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Preventing second cancers in cancer survivors
Krista L Wilkins1, Roberta L Woodgate
1Faculty of Nursing in Helen Glass Centre for Nursing at University of Manitoba, Canada. umwilk04@cc.umanitoba.ca
Oncology Nursing Forum
|March 7, 2008
Summary
Cancer survivors often neglect secondary prevention practices, increasing their risk for new cancers. Targeted interventions and nursing support are crucial to improve cancer screening and follow-up care for these individuals.
Area of Science:
- Oncology
- Health Behavior
- Nursing
Background:
- Cancer survivors face elevated risks for secondary malignancies.
- Adherence to recommended cancer screening and follow-up care is suboptimal in this population.
- The Interaction Model of Client Health Behavior provides a framework for understanding these practices.
Purpose of the Study:
- To systematically review secondary prevention practices among cancer survivors.
- To identify factors influencing these practices within the context of the Interaction Model of Client Health Behavior.
Main Methods:
- Systematic review of peer-reviewed articles.
- Literature search conducted for publications from 1996 to 2007.
Main Results:
- Few cancer survivors engage in regular follow-up with clinicians specializing in late effects.
- Cancer screening rates among survivors fall below recommended levels.
- Limited evidence-based interventions exist to promote secondary prevention in cancer survivors.
Conclusions:
- Cancer survivors demonstrate lower adoption rates of secondary prevention behaviors compared to those without a cancer history.
- Nurses play a vital role in promoting secondary prevention through education, support, and positive reinforcement.
- Development of evidence-based guidelines for long-term cancer survivorship care is essential for enhancing nursing practice.
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