Williams Linda, Henry Claire, Simcock Bryony, Amataiti Tutangi, Perelini Olivia, Filoche Sara
Department of Surgery and Anaesthesia, University of Otago, Wellington, New Zealand.
Department of Gynaecology, Christchurch Hospital, Te Whatu Ora, Waitaha Christchurch - Health New Zealand, Christchurch, New Zealand.
Aust N Z J Obstet Gynaecol. 2025 Feb;65(1):156-162. doi: 10.1111/ajo.13875. Epub 2024 Sep 6.
The aim was to explore Endometrial cancer (EC) survivors' experiences of being offered nutrition and well-being advice.
This qualitative study was conducted at two tertiary centres in Aotearoa New Zealand. Semi-structured conversations with people who had completed treatment for EC in the past 12 months were undertaken to explore how they were offered nutrition and well-being advice as part of standard follow-up care. Interviews were analysed using reflexive thematic analysis.
Fifteen people of Pacific, Māori and European ethnicity participated. Five themes were derived: (i) isolation and vulnerability, (ii) importance of language, (iii) inconsistent availability and relevance of nutrition and well-being information, (iv) competing priorities and influences and (v) holistic and culturally responsive support. People often experienced judgement associated with their weight as part of their care, with limited understanding of their lived realities. Nutrition and well-being advice was not widely available or accessible, and people had to explicitly ask for it. Social and environmental factors were barriers to making changes to health behaviours. A need for culturally safe holistic care was identified.
Enhancing survivorship after EC is ultimately premised on providing culturally safe and responsive care. Expanding workforce training in communication around high weight as well as education and self-assessment of cultural safety could enable aspects of this. A holistic care program could facilitate wider access to nutrition and well-being advice and better meet the needs of this population.
旨在探究子宫内膜癌（EC）幸存者接受营养与健康建议的经历。
这项定性研究在新西兰奥特亚罗瓦的两个三级医疗中心开展。与过去12个月内完成EC治疗的患者进行了半结构化访谈，以探讨他们在标准后续护理中是如何获得营养与健康建议的。采用反思性主题分析法对访谈进行分析。
15名太平洋岛民、毛利人和欧洲裔参与者参与了研究。得出了五个主题：（i）孤立与脆弱性，（ii）语言的重要性，（iii）营养与健康信息的可得性和相关性不一致，（iv）相互竞争的优先事项和影响因素，（v）全面且具有文化响应性的支持。人们在接受护理时经常因体重而受到评判，对他们的生活现实了解有限。营养与健康建议并不广泛可得或易于获取，人们必须明确提出请求才能获得。社会和环境因素是改变健康行为的障碍。研究确定了对具有文化安全性的全面护理的需求。
提高EC幸存者的生活质量最终基于提供具有文化安全性和响应性的护理。扩大围绕高体重问题的沟通方面的劳动力培训以及文化安全性的教育和自我评估可能有助于实现这一点。一个全面的护理计划可以促进更广泛地获得营养与健康建议，并更好地满足这一人群的需求。
