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Nutritional Support Needs of Cervical Cancer Patients Undergoing Chemoradiotherapy: A Qualitative Study
Xuejiao Wang1, Fenshuang Song1, Yiwen Lin2
1Department of Oncology, Wuxi Maternity and Child Health Care Hospital, Affiliated Women's Hospital of Jiangnan University, Wuxi, 214002, People's Republic of China.
Purpose:
To explore the nutritional support needs of cervical cancer patients undergoing concurrent chemoradiotherapy (CCRT) from the perspectives of both patients and healthcare professionals (HCPs).
Patients And Methods:
A descriptive qualitative study was conducted using semi-structured interviews with 13 cervical cancer patients undergoing CCRT and 7 multidisciplinary HCPs (4 physicians, 3 nurses) from an oncology department in eastern China. Data were analyzed using conventional content analysis.
Results:
Three main themes were identified: (1) multidimensional nutritional support needs, (2) cognitive biases regarding nutritional support management, and (3) barriers to achieving effective nutritional support. Patients reported unmet needs in managing treatment-related adverse symptoms, acquiring dietary knowledge, and accessing professional guidance after discharge. Cognitive biases-including limited awareness, insufficient knowledge for autonomous decision-making, exposure to conflicting information, and skepticism toward nutritional management-were evident among both patients and HCPs. Barriers included inconsistent professional advice, cultural dietary restrictions, and economic constraints.
Conclusion:
Cervical cancer patients undergoing CCRT have complex nutritional needs that are inadequately addressed due to cognitive, cultural, and systemic barriers. A multidisciplinary, culturally adapted nutritional support system integrating in-hospital and post-discharge care is needed.
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