Oncoclinicas&Co-Medica Scientia Innovation Research (MEDSIR), Sao Paulo, Brazil.
University of California Los Angeles, Los Angeles, CA.
JCO Glob Oncol. 2024 Oct;10:e2400333. doi: 10.1200/GO-24-00333. Epub 2024 Nov 7.
This review explores current guidelines for integrating psychosocial support, nutrition, and physical activity into cancer care and examines the resources available to deliver comprehensive care effectively and equitably, with a focus on telehealth solutions. A review of current guidelines related to psychosocial support, nutrition, and exercise in oncology published between the years 2020 and 2024 was conducted. Additionally, relevant articles from the authors' personal archives were included. Current guidelines emphasize routine psychosocial distress screening, nutritional assessment, and tailored physical activity interventions for patients with cancer. The National Comprehensive Cancer Network and ASCO highlight the need for regular psychosocial evaluations and the management of common psychiatric disorders. The American Cancer Society and the Academy of Nutrition and Dietetics recommend nutritional screening, personalized counseling, and exercise to improve treatment tolerance and overall quality of life. Despite these recommendations, challenges such as resource limitations, time constraints, and financial barriers hinder their implementation. Integrating psychosocial support, medical nutrition therapy, and physical activity into cancer care is essential to enhancing patients' quality of life. Telehealth offers a viable solution to overcome barriers by providing remote access to supportive services, facilitating comprehensive care, and promoting patient engagement. The effectiveness of telehealth in delivering psychosocial, nutritional, and physical activity support highlights its potential to improve patient outcomes and overcome barriers to care. Telehealth technologies hold high potential to optimize cancer care delivery, ensuring personalized support for patients throughout their cancer journey.
这篇综述探讨了将心理社会支持、营养和身体活动纳入癌症护理的现行指南，并研究了有效且公平地提供全面护理的可用资源，重点是远程医疗解决方案。对 2020 年至 2024 年期间发表的有关肿瘤学中心理社会支持、营养和运动的现行指南进行了综述。此外，还纳入了作者个人档案中的相关文章。现行指南强调对癌症患者进行常规心理困扰筛查、营养评估和量身定制的身体活动干预。国家综合癌症网络和美国临床肿瘤学会强调需要定期进行心理社会评估和常见精神障碍的管理。美国癌症协会和营养与饮食学会建议进行营养筛查、个性化咨询和运动，以提高治疗耐受性和整体生活质量。尽管有这些建议，但资源限制、时间限制和经济障碍等挑战阻碍了其实施。将心理社会支持、医学营养治疗和身体活动纳入癌症护理对于提高患者的生活质量至关重要。远程医疗通过提供支持服务的远程访问、促进全面护理和促进患者参与，为克服障碍提供了可行的解决方案。远程医疗在提供心理社会、营养和身体活动支持方面的有效性突出了其改善患者结局和克服护理障碍的潜力。远程医疗技术具有优化癌症护理提供的巨大潜力，可确保在癌症治疗过程中为患者提供个性化支持。
