{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,19]],"date-time":"2026-07-19T03:22:46Z","timestamp":1784431366309,"version":"3.55.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["FNJN"],"abstract":"<jats:p>AIM: The aim of this systematic review is to provide reliable, high-quality data with an evidence-based, up-to-date overview of the use of nonpharmacologic interventions in the management of symptoms in advanced cancer patients with metastatic disease.\n\nMETHOD: A comprehensive literature search was performed by searching PubMed, EBSCO, Cochrane, and Google Scholar databases. \u201cNonpharmacologic,\u201d \u201cpalliative care,\u201d and \u201ccancer\u201d were the three main terms combined with the main symptoms of cancer palliative care such as \u201cpain,\u201d \u201cfatigue,\u201d \u201cnausea and vomiting,\u201d \u201cpsychosocial distress,\u201d \u201closs of appetite,\u201d \u201cdyspnea,\u201d \u201cconstipation,\u201d and \u201cdrowsiness,\u201d and each symptom was searched separately.\n\nRESULTS: Thirteen studies were included in this systematic review with a total of 1975 participants. Three of the studies examined \u201cfatigue,\u201d three examined \u201cquality of life,\u201d one examined \u201csleep,\u201d three examined \u201cdyspnea,\u201d two examined \u201cdepression,\u201d and one examined \u201cpain.\u201d To manage these symptoms, three of the studies included in the systematic review used \u201cpatient education,\u201d three of the studies used \u201cexercise,\u201d three of the studies used \u201cfan therapy,\u201d and the remaining studies used \u201creflexology,\u201d \u201ccognitive behavioral therapy,\u201d and \u201coccupational therapy.\u201d\n\nCONCLUSION: Number of studies done regarding the advanced and metastatic cancer patients and their symptom management through nonpharmacological methods are low, which makes it difficult to draw decisive conclusions.\n\nCite this article as: Alikan, B., &amp; Can, G. (2024). Evidence-based nonpharmacological symptom management of palliative care in advanced and metastatic cancer patients: A systematic review. Florence Nightingale Journal of Nursing, 32(1), 90-98.<\/jats:p>","DOI":"10.5152\/fnjn.2023.23043","type":"journal-article","created":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T02:59:05Z","timestamp":1709261945000},"page":"90-98","source":"Crossref","is-referenced-by-count":1,"title":["Evidence-Based Nonpharmacological Symptom Management of Palliative Care in Advanced and  Metastatic Cancer Patients: A Systematic Review"],"prefix":"10.5152","volume":"32","author":[{"given":"Berkay","family":"Alikan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00fclbeyaz","family":"Can","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3111","published-online":{"date-parts":[[2024,2,28]]},"container-title":["Florence Nightingale Journal of Nursing"],"original-title":[],"link":[{"URL":"https:\/\/fnjn.org\/index.php\/pub\/article\/download\/801\/799","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,17]],"date-time":"2025-11-17T14:37:27Z","timestamp":1763390247000},"score":1,"resource":{"primary":{"URL":"https:\/\/fnjn.org\/index.php\/pub\/article\/view\/801"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,28]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,1,1]]}},"URL":"https:\/\/doi.org\/10.5152\/fnjn.2023.23043","relation":{},"ISSN":["2687-6442"],"issn-type":[{"value":"2687-6442","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,28]]}}}