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صفحه اصلی
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اولین کنگره بین المللی رویکردهای نوین سبک زندگی، پیشگیری و درمان سرطان
تغییر سبک زندگی در کودکان بازمانده سرطان با رویکردی نوین در آموزش پرستاری : ( یک مرور راویانه)
نویسندگان :
میترا قربان نژاد (دانشگاه علوم پزشکی مازندران)
کلمات کلیدی :
nursing education،cancer survivor،cancer
چکیده :
Background: Cancer survivors endure many physiological and psychological consequences due to several aggressive treatments such as: surgery, chemotherapy, radiotherapy etc. on the other hand, during the past decades, the survival rate has dramatically improved because of the advances in cancer treatment. Since children are in full development, these treatments can have a serious impact on their health on the long term and these children are at increased risk of other late effects, which may be due to combination of genetic factors and/or consequences of damage to various organs which can negatively affect their quality of life. By the age 45,95% of childhood cancer survivors have at least one chronic health condition. A healthy lifestyle (that is consisted of avoiding alcohol consumption, diet, physical activity, etc.) is an important environmental factor which can positively affect the consequences above. Of course, healthy lifestyle may not only help diminish the risk of chronic health condition, but also promote the health of childhood cancer survivors. Post treatment period cause children and their families face new challenges; So, they should learn new strategies to cope with new situation and nurses are one of the most qualified people in health organizations who can help these people, organize the new situation based on a healthy lifestyle. Objective: This is a narrative review of the existing literature on the effect of lifestyle after cancer treatment, childhood cancer survivors and the role of nursing education in this group. Method: A search in Science Direct, Google Scholar, PubMed, Scopus, and ProQuest data bases has carried out (last access September, 18th, 2023) with the following keywords: “nursing, children, cancer survivor, lifestyle, quality of life”. Unfortunately, some of the databases such as Medline and Web of Science are banned in Iran and we didn’t have access. Case reports and qualitative articles were excluded. Filters for “English”, “nursing” and “clinical medicine” were applied. Results: 221 articles were found, 8 of them removed because of repetition. 37 items removed after screening the title and 136 of them removed after screening the abstract. 40 articles remained. Conclusion: Based on previous works, researchers classified lifestyle into six biobehavioral factors: BMI, physical activity, cigarette smoking status, alcohol consumption, sun exposure behavior and diet quality. It is shown that adopting a healthy lifestyle, may lower the chance of being affected by late effects. When the survivors are educated about their increased risk of disease, and trained and supported by healthcare practitioners into adopting healthy lifestyle habits, may prevent or delay these late effects. Based on reviews, interactive expert-to-patient health behavior trainings showed positive effects on health-protective behaviors, such as: lowering junk food consumption, self-examinations or smoking intention rates. In addition, a peer-to-peer counselling intervention showed great effects on smoking cessation rates among children cancer survivors. Authors state that nurses, especially oncology nurses are in an ideal position to address the needs of cancer survivors and prepare them for the transition to the post treatment phase of their experience with cancer and play important role in high quality survivorship care.
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