Cancer Nursing最新文献

{"title":"Identification of Core Symptom Cluster in Patients With Digestive Cancer: A Network Analysis.","authors":"Ke Wang, Min Diao, Zhaoxia Yang, Jordan Tovera Salvador, Yihong Zhang","doi":"10.1097/NCC.0000000000001280","DOIUrl":"10.1097/NCC.0000000000001280","url":null,"abstract":"<p><strong>Background: </strong>A lack of identified core symptom clusters in digestive cancer patients hinders achieving precision symptom intervention. There are few studies on identifying digestive cancer symptom clusters based on network analysis.</p><p><strong>Objectives: </strong>The aims of this study were to construct the symptom network of digestive cancer patients and identify the core symptom cluster.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 202 digestive cancer patients. The Chinese version of the MD Anderson Symptom Inventory for gastrointestinal cancer scale was used to assess the symptoms by convenience sampling. R software was used to construct a symptom network and identify core symptom clusters. Edge weight and centrality difference tests were used to test the accuracy of core symptom cluster identification.</p><p><strong>Results: </strong>The most common symptoms were distress, poor appetite, and sadness. The most serious symptoms were poor appetite, disturbed sleep, and fatigue. The core symptom cluster of the psychoemotional symptom group was distress, sadness, and numbness. The centrality index showed that the top 3 in strength were distress (Rs = 1.11), fatigue (Rs = 1.09), and sadness (Rs = 1.04). The edge weight difference test showed that the psychoemotional symptom group had high stability.</p><p><strong>Conclusions: </strong>The psychoemotional symptoms of digestive cancer patients should be given priority for intervention. Network analysis must be extended to the symptom research of cancer patients as soon as possible to provide a scientific basis for symptom management.</p><p><strong>Implications for practice: </strong>Nurses must perform comprehensive psychological and emotional assessments, initiate referrals for psychoemotional symptom management and psychological services, and administer pharmacologic and nonpharmacologic interventions to improve appetite loss in digestive cancer patients.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"E55-E63"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11610907/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71415118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Complexity of Being a Parent in the Hospital and a Patient at Home: A Qualitative Study on Parenting Concerns and Challenges Among Parents With Cancer.","authors":"Maria Romare Strandh, Emma Hovén, Renita Sörensdotter, Karin Stålberg, Pia Enebrink, Lisa Ljungman, Anna Wikman","doi":"10.1097/NCC.0000000000001276","DOIUrl":"10.1097/NCC.0000000000001276","url":null,"abstract":"<p><strong>Background: </strong>Parents given a diagnosis of cancer must balance the demands of their illness and caregiving responsibilities. This can result in parental stress and have a negative impact on the well-being of the whole family. A greater understanding of the experiences of parents with cancer is necessary to provide adequate support.</p><p><strong>Objective: </strong>The aim of this study was to explore parenting concerns and challenges among parents with cancer who were caring for dependent children younger than 18 years.</p><p><strong>Methods: </strong>Semistructured interviews were carried out with 22 parents with cancer. Interviews were audio-recorded, transcribed, and analyzed using thematic analysis.</p><p><strong>Results: </strong>Parental concerns and challenges affected parents in their parental role and their everyday family life. Three overarching themes described the struggles in balancing life as a parent and as a patient: navigating dual roles as a parent with cancer , impact of cancer on parenting , and impact on family life . Parents' primary focus was on their children's well-being, and they struggled to manage their own expectations of parenting and the demands on their role in the family.</p><p><strong>Conclusion: </strong>The results highlight the complexity of being a parent with cancer while caring for dependent children. To support parents during the cancer journey, it is important to understand the consequences of their illness on their parental role and the family.</p><p><strong>Implications for practice: </strong>Supporting parents to feel secure in their parental role and providing support to them during their cancer journey should be integrated into routine cancer care, where parenting concerns and challenges are addressed.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"E9-E17"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11610917/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41151598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceived Value of Holistic Needs Assessment in Supporting the Needs of Women With Breast Cancer.","authors":"Lydia Briggs, Jessica Corner, Holly Blake","doi":"10.1097/NCC.0000000000001270","DOIUrl":"10.1097/NCC.0000000000001270","url":null,"abstract":"<p><strong>Background: </strong>Holistic needs assessments (HNAs) were designed to identify and support the physical, psychological, and social impacts of cancer, yet delivery methods vary significantly.</p><p><strong>Objective: </strong>The study aimed to explore views of HNAs from the perspectives of healthcare professionals and women with breast cancer, including how the HNA contributed to providing support.</p><p><strong>Methods: </strong>A qualitative case study approach was adopted, with 4 hospitals in England. Twenty-four women with cancer and 24 staff were recruited. Data from interviews, observations, and HNA-related documentation were compiled into cases around use of the HNA in each organization. Principles of framework analysis and Normalization Process Theory enabled identification of conclusions.</p><p><strong>Results: </strong>The contribution of HNA to women's experiences of support was complex and dependent on various influences: (1) how the woman's own views and judgments influenced her perceptions of the assessment, (2) how the views of staff delivering the HNA influenced both their own approach to the assessment and patient views, and (3) the organizational context and culture.</p><p><strong>Conclusion: </strong>Apparent superficial implementation of HNAs seemed to facilitate organizational cultures of evidencing the actions of staff and achieving management targets. Women's views toward the HNA appeared paradoxical; most women perceived the HNA to be meaningful \"in principle\" but reported little benefit of the assessment, and some reported negative outcomes.</p><p><strong>Implications for practice: </strong>Holistic needs assessment implementation in clinical settings requires a greater focus on quality over targets, and healthcare professional training should be centered around delivering HNAs in a meaningful way that prioritizes individual patient benefit.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"E39-E46"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9775516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preparing Nurses for CD20-CD3 Bispecific Antibody Treatment in Patients With Non-Hodgkin Lymphoma: A Scoping Review of Adverse Events and Management Strategies From Early Phase and Pivotal Trials.","authors":"Sam van der Linde, Emily Knights, Molly Robertson, Meinir Krishnasamy, Adrian Minson, Michael Dickinson","doi":"10.1097/NCC.0000000000001419","DOIUrl":"10.1097/NCC.0000000000001419","url":null,"abstract":"<p><strong>Background: </strong>Bispecific T-cell engaging antibodies (BsAbs) are novel agents used to treat B-cell non-Hodgkin lymphoma (B-NHL); these agents demonstrate a different toxicity profile compared with standard chemoimmunotherapy.</p><p><strong>Objective: </strong>To describe common adverse events (AEs) experienced by patients with B-NHL during BsAb treatment.</p><p><strong>Methods: </strong>MEDLINE, EMCARE, and EMBASE were searched for relevant studies. Prospective interventional clinical trials of CD20-CD3 BsAbs in late development reporting on safety data for B-NHL patients, published until March 2023, were included.</p><p><strong>Results: </strong>This search identified 1481 records; 28 met the inclusion criteria. Cytokine release syndrome (CRS), neutropenia, pyrexia, and anemia were the most commonly reported AEs. CRS primarily occurred during the first cycle of treatment and was mostly low grade; 14 publications (48%) reported a grade ≥3; however, these occurred in less than 10% of patients. Mitigation strategies included premedication with corticosteroids, antipyretics, and antihistamines; step-up dosing; and planned hospitalizations. Two articles reported common signs and symptoms of CRS, which included pyrexia (98% and 99%), chills (13% and 35%), tachycardia (27% and 28%), and hypotension (24% and 38%). Supportive management, tocilizumab, and corticosteroids were widely used (reported in 16/28 studies) for the treatment of CRS. Patient risk factors for CRS included high tumor burden, bone marrow infiltration, and circulating disease.</p><p><strong>Conclusions: </strong>The AE profile of BsAbs requires specialized nurses, skilled in assessing patients for risk factors and recognizing signs and symptoms of AEs.</p><p><strong>Implications for practice: </strong>Findings from this review will contribute to cancer nurses' knowledge of CD20-CD3 BsAbs for B-NHL, optimizing the quality and safety of patient care.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142734151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digital Interventions for Promoting Skin Self-Examination Behaviors of Melanoma Survivors: A Systematic Review.","authors":"Leilei Li, Hui Qu, Chaohong Fu, Jianpei Niu, Changyong Yang","doi":"10.1097/NCC.0000000000001451","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001451","url":null,"abstract":"<p><strong>Background: </strong>Regular and thorough skin self-examination (SSE) is an important strategy to reduce mortality among melanoma survivors. However, less than a quarter of melanoma survivors participate in skin self-examination.</p><p><strong>Objective: </strong>The aim of this study was to systematically review the effectiveness of digital interventions on SSE-related practices in melanoma survivors.</p><p><strong>Methods: </strong>Cochrane Library, Web of Science, PubMed, and EBSCO were used to identify literature with a search period from January 1, 2000, to June 11, 2024. Two researchers conducted the quality evaluation and summarized and analyzed the included literature.</p><p><strong>Results: </strong>Twelve articles were included, with a quality score of 5-9 and an average score of 7.67 for the included studies. The digital intervention methods are web based (n = 5), mobile applications (n = 5), videos (n = 1), and interactive multimedia (n = 1). Eleven studies used at least 1 theoretical framework to guide their intervention design. Ten studies reported SSE rates, 2 studies reported SSE areas, and 2 studies reported SSE frequencies and other practical effects. Compared with the control group, the increase in SSE rate ranged from 26.2% to 78.9%; 90% of participants had a frequency of SSE ≥ 2 times per month, with an average of 5.14 areas of SSE; the usage rate of mirrors ranged from 67% to 88%.</p><p><strong>Conclusions: </strong>Digital intervention can effectively improve the rates, frequency, and number of areas of SSE for melanoma survivors.</p><p><strong>Implications for practice: </strong>Digital intervention can be used in clinical practice to provide efficient and effective SSE for melanoma survivors in the short to medium term.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Reflexology Socks in the Management of Opioid-Induced Constipation: A Randomized Controlled Trial.","authors":"Ferda Akyuz Ozdemir, Gulbeyaz Can","doi":"10.1097/NCC.0000000000001446","DOIUrl":"10.1097/NCC.0000000000001446","url":null,"abstract":"<p><strong>Background: </strong>Constipation is an important symptom that is common in patients using opioids and leads to major health problems among patients. Reflexology is one of the approaches utilized to manage constipation.</p><p><strong>Objective: </strong>To examine the effect of reflexology socks on constipation in patients with opioid-induced constipation.</p><p><strong>Methods: </strong>This study was designed as a single-blind, randomized, controlled experimental trial. The study was conducted with the participation of a total of 101 patients who were suffering from cancer and other noncancer diseases, using opioids, and complaining of constipation. The patients in the intervention group (n = 51) were advised to walk with reflexology socks for 4 weeks, whereas the patients in the control group (n = 50) were advised to walk only.</p><p><strong>Results: </strong>It was found that the severity of opioid-induced constipation was lower in the intervention group than in the control group at the end of the fifth week ( P < .05). Additionally, after the application, the quality-of-life mean score was lower in the intervention group (mean, 48.46 ± 24.66) compared with control group (mean, 109.88 ± 10.62), and reflexology socks were effective in enhancing quality of life in the intervention group ( P < .05).</p><p><strong>Conclusions: </strong>This study concluded that reflexology socks were an effective approach to the management of constipation.</p><p><strong>Implications for practice: </strong>Reflexology socks may be more useful for patients to manage constipation because it is difficult to find a reflexologist, and reflexology sessions are charged and expensive. In this way, patients will wear reflexology socks comfortably and easily at home, and the severity of constipation will be alleviated.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Individualized Physical Activity Prescriptions for Children and Adolescents With Cancer: A Systematic Review and Meta-analysis of Randomized Controlled Trials.","authors":"Yijie Dong, Yating Ban, Ting Zhong, Yijia Guo, Dongyan Tang, Runting Yu, Ke Liu","doi":"10.1097/NCC.0000000000001412","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001412","url":null,"abstract":"<p><strong>Background: </strong>For improved health outcomes, children and adolescents with cancer must maintain physical activity. Individualized physical activity prescription is an effective way to promote physical activity in this group.</p><p><strong>Objective: </strong>We reviewed and meta-analyzed evidence on the effectiveness of individualized physical activity prescriptions for improving physical activity and other health outcomes among children and adolescents with cancer.</p><p><strong>Methods: </strong>Seven databases were searched from inception up to January 2024 for randomized controlled trials. Two researchers independently extracted data and assessed the quality of studies using the Risk-of-Bias tool. Data were pooled into Review Manager 5.3 for data synthesis and subgroup analyses.</p><p><strong>Results: </strong>Seventeen randomized controlled trials were included. The systematic review summarized the characteristics of recent interventions. Meta-analyses showed that although individualized physical activity prescriptions had no overall effect on physical activity (n = 8 studies), anthropometry and body composition (n = 5), functional capacity (n = 3), quality of life (n = 8), fatigue (n = 3), and self-efficacy (n = 5), they improved cardiovascular fitness (n = 8, P = .02) and muscle strength (n = 8, P = .04). Subgroup analyses showed that studies providing 6-month interventions (P = .003) or such interventions combined with motivational interviewing (P = .002) reported significantly increased physical activity in patients.</p><p><strong>Conclusions: </strong>Individualized physical activity prescriptions appear to improve cardiovascular fitness and muscle strength in children and adolescents with cancer.</p><p><strong>Implications for practice: </strong>High-quality studies providing long-duration interventions and motivational interviewing are needed for optimal physical activity programs for children and adolescents with cancer. The application of electronic devices should increase the types of physical activities for this group to further improve health outcomes.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Randomized Controlled Feasibility Study to Evaluate the Online Delivery of Storytelling Through Music With Oncology Nurses.","authors":"Carolyn S Phillips, Sue E Morris, Heather Woods, Emanuele Mazzola, Niya Xiong, Cara Young, Alexa Stuifbergen, Marilyn Hammer, Jennifer Ligibel","doi":"10.1097/NCC.0000000000001441","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001441","url":null,"abstract":"<p><strong>Background: </strong>Oncology nurses frequently contend with intense work-related emotions stemming from their roles, which include bearing witness to suffering, managing end-of-life care, and navigating ethical dilemmas. These emotional challenges can lead to burnout, compassion fatigue, and overall psychological distress.</p><p><strong>Objective: </strong>To determine the feasibility, acceptability, and preliminary effect of implementing Storytelling Through Music (STM) online with oncology nurses.</p><p><strong>Intervention/methods: </strong>This study (trial registration: NCT04775524) was a 2-group, randomized wait-list controlled trial, utilizing quantitative and qualitative methods. STM is a 6-week intervention that combines storytelling, reflective writing, songwriting, and psychoeducation. Data were collected in both groups at 3 timepoints and analyzed with descriptive statistics, conventional content analysis, and nonparametric tests.</p><p><strong>Results: </strong>The oncology nurses (n = 24) were primarily female (96%) and White (79%), with an average of 15.98 (range, 2-51) years of nursing experience. All STM participants completed the intervention and found it acceptable. STM participants had greater improvements in burnout, secondary traumatic stress, anxiety, depression, and posttraumatic growth.</p><p><strong>Conclusion: </strong>The online delivery of STM proved feasible and acceptable, demonstrating potential scalability across diverse geographic locations, and showed promise in reducing psychological distress and burnout. Future research should consider larger-scale studies with diverse participant demographics and settings to validate these findings further.</p><p><strong>Implications for practice: </strong>Results highlight the potential value of integrating expressive arts into comprehensive support programs for nurses. By implementing interventions that acknowledge and support the emotional demands of their work, healthcare organizations can better equip oncology nurses to navigate the complexities of their roles while maintaining their well-being.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and Predictors of the Unmet Supportive Needs of Patients With Cancer in Oman.","authors":"Mohammad Al Qadire, Hanan Abdelrahman, Sulaiman Al Sabei, Ma'en Aljezawi, Omar Al Omari, Nasser Al Salmi, Huda Al Awaisi, Hala Aljezawi","doi":"10.1097/NCC.0000000000001413","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001413","url":null,"abstract":"<p><strong>Background: </strong>Unmet supportive needs are directly correlated with more frequent psychological distress, reduced quality of life, and low patient satisfaction with healthcare and indirectly connected with low compliance with treatment and increased care-related costs.</p><p><strong>Objective: </strong>To assess the spectrum of unmet needs among patients with cancer in Oman and identify predictors of these needs and their relationship with psychological distress and symptom burden.</p><p><strong>Method: </strong>A descriptive, correlational study design was used, involving 551 patients with cancer from 2 major healthcare facilities in Muscat, Oman. Data on patients' unmet needs were collected between January and June 2023 using the Supportive Care Needs Survey Short-Form 34.</p><p><strong>Results: </strong>Participants had a mean age of 45.8 (SD, 15.6) years, with female patients comprising 65.5% of the sample. Breast cancer was the most prevalent type of cancer. The mean unmet need score was 31.0/100 (SD, 20.1). Statistical analysis revealed significant predictors of unmet needs, including marital status, treatment type, performance status, symptom interference, and psychological distress, with the regression model explaining 26% of the variance in unmet needs.</p><p><strong>Conclusions: </strong>Healthcare providers must regularly assess supportive needs, recognizing that they may vary across populations and are influenced by cultural factors. Additionally, individuals identified as having characteristics that predict higher levels of need should receive focused and prioritized supportive care.</p><p><strong>Implications for practice: </strong>By adopting regular tailored assessments that address the comprehensive supportive needs of patients with cancer, clinicians can significantly enhance patients' quality of life and optimize treatment outcomes.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"I Cannot Walk Far or Go Anywhere\": The Experience of Lower Limb Lymphedema Among Women With Gynecological Cancer.","authors":"Yu-Yun Hsu, Pei-Chi Liang, Chia-Fang Hsu, Chia-Yu Liu, Chien-Liang Ho, Keng-Fu Hsu","doi":"10.1097/NCC.0000000000001439","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001439","url":null,"abstract":"<p><strong>Background: </strong>Lower limb lymphedema (LLL) significantly impacts the quality of life in women who have undergone gynecological cancer surgery, limiting their physical activities, household chores, and social interactions. Despite its prevalence, there is a lack of comprehensive understanding of the lived experiences of these women.</p><p><strong>Objective: </strong>To explore the experiences of LLL in Taiwanese women following gynecological cancer surgery.</p><p><strong>Methods: </strong>Using a qualitative, descriptive design, 12 Taiwanese participants aged between 48 and 74 years who had LLL after gynecological cancer surgery were interviewed. Interview data were analyzed using inductive content analysis to identify key themes and subthemes.</p><p><strong>Results: </strong>Four main themes and 13 subthemes emerged from the data: lacking awareness and vigilance, suffering from lymphedema, adapting to body image changes, and self-managing everyday life. These themes illustrate the extensive physical, psychological, and social challenges faced by the participants.</p><p><strong>Conclusion: </strong>Findings depict the profound impact of LLL on daily life among Taiwanese women after gynecological cancer surgery. The findings highlight the need for comprehensive care that addresses the multifaceted challenges posed by lymphedema.</p><p><strong>Implication for practice: </strong>Oncology healthcare providers should integrate education and symptom management skills about lymphedema into patient care. In addition, there is an urgent need for accessible lymphedema care resources to support these women.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142839975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}