Seminars in Oncology Nursing最新文献

{"title":"Pilot Testing a Peer-Led Self-Management Program for Women After Breast Cancer.","authors":"Karin Ribi, Franziska Schmidt, Jörg Haslbeck, Corinne Urech, Karin Holm, Manuela Eicher","doi":"10.1016/j.soncn.2025.151814","DOIUrl":"https://doi.org/10.1016/j.soncn.2025.151814","url":null,"abstract":"<p><strong>Background: </strong>Different approaches exist to support self-management in breast cancer (BC) survivors. The aim of this project was to cocreate a new version of an existing peer-led program to meet the needs of BC survivors in Switzerland. In a pilot study, the preliminary efficacy in terms of self-management skills and symptom burden and the feasibility of implementing it in two Swiss university hospitals was assessed.</p><p><strong>Methods: </strong>A prospective nonequivalent pretest-posttest control group design with two consecutive cohorts of women with early-stage BC who had completed primary treatment was applied. BC survivors (peers) led the 7-week course of weekly small-group sessions of 2.5 to 3 hours. The primary outcome was change in self-management skills; secondary outcomes included change in self-efficacy, symptom burden, and health literacy. Between-group changes were assessed using the Mann-Whitney U or X² test, individual changes using the Reliable Change Index. Feasibility was assessed using qualitative methods.</p><p><strong>Results: </strong>Of the 95 BC survivors screened for inclusion criteria, 68 were eligible, 18 agreed to participate in the control group and 20 in the intervention group. No significant differences were found between the groups for any of the outcomes. Individual changes in self-management skills were noted in both groups. Several issues related to course delivery and feasibility were identified.</p><p><strong>Conclusions: </strong>The current form of the program did not fully meet the needs of BC survivors, and implementation into the clinical care pathway appeared to be challenging. The program may benefit from providing the possibility of spontaneous interaction and discussion and considering elements of e-health interventions.</p>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":" ","pages":"151814"},"PeriodicalIF":2.3,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of YouTube Videos on Herbal Approaches Used in Coping with Cancer.","authors":"Ferda Akyuz Ozdemir, Dilek Yildirim","doi":"10.1016/j.soncn.2025.151816","DOIUrl":"https://doi.org/10.1016/j.soncn.2025.151816","url":null,"abstract":"<p><strong>Objective: </strong>The use of herbal approaches is very common among cancer patients. Patients obtain information about herbal products mostly from YouTube. However, toxicity and complications may develop as a result of unconscious use of herbal products. This study was conducted to evaluate the scope, validity, reliability and quality of English language videos on YouTube about herbal approaches to cope with cancer.</p><p><strong>Methods: </strong>The present descriptive study analyzed a total of 62 YouTube videos. All videos published on YouTube until 10 January 2024 were watched as a result of a search with English words 'herbal approaches for cancer treatment' and 'herbal approaches for medicine' . The 62 videos that met the inclusion criteria were assessed for reliability, quality, and content by 2 independent reviewers by using the Global Quality Score, DISCERN, JAMA scales and Herbal Approaches Checklist. The results indicated that the videos included in the study exhibited moderate quality.</p><p><strong>Results: </strong>Of the analyzed videos, 53.2% were found to be informative and 46.8% were found to be misleading. It was established that 59.7% (n=37) of the videos recommended the use of herbs that are known to be incompatible with chemotherapy.</p><p><strong>Conclusions: </strong>It was concluded that the majority of the videos on YouTube about herbal approaches had low accuracy, low quality and insufficient information level. In addition, the use of many herbal products incompatible with cancer type and treatment was recommended. However, the level of knowledge of health professionals regarding herbal approaches should also be taken into consideration and it should be recommended that health professionals with expertise in this field inform patients.</p><p><strong>Implications for nursing practice: </strong>Nurses should educate patients about herbal approaches and guide them in evaluating the reliability of online sources. They should stay updated through continuous education on herbal products and collaborate with other healthcare professionals to prevent potential herb-drug interactions.</p>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":" ","pages":"151816"},"PeriodicalIF":2.3,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and Facilitators to Physical Activity Participation Among Colorectal Cancer Survivors: A Mixed-Method Systematic Review.","authors":"Jiayu Mao, Yi Zhang, Xiaoke Qiu, Can Wang, Xueli Yang, Qiuping Li","doi":"10.1016/j.soncn.2025.151811","DOIUrl":"https://doi.org/10.1016/j.soncn.2025.151811","url":null,"abstract":"<p><strong>Objectives: </strong>Physical activity (PA) is essential in cancer rehabilitation. Worryingly, PA compliance among colorectal cancer (CRC) survivors is relatively poor, and the barriers and facilitators of PA participation in this population are poorly understood. This review aimed to identify the barriers and facilitators of PA participation among CRC survivors and apply the Capability-Opportunity-Motivation-Behavior (COM-B) model to analyze and categorize these factors.</p><p><strong>Methods: </strong>A mixed-method systematic review was conducted using six electronic databases (Embase, Medline, PubMed, Scopus, Web of Science, and Chinese National Knowledge Infrastructure) to conduct literature search. The searches were conducted from the inception of databases till May 2024, and eligible studies were limited to English or Chinese. The mixed methods appraisal tool (MMAT) was utilized to perform quality assessment, and the convergent integrated approach and descriptive analysis were used for data synthesis and analysis.</p><p><strong>Results: </strong>This review included 32 studies (seven qualitative, 24 quantitative, and one mixed-method), and no studies were eliminated due to quality. According to the COM-B model, cancer-related symptoms, time constraints, and lack of motivation or interest were the main barriers to PA participation among CRC survivors. The main facilitators of PA participation for CRC survivors included improvement in cancer-related symptoms, enough social support from family and friends, and perceived benefits of PA.</p><p><strong>Conclusions: </strong>This review comprehensively identified the unique barriers and facilitators to PA participation among CRC survivors based on the COM-B model. Future research should consider these barriers and facilitators and develop effective PA interventions to increase PA compliance among CRC survivors.</p>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":" ","pages":"151811"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Explore Potential Profiles and Influencing Factors for Financial Toxicity in Patients with Colorectal Cancer Undergoing Chemotherapy: A Cross-Sectional Study","authors":"Fangyi Li ,&nbsp;Tian Xiao ,&nbsp;Chunmei Liu ,&nbsp;Qiumei Ma ,&nbsp;Xiaoli Huang ,&nbsp;Xueqin Qiu ,&nbsp;Linyu Zhou ,&nbsp;Ruihan Xiao ,&nbsp;Xiaoju Chen","doi":"10.1016/j.soncn.2024.151762","DOIUrl":"10.1016/j.soncn.2024.151762","url":null,"abstract":"<div><h3>Objectives</h3><div>To explore the potential financial toxicity (FT) profiles in patients with colorectal cancer (CRC) undergoing chemotherapy and analyze its influencing factors.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted on 373 CRC patients undergoing chemotherapy in southwest China from January 2024 to May 2024. We utilized the General Information Questionnaire, the FT based on Patient-Reported Outcome Measures (COST-PROM), the Brief Illness Perception Questionnaire (BIPQ), and the Family APGAR Index (APGAR). Latent profile analysis (LPA) by Mplus8.3 was used to identify the latent profiles of the FT. Multinomial logistic regression analysis was used to analyze the relevant factors in the different categories.</div></div><div><h3>Results</h3><div>The patients with CRC undergoing chemotherapy were divided into four profiles: high FT group (44.5%), moderate FT-low psychological adaptation group (22.8%), moderate FT-high psychological adaptation group (18.0%), and low FT group (14.7%). Age, average monthly household income per capita, employment status, disease duration, round of chemotherapy, illness perception, and family function were the influencing factors for potential profiles of FT in CRC chemotherapy patients (<em>P</em> &lt; 0.05).</div></div><div><h3>Conclusions</h3><div>There are four potential profiles of FT in patients with CRC undergoing chemotherapy. Healthcare providers should pay attention to patients with CRC undergoing chemotherapy aged 18 to 59 years old, employed and unemployed, with lower average monthly household income per capita, disease duration of less than 1 year, and more times of chemotherapy. Additionally, reducing patients’ negative perceptions of the disease and improving family function can help lower the level of FT.</div></div><div><h3>Implication for Nursing Practice</h3><div>This research can assist nurses in identifying patients at high risk of FT, enabling early intervention and the implementation of targeted psychological nursing interventions. Nurses can help patients develop positive perceptions of the disease and improve family relationships, thereby mitigating the negative effects of FT.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 1","pages":"Article 151762"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nutritional Status in Locally Advanced or Metastatic Solid Cancer Patients Treated With Chemotherapy, Radiotherapy, and Immunotherapy in Spanish Outpatient Oncology Units","authors":"Julio C. de la Torre-Montero ,&nbsp;Jorgina Serra-López ,&nbsp;Raquel Alvárez-García ,&nbsp;Magdalena Battle-Vidal ,&nbsp;Nieves Gil-Gómez ,&nbsp;Patricia Beorlegui-Murillo ,&nbsp;Dolores Pérez-Cárdenas ,&nbsp;Andrés Sánchez-Belchiz ,&nbsp;Erik Medina Cruz ,&nbsp;Ángeles Peñuelas-Saiz","doi":"10.1016/j.soncn.2024.151801","DOIUrl":"10.1016/j.soncn.2024.151801","url":null,"abstract":"<div><h3>Objectives</h3><div>Malnutrition is a prevalent condition in cancer patients that significantly impacts patients' clinical outcomes and health-related quality of life (HR-QoL). The outcome was to characterize the nutritional status by describing the prevalence of malnutrition (mild, moderate, or severe) and its risk in outpatient cancer patients.</div></div><div><h3>Methods</h3><div>Multicenter, prospective, cross-sectional, descriptive, two-cohort study conducted on consecutive adult patients with locally advanced or metastatic solid tumors (stages III-IV). The study was conducted in 10 Spanish hospitals distributed all over the Spanish geography, with a recruitment period of 5 months (between April and September 2020). Study patients were divided into two groups according to their cancer therapy: group A, patients who underwent immunotherapy, and group B, patients who received combined therapy (immunotherapy plus chemotherapy and radiotherapy).</div></div><div><h3>Results</h3><div>A total of 585 patients were included. The proportion of patients at risk of malnutrition was notably more significant in the combination group (chemotherapy and/or radiotherapy) than in the immunotherapy-only group (28.3% versus 58.5%, respectively, <em>P</em> &lt; .0001). According to this evaluation the highest proportion of patients at risk were those with pancreatic cancer (51 patients; 89.5%), followed by large intestine cancer (52 patients; 55.3%) and lung cancer (56 patients; 29.3%), <em>P</em> &lt; .0001.</div></div><div><h3>Conclusions</h3><div>Patients treated with only immunotherapy seemed to have better nutritional status, which indicated health-related quality of life improvement. Additionally, there was a trend associating nutritional status with tumor location. Treatment strategy, treatment duration, performance status, and treatment location were independently associated with malnutrition.</div></div><div><h3>Implications for Nursing Practice</h3><div>Integrating nutritional assessment into routine clinical practice will improve the quality of life of oncology patients. An integrative approach to health improves overall results in terms of nutritional status and improved quality of life and shows that daily living activities are more satisfactory for patients with nursing interventions. Nursing interventions are consistent with an educational approach to patients as long as the interventions described in international guidelines are detailed in the framework of the patient care.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 1","pages":"Article 151801"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Exercise-Based Interventions on Fatigue among Head and Neck Cancer Patients on Radiotherapy: Systematic Review with Meta-Analysis","authors":"Shalini Ganesh Nayak ,&nbsp;Krishna Sharan ,&nbsp;Ravishankar Nagaraja ,&nbsp;Anice George","doi":"10.1016/j.soncn.2024.151755","DOIUrl":"10.1016/j.soncn.2024.151755","url":null,"abstract":"<div><h3>Objectives</h3><div>Fatigue is a significant challenge among head and neck cancer patients undergoing radiotherapy, impacting their well-being and daily functioning. Exercise-based interventions hold promise in alleviating this fatigue burden. This systematic review aims to evaluate the effectiveness of exercise-based interventions on fatigue among patients with head and neck cancer receiving radiotherapy.</div></div><div><h3>Methods</h3><div>We systematically searched for the studies in Cumulative Index to Nursing and Allied Health Literature, PubMed, Cochrane Library Database, MEDLINE, and Google Scholar in the English language from 2000 to 2023. Two reviewers independently identified the articles using key thesaurus and free text terms based on the inclusion criteria. The review was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement. Meta-analysis was done by using RevMan 5.3 software.</div></div><div><h3>Results</h3><div>The systematic review included nine trials encompassing 647 participants, out of which five were randomized control trials and were selected for meta-analysis. Pooled data from randomized control trials showed that exercise-based interventions were effective in reducing few dimensions of fatigue such as general fatigue, physical fatigue, emotional fatigue significantly (<em>P</em> &lt; .001) among Head and Neck Cancer patients receiving radiotherapy.</div></div><div><h3>Conclusion</h3><div>Preliminary evidence from the review suggests that engaging in exercise-based interventions may reduce fatigue among patients with head and neck cancer receiving radiotherapy. However, future research is necessary, as most of the articles in current review were either pilot studies or feasibility trials.</div></div><div><h3>Implications for Nursing Practice</h3><div>This systematic review and meta-analysis protocol was registered in PROSPERO with the register number CRD42023428284.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 1","pages":"Article 151755"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Individual Rumination in Adult Cancer Care: A Concept Analysis","authors":"Jinyong Cao,&nbsp;Yeter Sinem Üzar‐Özçetin","doi":"10.1016/j.soncn.2024.151802","DOIUrl":"10.1016/j.soncn.2024.151802","url":null,"abstract":"<div><h3>Objective</h3><div>To conceptualize rumination in adult cancer care.</div></div><div><h3>Methods</h3><div>Walker and Avant's concept analysis method was used to examine rumination in adults with cancer. A systematic search was conducted across psychology, nursing, medicine, and public health disciplines in PsycINFO, PubMed, Web of Science, CINAHL, and Scopus databases from their inception to April 2024. Additional records were identified by manually searching reference lists of relevant studies.</div></div><div><h3>Results</h3><div>Analysis of 50 articles identified rumination's three defining attributes (intrusions, brooding, instrumentality), antecedents (cancer-related adversity, pre-existing susceptibilities), and consequences (psychophysiological functioning impairments, long-term adaptation). Key features included trait-state duality, internal variability, external cyclicality, and high emotional correlation.</div></div><div><h3>Conclusions</h3><div>This concept analysis establishes a preliminary conceptual model of rumination in adult cancer care, integrating its attributes, antecedents, and consequences. The model offers insights into rumination mechanisms, highlighting its complexity and variability, and may inform the development of targeted interventions and theoretical development for cancer population. Further research is needed to validate the model and explore its clinical applications.</div></div><div><h3>Implications for Nursing Practice</h3><div>Understanding rumination in adult cancer care helps nurses identify and support at-risk patients. By recognizing key signs, nurses can implement targeted interventions to improve patients' emotional and psychological well-being, ultimately enhancing their long-term adaptation and quality of life.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 1","pages":"Article 151802"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adaptation of the Shirom–Melamed Burnout Measure in Parents of Turkish Pediatric Oncology Patients","authors":"Ayşe Ay RN, PhD ,&nbsp;Remziye Semerci RN, PhD ,&nbsp;Pınar Taşpınar RN, M.Sc ,&nbsp;Gülşah Tanyildiz MD ,&nbsp;Serap Karaman MD","doi":"10.1016/j.soncn.2024.151759","DOIUrl":"10.1016/j.soncn.2024.151759","url":null,"abstract":"<div><h3>Objectives</h3><div>This study was conducted to adapt the Shirom–Melamed Burnout Measure (SMBM) in parents of Turkish pediatric oncology patients.</div></div><div><h3>Methods</h3><div>This methodological and descriptive study was conducted with 184 parents of pediatric oncology patients from December 2023 to July 2024. Data was collected face to face interviews via an information form and the SMBM. Translation processes, expert opinions, and content validity were meticulously addressed. Data analysis was utilized by IBM SPSS Statistics and AMOS 25.</div></div><div><h3>Results</h3><div>The mean age of parents was 37.02 ± 8.20, and 94.6% of the parents were mothers. The scale demonstrated high validity (content validity index = 0.97) and excellent internal consistency (Cronbach's alpha = 0.91). The Exploratory Factor Analysis revealed a 4-factor structure, explaining 67.60% of the variance. A modified 4‐factor 19‐item model of the provided excellent model fit (chi-square/df = 1.946, RMSEA = 0.072, GFI = 0.861, CFI = 0.932, IFI = 0.933, RFI = 0.849, NFI = 0.871, TLI = 0.920).</div></div><div><h3>Conclusions</h3><div>The Turkish scale with 4‐factor 19‐item is a valid and reliable tool can be used to determine the burnout level of parents of pediatric oncology patients.</div></div><div><h3>Implications for Nursing Practice</h3><div>Healthcare providers should use the SMBM to assess parental burnout, develop targeted support programs, and evaluate the impact of caregiving on parents' well-being.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 1","pages":"Article 151759"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nonpharmacological Management of Cancer-Related Cachexia: A Systematic Review","authors":"Cloconi Constantina ,&nbsp;Economou Mary ,&nbsp;Orphanos George ,&nbsp;Ferentinos Konstantinos ,&nbsp;Kouta Christiana ,&nbsp;Middleton Nicos ,&nbsp;Charalambous Andreas","doi":"10.1016/j.soncn.2024.151803","DOIUrl":"10.1016/j.soncn.2024.151803","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;Cancer-related cachexia affects approximately 50% to 80% of cancer patients and contributes significantly to cancer-related mortality, accounting for 20% of deaths. This multifactorial syndrome is characterized by systemic inflammation, anorexia, and elevated energy expenditure, leading to severe weight loss and muscle wasting. Understanding the underlying mechanisms is critical for developing effective interventions. While progress has been made over the past decade, most therapeutic approaches have centered on pharmacological agents or nutritional supplements. This systematic review seeks to address a critical gap by examining interventional studies that focus on nonpharmacological, nonsupplement, and nonparenteral strategies for managing cancer-related cachexia.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A systematic review followed the guidelines provided by PRISMA 2020. The review was conducted to identify clinical trials on the nonpharmacological, nonsupplement, and nonparenteral management of cancer-related cachexia. The literature search encompassed PubMed, CINAHL, and Scopus, targeting studies published between 2014 and 2024. Inclusion criteria required studies to be written in English, involve human participants aged 18 years or older, and focus on individuals diagnosed with active solid tumors. Studies involving participants with hematological malignancies were excluded due to the unique dietary requirements associated with these conditions.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The search identified 2,949 articles, of which 10 met the eligibility criteria. The nonpharmacological interventions examined included acupuncture, nutritional advice, education and support, informational booklets, behavior change support, and exercise. Significant heterogeneity was observed in both the types of interventions and the sample sizes across the studies. Most participants were outpatients. Commonly, assessed outcomes included body weight, body mass index, quality of life (QoL), and muscular strength. This variation highlights the need for more standardized approaches to better evaluate the impact of such interventions.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Exercise interventions improved lean mass, QoL, and fatigue. Complementary interventions like acupuncture have demonstrated promising benefits in managing cancer-related cachexia. These include improved appetite, enhanced Karnofsky Performance Status (indicating better functional ability), and reduced weight loss. While some studies suggest nutritional interventions may positively impact weight or dietary habits, the evidence remains inconclusive. This highlights the importance of initiating interventions early in the course of care, just after the diagnosis and the start of treatment to maximize potential benefits. Additionally, actively involving patients in their care is crucial, as this can enhance adherence, personalize strategies, and address individual needs more ef","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 1","pages":"Article 151803"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143146088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Postoperative Dietary Intervention in Patients with Gastric Cancer who Underwent Gastrectomy: Quasi-Experimental Study Design","authors":"Dahye KIM ,&nbsp;Myung Kyung LEE","doi":"10.1016/j.soncn.2024.151797","DOIUrl":"10.1016/j.soncn.2024.151797","url":null,"abstract":"<div><h3>Objectives</h3><div>This article aims to investigate the effects of a postoperative dietary intervention on fatigue, self-efficacy in managing gastrointestinal side effects, self-efficacy for nutritional management, self-care activity, and unmet nursing needs among patients with gastric cancer who have undergone gastrectomy.</div></div><div><h3>Methods</h3><div>We used a quasi-experimental study design (nonequivalent control group pretest–posttest). Data were collected from 59 patients with gastric cancer (30 in the experimental group and 29 in the control patients) hospitalized for gastrectomy in Daegu, South Korea. The control group completed a preintervention survey, received routine care, and then completed a postintervention survey. After the control group finished their routine care and tests, the experimental group received a postoperative dietary intervention. This intervention included individual face-to-face education and telephone counseling on managing gastrectomy side effects, eating methods to prevent symptoms, foods to avoid, ways to consume sufficient calories, maintaining a balanced diet, and pledge writing. The control group served as a waitlist control. After all interventions and tests for the experimental group were completed, the same dietary intervention was offered to the control group upon their request. This experimental study was conducted from June 2021 to February 2023.</div></div><div><h3>Results</h3><div>Compared with the control group, the experimental group showed significant improvements in fatigue (<em>P</em> = .005), self-efficacy in managing gastrointestinal side effects (<em>P</em> &lt; .001), self-efficacy for nutritional management (<em>P</em> = .03), self-care activity (<em>P</em> &lt; .001), and unmet nursing needs (<em>P</em> &lt; .001).</div></div><div><h3>Conclusion</h3><div>Postoperative dietary interventions contribute to improving self-efficacy, fatigue levels, and self-care activity among patients with gastric cancer.</div></div><div><h3>Implications for Nursing Practice</h3><div>Upon discharge, implementing a needs-based and loss-framed message-based dietary intervention, alongside routine discharge education, for patients who underwent gastrectomy for gastric cancer can enhance fatigue levels, self-efficacy in managing nutrition and gastrointestinal side effects, self-care activity, and unmet nursing needs.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 1","pages":"Article 151797"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}