Atlantic Technological University, Sligo, Ireland.
Hirsh Health Sciences Library, Tufts University, Boston, MA, USA.
J Cancer Surviv. 2024 Aug;18(4):1211-1232. doi: 10.1007/s11764-023-01359-4. Epub 2023 Mar 25.
This systematic review investigated qualitative and quantitative studies exploring patients and healthcare professionals' (HCP) experience of nutrition care throughout the cancer journey.
Five databases were systematically searched for studies reporting on patient and healthcare professionals' experience of nutrition advice.
Fifteen studies including 374 patients and 471 healthcare professionals were included. Findings indicate that patients desire more specific nutrition advice supported by members of the multidisciplinary team and delivered in appropriate and understandable language. Healthcare professionals have highlighted a lack of time, funding, dietetic roles, and knowledge as barriers to integrating nutrition as a standard part of cancer care. Five themes were identified (current provision of nutrition advice, optimal provision of nutrition advice, tension between patient values and nutritional or HCP priorities, providing evidence-based nutrition care, and practical barriers to nutrition advice provision).
Further work is essential to better understand and address identified barriers and improve the provision of nutrition advice to this population.
Findings from this review will guide the delivery of nutrition advice for cancer survivors.
本系统评价调查了定性和定量研究，探索了癌症全程中患者和医疗保健专业人员（HCP）的营养护理体验。
系统检索了 5 个数据库，以寻找报告患者和医疗保健专业人员营养建议体验的研究。
纳入了 15 项研究，包括 374 名患者和 471 名医疗保健专业人员。研究结果表明，患者希望获得更多由多学科团队成员提供的、以适当和可理解的语言表达的具体营养建议。医疗保健专业人员强调，缺乏时间、资金、饮食学角色和知识是将营养作为癌症护理标准的一部分整合的障碍。确定了五个主题（当前营养建议的提供、最佳营养建议的提供、患者价值观与营养或 HCP 重点之间的紧张关系、提供基于证据的营养护理、以及营养建议提供的实际障碍）。
需要进一步的工作来更好地了解和解决已确定的障碍，并改善为这一人群提供的营养建议。
本综述的结果将指导为癌症幸存者提供营养建议。
