Nurse intervention in the management of chemotherapy-induced peripheral neuropathy: scoping review

Introduction: As the second leading cause of death, neoplasms are treated with aggressive therapies that have undesirable side effects, such as peripheral neuropathy. This can include motor, sensory, and autonomic symptoms, with a significant impact on the quality of life of patients and survivors. Currently, there are no internationally agreed preventive or curative strategies available. Objective: To map nursing interventions for the management of chemotherapy-induced peripheral neuropathy (CIPN) in cancer patients. Methods: A scoping review was conducted using the methodology proposed by the Joanna Briggs Institute (JBI), drawing on the PubMed and CINAHL databases, as well as Portugal's open access scientific repository (RCAAP). No time or language restrictions were applied. Results: Sixteen studies were included, allowing for the identification and systematization of nursing interventions in the areas of assessment, patient and caregiver training, symptom management, and referral to other professionals. Conclusion: The implementation of effective strategies for managing NPIQ promotes healthy readaptation and is a key component of the functional content of nursing professionals. A reorganisation of the healthcare system, traditionally focused on acute episodes, is needed to integrate cancer morbidity and the sequelae of treatments, with effective coordination between specialised and primary care. The compilation of the various nursing interventions provides a starting point for the development of a guidance manual for both patients and informal and professional caregivers.