individualized exercise prescriptions that enhance patient adherence and reduce complications. |