This study investigated the performance of self-management skills and associated factors for subclinical lymphoedema in gynaecological cancer patients who had been educated on lymphoedema prevention. Methods: This cross-sectional study included 69 patients in the period 12–18 months postoperatively. We assessed self-management skills on an 11-item scale comprising ‘Observe swelling’, ‘Maintain physical condition’, and ‘Prevent deterioration’ subscales. The patients’ demographic and clinical backgrounds and understanding of the lymphoedema prevention education were analysed as potential associated factors. Results: Although 87% of patients understood the education, only 19% performed the skill ‘Observe swelling’. The skill ‘Maintain physical condition’ was performed by 39% of patients, which was the highest among all the subscales. A history of undergoing radiotherapy was significantly associated with rarely seeking help from others in the skill of ‘Maintain physical condition’. Conclusion: The performance of SM skills was not equivalent to the understanding of education. It is necessary to re-evaluate the timing and contents of the education for early detection of lymphoedema. Ongoing nursing support would also be needed.
