Seminars in Oncology Nursing最新文献

{"title":"Diet and Physical Activity Behaviors of Breast Cancer Survivors: A Scoping Review","authors":"Jittrarath Phothikul PhD ,&nbsp;Joohyun Chung PhD ,&nbsp;Jamie Faro PhD ,&nbsp;Memnun Seven PhD","doi":"10.1016/j.soncn.2024.151763","DOIUrl":"10.1016/j.soncn.2024.151763","url":null,"abstract":"<div><h3>Objectives</h3><div>This scoping review explored insight into the current evidence on adherence to health behavior guidelines, specifically diet and physical activity among breast cancer survivors.</div></div><div><h3>Methods</h3><div>A scoping review was conducted through databases including PubMed, CINAHL, Scopus, Web of Science, and SPORTDiscus with Full Text in November 2022, following the JBI methodology. The search strategy combined the keywords i) diet OR nutrition OR eating OR exercise OR physical activity OR fitness and ii) breast cancer survivors OR patients with breast cancer.</div></div><div><h3>Results</h3><div>Twelve original research studies were included; most were conducted in the United States (50%), followed by the European countries (33.34%). Most studies exclusively focused on physical activity (83.33%) and assessed adherence to the physical activity guidelines for Americans (30%), along with the American Cancer Society (20%) and American College of Sports Medicine (20%) guidelines. Overweight or obesity, comorbidity, race, and quality of life were reported as factors associated with physical activity. Independence of disease status was significantly associated with fruit and vegetable intake.</div></div><div><h3>Conclusion</h3><div>Studies reported a wide range of prevalence of adherence to dietary and physical activity recommendations among breast cancer survivors. Further studies are needed to explore diet and physical activity in the context of factors affecting these behaviors among cancer survivors to support the development of healthy behavior, improve health outcomes, and reduce the disease burden among this population.</div></div><div><h3>Implication for Nursing Practice</h3><div>Nurses have a key role in educating and coordinating multidiscipline teams to initiate and provide cancer survivorship care. These findings indicate that nurses should consider developing targeted strategies and education to promote dietary patterns and physical activity adherence among breast cancer survivors.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 1","pages":"Article 151763"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808612","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":"Identification of the Core Nutrition Impact Symptoms Cluster in Patients with Lung Cancer During Chemotherapy: A Symptom Network Analysis","authors":"Dan-Dan Zheng ,&nbsp;Ting Jin ,&nbsp;Dan Li ,&nbsp;Kang-Ning Bao ,&nbsp;Rui-Hua Jin","doi":"10.1016/j.soncn.2024.151794","DOIUrl":"10.1016/j.soncn.2024.151794","url":null,"abstract":"<div><h3>Objectives</h3><div>Lung cancer patients undergoing chemotherapy are present in multiple Nutrition Impact Symptoms (NIS). There have been no studies utilizing symptom networks to identify core NIS in lung cancer patients undergoing chemotherapy, it is necessary to identify core symptoms for effective and precise symptom management. We aimed to construct a symptom network of NIS in lung cancer patients receiving chemotherapy, and explore the core Nutrition Impact Symptoms cluster.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was conducted among 315 patients with lung cancer. The Patient-Generated Subjective Global Assessment-Short Form was used to assess the prevalence and severity of NIS. We constructed a symptom network and identified centrality indexes using R packages.</div></div><div><h3>Results</h3><div>Fatigue emerged as the most prevalent and severe symptom, affecting 87% of participants, with an intensity of 3.0 ± 1.3. The network density was measured at 0.5. Strength centrality showed a stability coefficient of 0.7, with fatigue (Rs = 0.73), lack of appetite (Rs = 1.02), and nausea (Rs = 0.70) ranking as the top three symptoms. For betweenness centrality, the stability coefficient was 0.3, highlighting fatigue (Rb = 12), lack of appetite (Rb = 34), and emotional change (Rb = 18) as the primary symptoms.</div></div><div><h3>Conclusions</h3><div>This study identified a core symptom cluster consisting of fatigue, lack of appetite, and emotional change. These findings provide valuable insights for developing targeted symptom management strategies and interventions for this patient population in the future.</div></div><div><h3>Implications for Nursing Practice</h3><div>Nurses need to comprehensively consider the interaction of multidimensional symptoms to provide lung chemotherapy cancer with targeted symptom management strategies and intervention guidance to reduce the burden of symptoms and improve quality of life.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 1","pages":"Article 151794"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873450","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":"Integrating Nutritional Care to Maintain the Quality of Life in People With Cancer","authors":"Virpi Sulosaari ,&nbsp;Dimitrios Protogiros","doi":"10.1016/j.soncn.2024.151804","DOIUrl":"10.1016/j.soncn.2024.151804","url":null,"abstract":"","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 1","pages":"Article 151804"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933598","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":"Nutrition Care in Cancer: An Overlooked Part of Patient-Centered Care","authors":"Nicole Erickson ,&nbsp;Virpi Sulosaari ,&nbsp;Erin Stella Sullivan ,&nbsp;Alessandro Laviano ,&nbsp;Annemieke van Ginkel-Res ,&nbsp;Wineke Remijnse ,&nbsp;Joost Wesseling ,&nbsp;Ute Koepcke ,&nbsp;Nina Weber ,&nbsp;Jutta Huebner ,&nbsp;Viktoria Mathies ,&nbsp;Sebastian Theurich ,&nbsp;Theres Fey","doi":"10.1016/j.soncn.2024.151799","DOIUrl":"10.1016/j.soncn.2024.151799","url":null,"abstract":"<div><h3>Objectives</h3><div>Robust evidence highlights the crucial role of nutrition for people with cancer, and international organizations recognize it as a basic human right linked to health and food. Within this context, we aim to emphasize the critical role of nutrition care for cancer patients and to highlight the essential contributions of nurses in providing patient-centered nutrition care<strong>.</strong></div></div><div><h3>Methods</h3><div>This opinion paper synthesizes evidence and perspectives from peer-reviewed articles and position papers. Furthermore, insights were drawn from the European Commission's Health Policy Platform thematic network “Integrated Nutrition Cancer Care”.</div></div><div><h3>Results</h3><div>Implementation of nutrition care is inconsistent, which can lead to inequalities in care. In oncology, nutrition care is vital as nutrition-related issues significantly impact clinical and patient outcomes. Studies show that cancer nurses can effectively integrate and manage nutrition care. Failure to address nutrition issues negatively impacts an array of patient outcomes and reduces quality of life. Thus, integrating nutrition care throughout routine cancer care is essential.</div></div><div><h3>Conclusions</h3><div>Cancer nurses, as core multidisciplinary team members, are often the initial and consistent contact for cancer patients. They are ideally positioned to play a key role in securing nutrition care throughout the trajectory of cancer care.</div></div><div><h3>Implications for Nursing Practice</h3><div>Cancer nurses should be empowered and enabled to manage all aspects of nutrition care in tandem with dietitians. This approach can improve patient outcomes, enhance quality of life, and ensure equitable access to essential nutrition care for all cancer patients.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 1","pages":"Article 151799"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973281","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":"Implementation of a lisocabtagene maraleucel chimeric antigen receptor T-cell therapy outpatient monitoring program: Multicenter nursing/advanced practice provider perspectives","authors":"Nicole McEntee ,&nbsp;Jacqueline Manago ,&nbsp;ChiaChun Lu ,&nbsp;Lucy Holmes","doi":"10.1016/j.soncn.2024.151758","DOIUrl":"10.1016/j.soncn.2024.151758","url":null,"abstract":"<div><h3>Objectives</h3><div>Lisocabtagene maraleucel (liso-cel; Breyanzi), an autologous chimeric antigen receptor T-cell therapy, has demonstrated efficacy and safety in relapsed/refractory large B-cell lymphoma, chronic lymphocytic leukemia/small lymphocytic lymphoma, follicular lymphoma, and mantle cell lymphoma. Outpatient monitoring after liso-cel administration has shown lower health care resource utilization and cost and high patient satisfaction. However, outpatient monitoring programs require well-designed processes with collaborations from multiple stakeholders across several facilities. The study objective is to provide learnings and key considerations from nurses and advanced practice providers (APP) with experience setting up and managing liso-cel outpatient monitoring programs.</div></div><div><h3>Data source</h3><div>Author experience gathered from 3 institutions at 2 workshops.</div></div><div><h3>Results</h3><div>In the reviewed programs, patients are discharged on the same day after liso-cel infusion and observation. They are required to remain within a short distance of the facility for ≥4 weeks with admission to treatment facilities upon experiencing adverse events (AE). Nurses/APPs report several key features of successful programs: flexibility to carry out essential roles/functions based on institution's resources and staff structure, a phased or hybrid (hospital/clinic) approach to program launch, a core team to run and guide the program, robust training for staff, options to tailor AE monitoring based on institution guidelines, and coordinated transitions between multiple stakeholders and facilities.</div></div><div><h3>Conclusions</h3><div>Nurses/APPs are critical contributors to liso-cel outpatient monitoring programs. Success in providing appropriate, complex individualized care in these programs can be achieved by using a multistakeholder approach with appropriate staff and patient/caregiver training and careful coordination across multiple functions and facilities.</div></div><div><h3>Implications for nursing practice</h3><div>The learnings and resources presented may provide insight to considerations around the development of a cell therapy outpatient monitoring program. However, the information provided here should be taken together with other relevant resources and guidelines and should be adapted to align with the institution's own guidelines.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 1","pages":"Article 151758"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142696194","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":"“It's the Ride of Your Life”: A Qualitative Study on Survivor Awareness and Understanding of Blood and Marrow Transplantation","authors":"Gemma McErlean ,&nbsp;Christine Ashley ,&nbsp;Anisha Pradhan ,&nbsp;Alana Paterson ,&nbsp;Gai Farnham ,&nbsp;Fran Owen ,&nbsp;Anne-Marie Watson ,&nbsp;Peter Presgrave ,&nbsp;Vanessa Yenson ,&nbsp;Ian Kerridge ,&nbsp;Elizabeth Halcomb","doi":"10.1016/j.soncn.2024.151756","DOIUrl":"10.1016/j.soncn.2024.151756","url":null,"abstract":"<div><h3>Objective</h3><div>This paper describes blood and marrow transplantation (BMT) survivors’ and carers' knowledge and understanding of BMT and long-term care requirements.</div></div><div><h3>Methods</h3><div>Semistructured, online interviews with 22 BMT survivors and 6 carers were used to collect qualitative data. Interviews were audio-recorded, transcribed verbatim, and analyzed using thematic analysis.</div></div><div><h3>Results</h3><div>Findings indicate the diversity of information and education received by survivors, the importance of timing in the delivery of information, and the need to provide education as an ongoing intervention in the long-term care provided.</div></div><div><h3>Conclusions</h3><div>The health, psychological, and functional status of BMT survivors is significantly improved by the provision of better education, understanding, and decision-making around their long-term care. Many survivors lack a good understanding of the BMT process, the late effects of BMT, and the need for and mechanism of long-term follow-up. As the number of BMT survivors increases over time, improvements in how and where education and support are provided need to be addressed to ensure adherence to recommended long-term follow-up requirements.</div></div><div><h3>Implications for Nursing Practice</h3><div>Nurses who work with BMT survivors should continuously reassess survivors' knowledge and understanding of their condition and provide person-centered education and resources to assist learning and treatment adherence throughout the transplant journey. Further research is necessary to explore the validity and processes of consent for BMT and establish the best model of care for long-term follow-up and education.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 1","pages":"Article 151756"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787579","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":"Nutrition in Advanced Disease and End of Life Cancer Care","authors":"Betty Ferrell ,&nbsp;Nathaniel Co ,&nbsp;William E. Rosa","doi":"10.1016/j.soncn.2024.151793","DOIUrl":"10.1016/j.soncn.2024.151793","url":null,"abstract":"<div><h3>Objectives</h3><div>This paper addresses nutritional challenges in advanced cancer and at the end of life and implications for oncology nursing practice.</div></div><div><h3>Methods</h3><div>Recent literature and position statements regarding nutritional support in advanced disease and at the end of life were reviewed and case studies were developed to illustrate the nutritional issues facing patients and family members.</div></div><div><h3>Results</h3><div>The literature and case examples illustrate the many issues confronting patients, families, and clinicians related to nutritional support including balancing the goals of comfort versus prolonged survival. Patients and families often face difficult decisions regarding the use of medically assisted nutrition and hydration while considering potential burdens and harms. Principles of ethics can be applied in the process of making these decisions.</div></div><div><h3>Conclusions</h3><div>Providing nutrition is one of the most important aspects of care provided by families for patients with advanced disease with deep meaning in these relationships, especially at the end of life. Oncology nurses provide valuable guidance in these decisions and offer support to both patients and families to ensure quality of life across the trajectory of cancer.</div></div><div><h3>Implications for Nursing Practice</h3><div>Nurses can apply skills in patient and family caregiver education, communication, and support to help navigate nutritional decisions.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 1","pages":"Article 151793"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873452","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":"Indocyanine Green Lymphography in Conservative Lymphedema Management: An Exploration of the Impact on Lymphedema Therapy Plans","authors":"Megan Trevethan ,&nbsp;Emmah Doig ,&nbsp;Freyr Patterson ,&nbsp;Amanda Pigott","doi":"10.1016/j.soncn.2024.151792","DOIUrl":"10.1016/j.soncn.2024.151792","url":null,"abstract":"<div><h3>Objectives</h3><div>Information from indocyanine green (ICG) lymphography (ICG-L) can be used to guide an individual's lymphedema therapy plan. However, the mechanisms for this clinical translation are not well described. This study proposes a novel clinical decision support tool for translating ICG-L findings into individualized lymphedema therapy plans and describes subsequent changes in plan features of manual lymphatic drainage and compression.</div></div><div><h3>Methods</h3><div>This before-after study compared specific therapy plan features before and after ICG-L for participants with limb lymphedema. After participants had undergone ICG-L, the individuals’ ICG-L findings were translated into an ICG-L–informed therapy plan using a novel clinical decision support tool, ICG-TRANSLATE. A predetermined coding tree was used to identify changes in elements of manual lymphatic drainage and compression therapy plan recommendations.</div></div><div><h3>Results</h3><div>Following the application of the ICG-TRANSLATE decision support tool, 100% (n = 25) of participants had a change in manual lymphatic drainage recommendations, including elements of terminal nodes, pathway, and technique. Additionally, 88% (n = 22) had a change in compression recommendations, which was most commonly a change in garment limb coverage.</div></div><div><h3>Conclusions</h3><div>ICG-L findings informed changes to traditional lymphedema therapy plan modalities of manual lymphatic drainage and compression. Whether this change to individual therapy recommendations translates into improved lymphedema outcomes requires further investigation.</div></div><div><h3>Implications for Nursing Practice</h3><div>A clinical decision support tool may assist practitioners in translating ICG-L findings into individualized lymphedema therapy plans for people with lymphedema. Further exploration is necessary to determine if the management changes derived through ICG-L–informed therapy plans improve outcomes for people with lymphedema.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 1","pages":"Article 151792"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900105","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":"Nutritional Management of Lung Cancer Patients Undergoing Chemotherapy: A Qualitative Exploration of Patients’ and Healthcare Professionals’ Perspectives","authors":"Huan Rong ,&nbsp;Fangyi Li ,&nbsp;Chunmei Liu ,&nbsp;Linyu Zhou ,&nbsp;Hongyue Zhong ,&nbsp;Li Li ,&nbsp;Tian Xiao ,&nbsp;Ruihan Xiao ,&nbsp;Xiaoju Chen","doi":"10.1016/j.soncn.2024.151657","DOIUrl":"10.1016/j.soncn.2024.151657","url":null,"abstract":"<div><h3>Objectives</h3><div>To describe the experiences of lung cancer patients undergoing chemotherapy in nutrition management and the problems in the process of implementing nutrition management for patients by healthcare professionals.</div></div><div><h3>Methods</h3><div>This is a qualitative descriptive study. Qualitative data were collected through semistructured interviews with lung cancer patients undergoing chemotherapy (<em>N</em> = 16) and healthcare professionals (<em>N</em> = 24) from the oncology department at three tertiary grade A hospitals.</div></div><div><h3>Results</h3><div>Three themes emerged from the patients’ interviews: deficiency in nutritional management capabilities; barriers to implementing nutritional management; incentives to implementing nutritional management. Five themes emerged from the healthcare professionals’ interviews: insufficient attention to nutritional management of lung cancer patients undergoing chemotherapy; lack of standardization in nutritional management; inadequate support for nutritional management; weak multidisciplinary awareness; poor compliance from patients and their families.</div></div><div><h3>Conclusions</h3><div>The nutritional management of lung cancer patients undergoing chemotherapy is a complicated and vital process that requires the joint efforts of healthcare professionals and patients. Formulating corresponding strategies from multiple perspectives is suggested to provide targeted nutritional guidance for patients.</div></div><div><h3>Implication for Nursing Practice</h3><div>This study can help nurses better understand the nutritional management needs and challenges of patients to provide individualized nutritional guidance to patients. Meanwhile, the study also found the existing problems of nutrition management in clinical work, which can help nurses to reflect on and better participate in the nutrition management of patients.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 1","pages":"Article 151657"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141181227","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":"Strategies to Individualize Nutritional Care of Breast Cancer Survivors","authors":"Irati Rodriguez-Matesanz ,&nbsp;Nathan Schober ,&nbsp;Cristina Garcia-Vivar","doi":"10.1016/j.soncn.2024.151795","DOIUrl":"10.1016/j.soncn.2024.151795","url":null,"abstract":"<div><h3>Introduction</h3><div>Breast cancer survivorship is a complex, chronic condition requiring personalized interventions. While nutrition is widely recognized as a key component of Survivorship Care Plans (SCPs), there is limited implementation of nutritional interventions in routine survivorship care. This discussion paper explores strategies to individualize nutritional care for breast cancer survivors (BCSs), identifies barriers to implementation, and proposes actionable solutions to improve adherence.</div></div><div><h3>Methods</h3><div>A comparative and analytical approach, drawing on peer-reviewed articles in key databases, policy reports, case studies, and international guidelines, was used to examine nutritional care and barriers to implementing SCPs for BCSs.</div></div><div><h3>Results</h3><div>Barriers to nutritional care stem from healthcare systems, including provider knowledge gaps, time constraints, and financial limitations. Patient-related factors include lack of awareness, fatigue, psychological barriers, perceived time barriers, and inconsistent family support.</div></div><div><h3>Discussion</h3><div>Recommendations for overcoming these challenges include enhanced healthcare provider training, integration of registered dietitians into care teams, and promoting remote nutritional interventions to improve accessibility. Additionally, involving family members in dietary interventions may improve long-term adherence.</div></div><div><h3>Conclusion</h3><div>By addressing these barriers through a coordinated multidisciplinary approach, nutritional interventions can improve the quality of life and long-term outcomes for BCSs, reducing the risk of recurrence, comorbidities, and improving their quality of life.</div></div><div><h3>Implications for nursing</h3><div>Nurses, as central figures in survivorship care, are ideally positioned to lead the development and implementation of SCPs, including nutritional counseling, but require formal training in evidence-based nutrition and communication strategies.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 1","pages":"Article 151795"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866392","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}